{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T15:00:15Z","timestamp":1791558015169,"version":"4.3.4"},"reference-count":40,"publisher":"Public Library of Science (PLoS)","issue":"7","license":[{"start":{"date-parts":[[2022,7,26]],"date-time":"2022-07-26T00:00:00Z","timestamp":1658793600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100006093","name":"Patient-Centered Outcomes Research Institute","doi-asserted-by":"publisher","award":["EADI-12744"],"award-info":[{"award-number":["EADI-12744"]}],"id":[{"id":"10.13039\/100006093","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["UL1TR001876"],"award-info":[{"award-number":["UL1TR001876"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\"><jats:title>Purpose<\/jats:title><jats:p>The COVID-19 pandemic upended nearly all aspects of daily life and of medical care, placing a double burden of professional and personal concerns on those who provide medical care. We set out to assess the burden of the pandemic on provider outlook and understand how cancer survivorship providers experienced rapid changes to practice.<\/jats:p><\/jats:sec><jats:sec id=\"sec002\"><jats:title>Methods<\/jats:title><jats:p>We distributed a survey through the American College of Surgeons Commission on Cancer (CoC) to its accredited organizations in mid-October 2020. We included questions on provider characteristics, changes in patient care practices resulting from the pandemic, worry about COVID-19, and concern about impact on cancer survivors.<\/jats:p><\/jats:sec><jats:sec id=\"sec003\"><jats:title>Results<\/jats:title><jats:p>Of the n = 607 participants, three-quarters were female and three-quarters were White. Only 2.1% of participants reported having had COVID-19, but 43% reported anxiety about getting COVID-19 and over a quarter experienced sadness or depression, anxiety about the future, changes to sleep, difficulty concentrating, or social isolation. Approximately half of providers also expressed significant concern about progression of cancer in patients who experienced care delays or were afraid of accessing in-person care. In terms of changes to survivorship care, respondents reported changes to visitor policies, delays or cancellations, and efforts to reduce in-person visits.<\/jats:p><\/jats:sec><jats:sec id=\"sec004\"><jats:title>Conclusions<\/jats:title><jats:p>COVID-19 has taken a significant toll on front-line healthcare professionals, including oncologists and cancer care allied health professionals. Findings support proactive mental health support of healthcare professionals as well as emergency preparedness to manage delays to care for cancer patients in the event of future unexpected pandemics.<\/jats:p><\/jats:sec>","DOI":"10.1371\/journal.pone.0270651","type":"journal-article","created":{"date-parts":[[2022,7,26]],"date-time":"2022-07-26T17:47:11Z","timestamp":1658857631000},"page":"e0270651","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":2,"title":["Oncology provider experiences during the COVID-19 pandemic"],"prefix":"10.1371","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5734-0810","authenticated-orcid":true,"given":"Hannah","family":"Arem","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenna","family":"Moses","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Larissa","family":"Nekhlyudov","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maureen","family":"Killackey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beth","family":"Sieloff","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cindy","family":"Cisneros","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9303-7659","authenticated-orcid":true,"given":"Mandi L.","family":"Pratt-Chapman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2022,7,26]]},"reference":[{"issue":"20","key":"pone.0270651.ref001","doi-asserted-by":"crossref","first-page":"2005","DOI":"10.1001\/jama.2020.6236","article-title":"Oncology Practice During the COVID-19 Pandemic","volume":"323","author":"D Schrag","year":"2020","journal-title":"JAMA."},{"issue":"2","key":"pone.0270651.ref002","doi-asserted-by":"crossref","first-page":"e338","DOI":"10.1002\/onco.13578","article-title":"Dramatic Changes in Oncology Care Pathways During the COVID-19 Pandemic: The French ONCOCARE-COV Study","volume":"26","author":"M Brugel","year":"2021","journal-title":"The Oncologist"},{"issue":"7","key":"pone.0270651.ref003","doi-asserted-by":"crossref","first-page":"e339","DOI":"10.1016\/S1470-2045(20)30340-5","article-title":"New approaches to cancer care in a COVID-19 world","volume":"21","author":"J Butler","year":"2020","journal-title":"Lancet Oncol"},{"issue":"4","key":"pone.0270651.ref004","doi-asserted-by":"crossref","first-page":"366","DOI":"10.6004\/jnccn.2020.7560","article-title":"Managing cancer care during the COVID-19 pandemic: agility and collaboration toward a common goal","volume":"18","author":"M Ueda","year":"2020","journal-title":"Journal of the National Comprehensive Cancer Network"},{"key":"pone.0270651.ref005","first-page":"1","article-title":"Cancer survivorship care during COVID-19\u2014perspectives and recommendations from the MASCC survivorship study group","author":"A Chan","year":"2020","journal-title":"Support Care Cancer"},{"issue":"2","key":"pone.0270651.ref006","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1200\/JCO.20.02953","article-title":"American Society of Clinical Oncology Road to Recovery Report: Learning From the COVID-19 Experience to Improve Clinical Research and Cancer Care","volume":"39","author":"NA Pennell","year":"2021","journal-title":"Journal of Clinical Oncology"},{"issue":"7","key":"pone.0270651.ref007","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1200\/GO.20.00639","article-title":"Delays and Disruptions in Cancer Health Care Due to COVID-19 Pandemic: Systematic Review","author":"R Riera","year":"2021","journal-title":"JCO Global Oncology"},{"issue":"19","key":"pone.0270651.ref008","doi-asserted-by":"crossref","first-page":"2201","DOI":"10.1200\/JCO.20.00960","article-title":"Ethics and resource scarcity: ASCO recommendations for the oncology community during the COVID-19 pandemic","volume":"38","author":"JM Marron","year":"2020","journal-title":"J Clin Oncol"},{"issue":"4","key":"pone.0270651.ref009","doi-asserted-by":"crossref","first-page":"933","DOI":"10.1158\/1078-0432.CCR-20-3758","article-title":"Optimizing the Use of Telemedicine in Oncology Care: Postpandemic Opportunities","volume":"27","author":"KE Knudsen","year":"2021","journal-title":"Clinical Cancer Research"},{"issue":"3","key":"pone.0270651.ref010","doi-asserted-by":"crossref","first-page":"107","DOI":"10.5694\/mja2.50684","article-title":"Cancer survivorship care at the time of the COVID-19 pandemic","volume":"213","author":"B. Koczwara","year":"2020","journal-title":"Med J Aust"},{"key":"pone.0270651.ref011","doi-asserted-by":"crossref","first-page":"e28927","DOI":"10.1002\/pbc.28927","article-title":"Virtual visits as long-term follow-up care for childhood cancer survivors: Patient and provider satisfaction during the COVID-19 pandemic","author":"LB Kenney","year":"2021","journal-title":"Pediatr Blood Cancer"},{"issue":"7","key":"pone.0270651.ref012","doi-asserted-by":"crossref","first-page":"e925","DOI":"10.1200\/OP.20.00882","article-title":"Well-Being of Pediatric Hematology Oncology Providers and Staff During the COVID-19 Pandemic in the New York and New Jersey Epicenter","volume":"17","author":"S Moerdler","year":"2021","journal-title":"JCO Oncology Practice"},{"issue":"3","key":"pone.0270651.ref013","doi-asserted-by":"crossref","first-page":"625","DOI":"10.1007\/s10549-021-06101-1","article-title":"Covid-19 related oncologist\u2019s concerns about breast cancer treatment delays and physician well-being (the CROWN study)","volume":"186","author":"KA Yao","year":"2021","journal-title":"Breast Cancer Research and Treatment"},{"issue":"2","key":"pone.0270651.ref014","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1016\/j.jgo.2020.09.021","article-title":"Experiences of healthcare providers of older adults with cancer during the COVID-19 pandemic","volume":"12","author":"JL Krok-Schoen","year":"2021","journal-title":"Journal of geriatric oncology"},{"key":"pone.0270651.ref015","unstructured":"Penedo F, Cohen L, Bower J, Antoni M. 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