The impact of COVID-19 on oncology professionals: results of the ESMO Resilience Task Force survey collaboration

ESMO Open

article

S. Banerjee¹  K.H.J. Lim³  K. Murali⁵  K. Kamposioras³  K. Punie⁶  C. Oing⁷  M. O⁸  E. Thorne⁹  B. Devnani^1,10  M. Lambertini^1,11  C.B. Westphalen^1,13  P. Garrido^1,14  T. Amaral^1,15  G. Morgan^1,17  J.B.A.G. Haanen^1,18  C. Hardy⁹ 

[1] Gynaecology Unit, The Royal Marsden NHS Foundation Trust;The Institute of Cancer Research;Department of Medical Oncology, The Christie NHS Foundation Trust;Department of Immunology and Inflammation, Imperial College London;Austin Health;Department of General Medical Oncology and Multidisciplinary Breast Center, Leuven Cancer Institute, University Hospitals Leuven;Department of Oncology, Hematology and Bone Marrow Transplantation with Division of Pneumology, University Medical Center Hamburg-Eppendorf;University Hospital Waterford;Division of Health Research, Faculty of Health and Medicine, Lancaster University;Department of Radiotherapy and Oncology, All India Institute of Medical Sciences;Department of Medical Oncology, U.O. Clinica di Oncologia Medica, IRCCS Ospedale Policlinico San Martino;Department of Internal Medicine and Medical Sciences ,(DiMI), School of Medicine, University of Genova;Department of Internal Medicine III, University Hospital, LMU Munich and Comprehensive Cancer Center;Medical Oncology, Hospital Ramón y Cajal, IRYCIS, Alcalá University;Department of Dermatology, University Hospital Tübingen;Portuguese Air Force Health Care Direction;Department of Medical and Radiation Oncology, Skåne University Hospital;Division of Medical Oncology, Netherlands Cancer Institute

关键词: well-being;    burnout;    job performance;    oncology professionals;    resilience;    COVID-19;   

DOI  :  10.1016/j.esmoop.2021.100058

学科分类：社会科学、人文和艺术（综合）

来源: BMJ Publishing Group

【 摘 要 】

Background The impact of the coronavirus disease 2019 (COVID-19) pandemic on well-being has the potential for serious negative consequences on work, home life, and patient care. The European Society for Medical Oncology (ESMO) Resilience Task Force collaboration set out to investigate well-being in oncology over time since COVID-19.Methods Two online anonymous surveys were conducted (survey I: April/May 2020; survey II: July/August 2020). Statistical analyses were performed to examine group differences, associations, and predictors of key outcomes: (i) well-being/distress [expanded Well-being Index (eWBI; 9 items)]; (ii) burnout (1 item from eWBI); (iii) job performance since COVID-19 (JP-CV; 2 items).Results Responses from survey I (1520 participants from 101 countries) indicate that COVID-19 is impacting oncology professionals; in particular, 25% of participants indicated being at risk of distress (poor well-being, eWBI ≥ 4), 38% reported feeling burnout, and 66% reported not being able to perform their job compared with the pre-COVID-19 period. Higher JP-CV was associated with better well-being and not feeling burnout (P < 0.01). Differences were seen in well-being and JP-CV between countries (P < 0.001) and were related to country COVID-19 crude mortality rate (P < 0.05). Consistent predictors of well-being, burnout, and JP-CV were psychological resilience and changes to work hours. In survey II, among 272 participants who completed both surveys, while JP-CV improved (38% versus 54%, P < 0.001), eWBI scores ≥4 and burnout rates were significantly higher compared with survey I (22% versus 31%, P = 0.01; and 35% versus 49%, P = 0.001, respectively), suggesting well-being and burnout have worsened over a 3-month period during the COVID-19 pandemic.Conclusion In the first and largest global survey series, COVID-19 is impacting well-being and job performance of oncology professionals. JP-CV has improved but risk of distress and burnout has increased over time. Urgent measures to address well-being and improve resilience are essential.

【 授权许可】

CC BY|CC BY-NC-ND