Papel da telemedicina em pacientes com câncer avançado durante a Pandemia de COVID-19: uma revisão integrativa / Role of telemedicine in advanced cancer patients during the COVID-19 Pandemic: an integrative review
DOI:
https://doi.org/10.34119/bjhrv4n6-180Keywords:
Serviços em telemedicina, Cuidados paliativos, Oncologia clínica.Abstract
Objetivo: Avaliar o papel da telemedicina na vida dos pacientes com câncer em Cuidados Paliativos (CP) no contexto de pandemia. Método: Foi realizada uma revisão integrativa analisando artigos que abordavam a telemedicina no acompanhamento de pacientes oncológicos em CP durante a pandemia. A procura por artigos publicados entre 1 de janeiro de 2020 e 1 de junho de 2021 com os descritores “telemedicine”, “cancer” e “palliative care” foi feita nas bases PUBMED, MEDLINE e LILACS, e 20 artigos foram selecionados para compor a pesquisa. Resultados: Foi identificado que houve aumento considerável de teleconsultas no contexto de pandemia e que a maioria das experiências estão sendo positivas por parte dos pacientes. Os artigos mostraram-se favoráveis ao uso desse tipo de atendimento e/ou reforçaram a necessidade de desenvolvimento do sistema. Esse meio foi avaliado como excelente e imensamente útil por pacientes e familiares em boa parte dos artigos. Além disso, a ideia de permanência da tecnologia pós-pandemia foi observada, principalmente para a modalidade de oncologia integrativa. Entretanto, desafios foram apontados em parte das pesquisas, como a questão do exame físico, dificuldade no acesso tecnológico pelos pacientes e falta de suporte social. Conclusão: O crescimento do uso da telemedicina no âmbito geral foi benéfico para o tratamento de pessoas com câncer em CP, e cumpriu seu papel fundamental de garantir que o cuidado fosse mantido, ao mesmo tempo em que evitou a exposição dos pacientes ao vírus. Apesar de essa abordagem tecnológica ainda ter que progredir, a expectativa de sua permanência pós-pandemia é alta
References
ALAM, Walid et al. Management of colorectal cancer in the era of COVID-19: Challenges and suggestions. Science Progress, [s. l.], v. 104, n. 2, p. 1-26, Apr. 2021. Disponível em: https://journals.sagepub.com/doi/10.1177/00368504211010626. Acesso em: 01 jun. 2021.
ATREYA, Shrikant et al. Patients’/Caregivers’ Perspectives on Telemedicine Service for Advanced Cancer Patients during the COVID-19 Pandemic: An Exploratory Survey. Indian Journal of Palliative Care, [s. l.], v. 26, n. 1, p. S40–S44, June 2020. Disponível em: https://pubmed.ncbi.nlm.nih.gov/33088085. Acesso em: 01 jun. 2021.
BAKITAS, Marie et al. Telehealth Strategies to Support Patients and Families Across the Cancer Trajectory. American Society of Clinical Oncology Educational Book, [s. l.], v. 41, p. 413- 422, Mar. 2021. Disponível em: https://pubmed.ncbi.nlm.nih.gov/34010046/. Acesso em: 01 jun. 2021.
BEM-ARYE, Eran et al. Being in touch: narrative assessment of patients receiving online integrative oncology treatments during COVID-19. Suport Care Cancer, [s. l.], v. 4, p. 1-7, Feb. 2021. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7859467/. Acesso em: 01 jun. 2021.
BISWAS, Swagata et al. Smartphone-Based Telemedicine Service at Palliative Care Unit during Nationwide Lockdown: Our Initial Experience at a Tertiary Care Cancer Hospital. Indian Journal of Palliative Care, [s. l.], v. 26, n. 1, p. S31–S35, June 2020. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7535006/. Acesso em: 01 jun. 2021.
BISWAS, Swagata; ADHIKARI, Shreya Das; BHATNAGAR, Sushma. Integration of Telemedicine for Home-Based End-of-Life Care in Advanced Cancer Patients during Nationwide Lockdown: A Case Series. Indian Journal of Palliative Care, [s. l.], v. 26, n. 1, p. S176–S178, June 2020. Disponível em: https://pubmed.ncbi.nlm.nih.gov/33088116. Acesso em: 01 jun. 2021.
CHÁVARRI‐GUERRA, Yanin et al. Providing Supportive and Palliative Care Using Telemedicine for Patients with Advanced Cancer During the COVID-19 Pandemic in Mexico. Oncologist, [s. l.], v. 26, n. 3, p. e512–e515, Mar. 2021. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7930406/. Acesso em: 01 jun. 2021.
CHUA, Isaac S; JACKSON, Vicki; KAMDAR, Mihir. Webside Manner during the COVID-19 Pandemic : Maintaining Human Connection during Virtual Visits. Journal of Palliative Medicine, [s. l.], v. 23, n. 11, p. 1507–1509, Oct. 2020. Disponível em: https://doi.org/10.1089/jpm.2020.0298. Acesso em: 01 jun. 2021.
GREWAL, Udhayvir Singh; TERAUCHI, Stephanie; BEG, Muhammad Shaalan. Telehealth and Palliative Care for Patients With Cancer: Implications of the COVID-19 Pandemic. JMIR Cancer, [s. l.], v. 6, n. 2, p. e20288–e20288, Nov. 2020. Disponível em: https://pubmed.ncbi.nlm.nih.gov/33049695. Acesso em: 01 jun. 2021.
KHURANA, Deepa Kerketta et al. COVID 19: The New Normal in the Clinic: Overcoming Challenges in Palliative Care. Indian Journal of Palliative Care, [s. l.], v. 26, n. 1, p. S81–S85, June 2020. Disponível em: https://pubmed.ncbi.nlm.nih.gov/33088094. Acesso em: 01 jun. 2021.
NARAYANAN, Santhosshi et al. The Use of Mobile-technologies to Deliver Integrative Medicine During and Beyond the COVID-19 World Pandemic. Global Advances in Health and Medicine, [s. l.], v. 9, p. 1-3, Nov. 2020. Disponívem em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7705776/. Acesso em: 01 jun. 2021.
NILSON, Luana Gabriele et al. Theory of change in the evaluation of telehealth in care support to Primary Health Care in Brazil. Brazilian Journal of Health Review, [s. l.], v. 3, n. 3, p. 3900-3920, May/Jun. 2020. Disponível em: https://www.brazilianjournals.com/index.php/BJHR/article/view/9447/8668. Acesso em: 25 out. 2021
ONESTI, Concetta Elisa et al. Expected Medium- and Long-Term Impact of the COVID-19 Outbreak in Oncology. JCO Global Oncology, [s. l.], v. 7, p. 162-172, Feb. 2021. Disponível em: https://ascopubs.org/doi/10.1200/GO.20.00589. Acesso em: 01 jun. 2021.
PENEL, Nicolas et al. Major impact of COVID-19 national containment on activities in the French northern comprehensive cancer center. Med Oncol, [s. l.], v. 38, n. 3, p. 28-28, Feb. 2021. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7887549/. Acesso em: 01 jun. 2021.
POLL-FRANSE, Lonneke V. van de et al. Perceived Care and Well-being of Patients With Cancer and Matched Norm Participants in the COVID-19 Crisis Results of a Survey of Participants in the Dutch PROFILES Registry. JAMA Oncology, [s. l.], v. 7, n. 2, p. 279–284, 2021. Disponível em: https://pubmed.ncbi.nlm.nih.gov/33237294/. Acesso em: 01 jun. 2021.
REAM, Emma et al. Telephone interventions for managing symptoms in adults with cancer. Cochrane Database Syst Rev., [s. l.], v. 6, p 1-81, June 2020. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7264015/. Acesso em: 01 jun. 2021.
SILVA, Milagros D.; SCHACK, Elizabeth E. Outpatient Palliative Care Practice for Cancer Patients During COVID-19 Pandemic : Benefits and Barriers of Using Telemedicine. American Journal of Hospice and Palliative Medicine, [s. l.], v. 38, n. 7, p. 842–844, Mar. 2021. Disponível em: https://journals.sagepub.com/doi/10.1177/1049909121997358. Acesso em: 01 jun. 2021.
SINGH, Arjun Gurmeet; DEODHAR, Jayita; CHATURVEDI, Pankaj. Navigating the impact of COVID-19 on palliative care for head and neck cancer. Head and Neck, [s. l.], v. 42, n. 6, p. 1144–1146, 2020. Disponível em: https://doi.org/10.1002/hed.26211. Acesso em: 01 jun. 2021.
TASHKANDI, Emad et al. Virtual Management of Patients With Cancer During the COVID-19 Pandemic: Web-Based Questionnaire Study. Journal of Medical Internet Research, [s. l.], v. 22, n. 6, p. e19691–e19691, June 2020. Disponível em: https://pubmed.ncbi.nlm.nih.gov/32501807. Acesso em: 01 jun. 2021.
WU, Yu-Rui et al. Smartphone-Enabled, Telehealth-Based Family Conferences in Palliative Care During the COVID-19 Pandemic: Pilot Observational Study. JMIR MHealth and UHealth, [s. l.], v. 8, n. 10, p. e22069–e22069, Oct. 2020. Disponível em: https://pubmed.ncbi.nlm.nih.gov/33021483. Acesso em: 01 jun. 2021.
