• Ruth Kieran, Carolyn Moloney, Scheryll Alken, Lynda Corrigan, David Gallagher, Cliona Grant, Fergal Kelleher, M John Kennedy, Maeve A Lowery, Michael McCarthy, Dearbhaile M O'Donnell, Sue Sukor, and Sinead Cuffe.
• Department of Medical Oncology, St. James's Hospital, Dublin, Ireland. kieranr@tcd.ie.
• Ir J Med Sci. 2023 Apr 1; 192 (2): 533540533-540.

BackgroundOncology patients have had to make many changes to minimise their exposure to COVID-19, causing stress. Despite education, some patients still do not recognise potential COVID symptoms.AimsWe assessed patient knowledge of COVID, and its impact on their behaviours, concerns, and healthcare experience.MethodsA 16-page questionnaire was distributed to 120 oncology patients attending the day unit of a tertiary Irish cancer centre for systemic anti-cancer therapy (May/June 2020). The Irish 7-day COVID incidence during this period ranged from 2 to 11 cases/100,000 people.ResultsOne hundred and one responses were received, 1% had tested positive for COVID, and 31% had undergone testing. Participant insight into their knowledge about COVID and their own behaviour was limited in some cases. Seventy-five percent reported total compliance with restrictions, but many were not fully compliant. Self-reported confidence in knowledge was high, but did not predict demonstrated knowledge. Sixty percent did not recognise two or more symptoms; 40% did not self-identify as high-risk. Patients reported more health-related worry (72%), loneliness (51%), and lower mood (42%) since the pandemic began. Financial toxicity worsened, with increased financial worry (78%), reductions in household income (40%), and increased costs due to lockdown (62%). Use of facemasks introduced new communications barriers for 67% of those with hearing loss.ConclusionsDespite self-reported confidence in knowledge, some patient's recognition of COVID symptoms and the preventative strategies they should use are not optimal, highlighting the need for further education in this regard. COVID has been a significant stressor for patients and more practical, financial, and psychological supports are needed.© 2022. The Author(s), under exclusive licence to Royal Academy of Medicine in Ireland.

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