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1000 Titel
  • The impact of COVID-19 on the interpretation of psycho-oncological support trial results: a quasi-experimental approach using the data from the new form of care “Integrated cross-sectoral psycho-oncology (nFC-isPO)”
1000 Autor/in
  1. Hagemeier, Anna |
  2. Adams, Anne |
  3. Krieger, Theresia |
  4. Salm, Sandra |
  5. Cecon, Natalia |
  6. Dresen, Antje |
  7. Hellmich, Martin |
1000 Verlag BioMed Central
1000 Erscheinungsjahr 2023
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2023-05-30
1000 Erschienen in
1000 Quellenangabe
  • 23(1):556
1000 Copyrightjahr
  • 2023
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1186/s12913-023-09544-y |
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10228457/ |
1000 Publikationsstatus
1000 Begutachtungsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • <jats:title>Abstract</jats:title><jats:sec> <jats:title>Objective</jats:title> <jats:p>In addition to the common difficulties of ongoing trials, the COVID-19 pandemic posed several challenges to scientists worldwide and created an additional burden for vulnerable patient groups. In the nFC-isPO of individualised treatment for anxiety and depression in newly diagnosed patients with cancer caregivers (e.g. psycho-oncologists) reported elevated HADS scores in newly enrolled patients after the outbreak of the COVID-19 pandemic. Accordingly, the question arises whether the pandemic affected HADS scores. Therefore, stratified analyses by the time of enrolment (T1) were performed for patients with 12 months of care (T3).</jats:p> </jats:sec><jats:sec> <jats:title>Methods</jats:title> <jats:p>Patients with 12 months of care (N = 1,140) were analysed. A comparison within the regression discontinuity design according to the time points at which patients completed the baseline (T1) HADS questionnaire was conducted to examine differences between patients recruited before Q2/2020 (pre-pandemic) and after the coronavirus outbreak. Furthermore, mean HADS scores at T1 and T3 for all quarters during the study were compared.</jats:p> </jats:sec><jats:sec> <jats:title>Results</jats:title> <jats:p>Mean T1 and T3 HADS scores of patients with cancer during the pandemic are only slightly higher than those of the pre-pandemic group. No significant treatment effect was observed in either the pre-pandemic (p = 0.5495, Late = 1.7711) or the post-pandemic group (p = 0.9098, LATE=-0.2933). In contrast, the average local treatment effect in the post-pandemic group suggests a minimal decrease in HADS score in the predefined range and thus a positive treatment effect for isPO. Comparison of mean HADS scores at T1 and T3 did not show a large increase by pandemic-related timepoints, however, a decrease of approximately 2–3 points over each quarter at 12 months compared to baseline is observed.</jats:p> </jats:sec><jats:sec> <jats:title>Conclusion</jats:title> <jats:p>The existing nFC-isPO care is resilient to crisis and may counteract external influences such as the Corona pandemic. Accordingly, the pandemic had little influence on the fears of patients with cancer in the nFC-isPO. This emphasises that psycho-oncology is vital for the reduction of stress, anxiety and depression in patients with cancer.</jats:p> </jats:sec><jats:sec> <jats:title>Trial Registration</jats:title> <jats:p>The study was registered in the German Clinical Trials Registry on 30 October 2018 under the ID “DRKS00015326”.</jats:p> </jats:sec>
1000 Sacherschließung
lokal cancer
gnd 1206347392 COVID-19
lokal Anxiety/epidemiology [MeSH]
lokal Anxiety/therapy [MeSH]
lokal Neoplasms/epidemiology [MeSH]
lokal COVID-19/therapy [MeSH]
lokal Mental health
lokal Depression
lokal Depression/therapy [MeSH]
lokal Pandemic
lokal Neoplasms/therapy [MeSH]
lokal COVID-19/epidemiology [MeSH]
lokal Depression/epidemiology [MeSH]
lokal Humans [MeSH]
lokal HADS
lokal COVID-19
lokal Stratification
lokal Psycho-oncology
lokal Pandemics [MeSH]
lokal Psycho-Oncology [MeSH]
lokal Medical and Health Sciences
lokal Anxiety
lokal Research
lokal Clinical Trials as Topic [MeSH]
lokal Regression discontinuity design
1000 Fächerklassifikation (DDC)
1000 Liste der Beteiligten
  1. https://frl.publisso.de/adhoc/uri/SGFnZW1laWVyLCBBbm5h|https://orcid.org/0000-0003-3286-1131|https://orcid.org/0000-0002-7414-7318|https://orcid.org/0000-0003-1392-0140|https://orcid.org/0000-0002-2548-5986|https://orcid.org/0000-0001-7684-9391|https://orcid.org/0000-0001-5174-928X
1000 Hinweis
  • DeepGreen-ID: de4e4529e5024b288ea12717063a5a3e ; metadata provieded by: DeepGreen (https://www.oa-deepgreen.de/api/v1/), LIVIVO search scope life sciences (http://z3950.zbmed.de:6210/livivo), Crossref Unified Resource API (https://api.crossref.org/swagger-ui/index.html), to.science.api (https://frl.publisso.de/), ZDB JSON-API (beta) (https://zeitschriftendatenbank.de/api/), lobid - Dateninfrastruktur für Bibliotheken (https://lobid.org/resources/search) ; at least one of the mandatory fields 'given-names' and 'family-name' is missing for the ORCID profile of 'Hagemeier, Anna' (https://orcid.org/0000-0002-8795-7352)
1000 Label
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  1. Universitätsklinikum Köln |
1000 Fördernummer
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    1000 Förderer Universitätsklinikum Köln |
    1000 Förderprogramm -
    1000 Fördernummer -
1000 Objektart article
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1000 Erstellt am 2024-10-02T12:04:28.615+0200
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1000 Zuletzt bearbeitet 2025-08-14T00:53:05.292+0200
1000 Objekt bearb. Thu Aug 14 00:53:05 CEST 2025
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