Perspectives on the COVID-19 pandemic impact on cardio-oncology: results from the COVID-19 International Collaborative N
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RESEARCH
Open Access
Perspectives on the COVID-19 pandemic impact on cardio-oncology: results from the COVID-19 International Collaborative Network survey Diego Sadler1* , Jeanne M. DeCara2, Joerg Herrmann3, Anita Arnold4, Arjun K. Ghosh5, Husam Abdel-Qadir6, Eric H. Yang7, Sebastian Szmit8, Nausheen Akhter9, Monika Leja10, Carolina Maria Pinto Domingues Carvalho Silva11, Jayant Raikhelkar12, Sherry-Ann Brown13, Susan Dent14, Rupal O’Quinn15, Franck Thuny16, Rohit Moudgil17, Luis E. Raez18, Tochukwu Okwuosa19, Andres Daniele20, Brenton Bauer21, Lavanya Kondapalli22, Roohi Ismail-Khan23, Jorge Lax24, Anne Blaes25, Zeina Nahleh1, Leah Elson1, Lauren A. Baldassarre26, Vlad Zaha27, Vijay Rao28, Daniel Sierra Lara29, Kerry Skurka28 and on behalf of the Cardio-Oncology International Collaborative Network
Abstract Background: Re-allocation of resources during the COVID-19 pandemic has resulted in delays in care delivery to patients with cardiovascular disease and cancer. The ability of health care providers to provide optimal care in this setting has not been formally evaluated. Objectives: To assess the impact of COVID-19 resource re-allocation on scheduling, testing, elective procedures, telemedicine access, use of new COVID-19 therapies, and providers’ opinions on healthcare policies among oncology and cardiology practitioners. Methods: An electronic survey was conducted by a cardio-oncology collaborative network through regional and state chapters of the American College of Cardiology, American Society of Clinical Oncology, and the International Cardio-Oncology Society. Descriptive statistics were reported by frequency and proportion for analyses, and stratified categorically by geographic region and specialty. Results: One thousand four hundred fifteen providers (43 countries) participated: 986 cardiologists, 306 oncologists, and 118 trainees/internal medicine. 63% (195/306) of oncologists vs 92% (896/976) of cardiologists reported cancellations of treatments/elective procedures (p = 0.01). 46% (442/970) of cardiologists and 25% (76/303) of oncologists modified the scope of their practice (p = < 0.001). Academic physicians (74.5%) felt better supplied with personal protective equipment (PPE) vs non-academic (74.5% vs 67.2%; p = 0.018). Telemedicine was less common in Europe 81% (74/91), and Latin America 64% (101/158), than the United States, 88% (950/1097) (p = < 0.001). 95% of all groups supported more active leadership from medical professional societies. (Continued on next page)
* Correspondence: [email protected] 1 Heart and Vascular Center, Cleveland Clinic Florida, 2950 Cleveland Clinic Blvd, Weston, FL 33331, USA Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative
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