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1186 Changes in surveillance of patients with gynecological cancer during COVID-19 pandemic
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  1. M Gracia1,
  2. M Carbonell1,
  3. MD Diestro1,
  4. Y Pérez1,
  5. V García1,
  6. J Siegrist Ridruejo1,
  7. S Garrido1,
  8. I Zapardiel1,
  9. J Marcos Sanmartin2,
  10. CA Lopez-Manzanara3,
  11. E López4,
  12. J Gilabert-Estelles5 and
  13. A Hernández1
  1. 1La Paz University Hospital, Madrid, Spain
  2. 2General University Hospital of Alicantet, Alacant, Spain
  3. 3Hospital General Universitario de Ciudad Real, Ciudad Real, Spain
  4. 4Hospital Universitario Juan Ramón Jiménez, Huelva, Spain
  5. 5Consorci Hospital General Universitari de València, València, Spain

Abstract

Introduction/Background*The impact of the COVID-19 pandemic on Spanish hospitals over the past year has forced healthcare institutions to make drastic changes in the management of oncology patients. The main objective of this study is to describe the changes in ambulatory attendance of patients with gynecological cancer and the ease of contact with the gynaecological oncology section reported by users.

Methodology The GineonCoVID study is a multicenter Spanish study that collect data from a national survey. The anonymous survey consists of 23 questions regarding the personal experience of the patient and modifications in health care during follow up of patient with gynecological malignancies from April to May 2021. The survey has been divided into 3 sections. In this sub-analysis, questions regarding follow-up modifications and the perspective of the patients with gynecological cancer about changes were analyzed.

Result(s)*376 patients responded to the survey. The median age was 58 years. 43% of the patients were diagnosed with endometrial cancer, 27.3% with ovarian cancer and 24.1% with cervical cancer. 85% of the patients had an appointment that was delayed by the pandemic. 67.7% considered that the situation justified the delay of the appointment. 93.3% who contacted the gynecological oncology unit were able to solve the problem by telephone. Upon entering the consultation, 41.3% were questioned about COVID symptoms or contacts. 97.6% considered that adequate measures were taken to avoid contagion during the medical visit. Regarding how they would value the care received (scale of 1–10), 2.2% scored it with a 7; 6.7% with 8; 23.2% with 9 and 67.7% with 10.

Conclusion*The COVID-19 pandemic and the redistribution of health system resources have forced the development of variations in the assistance and follow-up patients with gynecological cancer in order to decrease the number of hospital visits and minimize the risk of infection. Telephone consultations and delay in routinary tests were very useful tools during this period without compromising the quality of care.

https://doi.org/10.1136/ijgc-2021-ESGO.658

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