{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T21:52:32Z","timestamp":1770328352001,"version":"3.49.0"},"reference-count":36,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2021,5,10]],"date-time":"2021-05-10T00:00:00Z","timestamp":1620604800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Medicine"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>To permit timely mitigation of adverse effects on overall clinical outcome, it is essential to understand how the pandemic influences distress and health\u2010related quality of life (HRQOL) in cancer patients during the coronavirus disease 2019 (COVID\u201019) pandemic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this cross\u2010sectional study, adult cancer patients, without COVID\u201019 symptoms, completed a 13\u2010item questionnaire about the pandemic's impacts on distress and everyday\u2010life; associations with age, sex, or impaired HRQOL were then assessed by binary logistic regressions. In a subsample of patients with HRQOL assessment available from both before and during the pandemic, we evaluated the pandemic's impact on longitudinal changes in HRQOL reported within 6\u00a0months before versus during the COVID\u201019 lockdown using McNemar's test, and thresholds for clinical importance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We consecutively enrolled 240 patients with solid (50%) or hematological (50%) cancers. Median age was 67\u00a0years, 46% were females. The majority ranked heeding their health (80%) and keeping their appointment schedule in hospital (78%) as important. Being younger than 60, or aged 60\u201370 was independently associated with limitations in everyday life (OR\u00a0=\u00a03.57,<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001; and 2.05,<jats:italic>p<\/jats:italic>\u00a0=\u00a00.038); female individuals and those with restricted emotional functioning were more distressed by the COVID\u201019 situation (OR\u00a0=\u00a02.47,<jats:italic>p<\/jats:italic>\u00a0=\u00a00.040; and 3.17,<jats:italic>p<\/jats:italic>\u00a0=\u00a00.019); the latter group was also significantly more concerned about being a patient at risk (OR\u00a0=\u00a02.21,<jats:italic>p<\/jats:italic>\u00a0=\u00a00.029). Interestingly, in a subsample of patients (<jats:italic>n<\/jats:italic>\u00a0=\u00a047), longitudinal comparisons pre\u2010 versus during the pandemic revealed that HRQOL was not substantially affected by the pandemic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Particularly younger and female cancer patients, and those with impaired emotional functioning are distressed by COVID\u201019. During the first COVID\u201019 lockdown, cancer patients remained predominantly resilient. This analysis highlights the need to mitigate distress situations in vulnerable patients and thereby enhance resilience during pandemics.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cam4.3950","type":"journal-article","created":{"date-parts":[[2021,5,11]],"date-time":"2021-05-11T06:38:32Z","timestamp":1620715112000},"page":"3928-3937","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":33,"title":["The cancer patient\u2019s perspective of COVID\u201019\u2010induced distress\u2014A cross\u2010sectional study and a longitudinal comparison of HRQOL assessed before and during the pandemic"],"prefix":"10.1002","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3659-4934","authenticated-orcid":false,"given":"Karin A.","family":"Koinig","sequence":"first","affiliation":[{"name":"Department of Internal Medicine V, Hematology and Oncology Comprehensive Cancer Center Innsbruck (CCCI) Medical University of Innsbruck Innsbruck 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Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan","family":"K\u00f6ck","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine V, Hematology and Oncology Comprehensive Cancer Center Innsbruck (CCCI) Medical University of Innsbruck Innsbruck Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wolfgang","family":"Willenbacher","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine V, Hematology and Oncology Comprehensive Cancer Center Innsbruck (CCCI) Medical University of Innsbruck Innsbruck Austria"},{"name":"OncoTyrol\u2014Center for Personalized Cancer Medicine Innsbruck Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roman","family":"Weger","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine V, Hematology and Oncology Comprehensive Cancer Center Innsbruck (CCCI) Medical University of Innsbruck Innsbruck 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