Impact of COVID-19 on older adults with cancer and their caregivers' cancer treatment experiences study: The ICE-OLD study

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  • dc.contributor.author Low, Cydney
  • dc.contributor.author Tejero, Isabel
  • dc.contributor.author Toledano, Nelly
  • dc.contributor.author Mariano, Caroline
  • dc.contributor.author Alibhai, Shabbir
  • dc.contributor.author Lemonde, Manon
  • dc.contributor.author Haase, Kristen
  • dc.contributor.author Puts, Martine
  • dc.date.accessioned 2024-05-30T05:44:00Z
  • dc.date.available 2024-05-30T05:44:00Z
  • dc.date.issued 2023
  • dc.description.abstract The COVID-19 pandemic and health services impacts related to physical distancing posed many challenges for older adults with cancer. The goal of this study was to examine the impact of the pandemic on cancer treatment plans and cancer treatment experiences of older adults (ie, aged 65 years and older) and their caregiver' experiences of caring for older adults during the pandemic to highlight gaps in care experienced. In this multi-centre qualitative study guided by an interpretive descriptive research approach we interviewed older adults diagnosed with cancer and caregivers caring for them. Participants were recruited via cancer treatment centres in the provinces of British Columbia and Ontario (Vancouver and Toronto), Canada, and through an online ad sent out through patient advocacy organization newsletters. Interviews were recorded and transcribed verbatim and data were analyzed using an interpretive thematic analysis approach. A total of 27 individuals (17 older adults, 52.9% female; 10 caregivers, 90% female) participated in interviews lasting on average 45 minutes. Older adults with cancer described many impacts and pressures created by the pandemic on their cancer experiences, though they generally felt that the pandemic did not impact treatment decisions made and access to care. We grouped our findings into two main themes with their accompanying sub-themes, related to: (1) alterations in the individual and dyadic cancer experience; and (2) navigating health and cancer systems during the pandemic. The additional stressors the pandemic placed on older adults during their treatment and decision-making process and their caregivers expose the need to create or avail additional supports for future disruptions in care.
  • dc.format.mimetype application/pdf
  • dc.identifier.citation Low C, Tejero I, Toledano N, Mariano C, Alibhai S, Lemonde M, et al. Impact of COVID-19 on older adults with cancer and their caregivers' cancer treatment experiences study: The ICE-OLD study. PLoS One. 2023 Sep 20;18(9):e0291756. DOI: 10.1371/journal.pone.0291756
  • dc.identifier.doi http://dx.doi.org/10.1371/journal.pone.0291756
  • dc.identifier.issn 1932-6203
  • dc.identifier.uri http://hdl.handle.net/10230/60291
  • dc.language.iso eng
  • dc.publisher Public Library of Science (PLoS)
  • dc.relation.ispartof PLoS One. 2023 Sep 20;18(9):e0291756
  • dc.rights © 2023 Low et al. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
  • dc.rights.accessRights info:eu-repo/semantics/openAccess
  • dc.rights.uri http://creativecommons.org/licenses/by/4.0/
  • dc.subject.keyword Cancer treatment
  • dc.subject.keyword Caregivers
  • dc.subject.keyword Cancers and neoplasms
  • dc.subject.keyword Elderly
  • dc.subject.keyword Pandemics
  • dc.subject.keyword COVID 19
  • dc.subject.keyword Oncology
  • dc.subject.keyword Cancer detection and diagnosis
  • dc.title Impact of COVID-19 on older adults with cancer and their caregivers' cancer treatment experiences study: The ICE-OLD study
  • dc.type info:eu-repo/semantics/article
  • dc.type.version info:eu-repo/semantics/publishedVersion