scholarly journals Editorial: COVID-19 pandemic, the second wave, and provision of cancer services.

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Asif Loya
Keyword(s):  
Research Centre ◽  
Cancer Hospital ◽  
Cancer Services ◽  
Second Wave

SARS-CoV 2 (COVID-19) pandemic continues to have a debilitating effect on health worldwide. This editorial provides an overview of the provision of cancer services at Shaukat Khanum Memorial Cancer Hospital & Research Centre, Lahore, and Peshawar. 

scholarly journals THE EXPERIENCE OF UK BLADDER CANCER PATIENTS DURING THE COVID-19 PANDEMIC: A SURVEY-BASED SNAPSHOT

2020 ◽  
Author(s):  
Sarah Spencer-Bowdage ◽  
Jeannie Rigby ◽  
Jackie O’Kelly ◽  
Phil Kelly ◽  
Mark Page ◽  
...  
Keyword(s):  
Bladder Cancer ◽  
Bladder Tumour ◽  
Intravesical Therapy ◽  
Cancer Services ◽  
Patient Groups ◽  
Muscle Invasive ◽  
The Uk ◽  
Second Wave ◽  
Experienced Treatment

ABSTRACTThe Covid-19 pandemic has placed unprecedented strain on healthcare systems worldwide. Within this context, UK cancer services have undergone significant disruption to create capacity for the National Health Service. As a charity that endeavours to support bladder cancer (BC) patients and improve outcomes, Action Bladder Cancer UK (ABCUK) designed and administered a SurveyMonkey survey to investigate the prevalence of such disruption for BC patients. From 22nd April to 18th June 2020, 142 BC patients responded. Across all patient groups, 46.8% of patients described disruption to their treatment or follow-up. For non-muscle-invasive BC (NMIBC) patients, disruptions included postponement of: initial transurethral resection of bladder tumour (TURBT) (33.3%), subsequent TURBT (40.0%), and surveillance cystoscopy (58.1%). For NMIBC patients undergoing intravesical therapy, 68.4% experienced treatment postponements or curtailments. For muscle-invasive BC patients, 57.1% had experienced postponement of cystectomy and 14.3% had been changed from cystectomy to radiotherapy. Half of patients undergoing systemic chemotherapy also experienced disruption. Despite the survey’s limitations, we have demonstrated considerable disruption to the care of BC patients during the UK Covid-19 pandemic. To avoid a repeat, the UK BC community should define effective contingent ways of working ready for a possible ‘second wave’ of Covid-19, or any other such threat.

scholarly journals A review on the COVID-19: Facts and current situation

2021 ◽  
pp. 180-191
Author(s):  
Urvashi Tiwari ◽  
Arjumand Bano ◽  
Mohammad Kalim Ahmad Khan
Keyword(s):  
Developed Countries ◽  
Current Situation ◽  
Research Centre ◽  
New Normal ◽  
Social Distancing ◽  
Medical Facilities ◽  
Mutant Strains ◽  
Current Scenario ◽  
New Challenges ◽  
Second Wave

COVID-19 has affected our life drastically. National lockdown, Social distancing, and working from home are the new normal. Many developed countries with their advanced medical facilities find it challenging to tackle the pandemic situation. The second wave of covid-19 is associated with unexpectedly higher rates of mortality relative to the first wave. The breakout of mutant strains that make the virus highly transmissible across the country has led to new challenges for scientists and researchers alike in developing vaccines and finding a cure for the disease. While several Biopharma companies and Research Centre like Pfizer-BioNTech, Moderna, AstraZeneca, Bharat Biotech, and Sinoppharm, and Gamaleya Research Institute of Epidemiology and Microbiology have come up with different vaccines, their efficacies on the mutant strains of the virus are still being documented and researched. This article deals with the current scenario, the nature of the virus, and the treatment against the viruses.

scholarly journals COMPARISON OF CURRENT SCREENING FOR PREVALENCE OF DEPRESSION AND ANXIETY WITH STANDARDIZED SCREENING TOOLS I PATIENT HEALTH QUALITY -9 AND GENERALIZED ANXIETY DISORDERS-7 AMONG ADULT INPATIENTS AT SHAUKAT KHANUM MEMORIAL CANCER HOSPITAL & RESEARCH CENTRE (SKMCH&RC)

2018 ◽  
Vol 3 (4) ◽  
Author(s):  
Suhaib Bin Bilal Hafi ◽  
Nasira Hayat ◽  
Nosheen Qureshi ◽  
Tanzila Tanzeem ◽  
Sheheryar Jovindah ◽  
...  
Keyword(s):  
Screening Method ◽  
Current Method ◽  
Screening Tools ◽  
Research Centre ◽  
Generalized Anxiety ◽  
Depression And Anxiety ◽  
Cancer Hospital ◽  
Prevalence Of Depression ◽  
Patient Health ◽  
Current Screening

Purpose: Screening for depression and anxiety for inpatients at Shaukat Khanum Memorial Cancer Hospital and Research Centre is done by nursing team by asking patients two questions from a structured admission tool aimed toward depression and anxiety. We audited the use of the current method of screening for depression and anxiety against standard screening tools for depression and anxiety i.e., Patient Health Questionnaire (PHQ)-9 and Generalised AnxietyDisorder (GAD)-7. The aim was improvement of screening for depression and anxiety amongst cancer inpatients.Methods: We used a cross-sectional method to observe if the current screening method was being completed on admission on an inpatient ward of 40 patients on one particular day. Second, we delivered PHQ-9 and GAD-7 as screening tools on the same inpatients on the same day to compare with the current screening method.Results: Prevalence of depression was 54.5% (n = 18) and that of generalized anxiety was 36.4% (n = 12), regardless of severity, when using PHQ-9 and GAD-7. Comparatively, the current method of screening was able to pick up 16.6% (n = 3) of cases of depression and 16.6% (n = 2) of cases of generalised anxiety.Conclusion: We concluded that improvement was required in the screening process for depression and anxiety by devising a new screening tool specific to our cancer population.Key words: Anxiety, cancer, depression, screening

scholarly journals COMPARISON OF DOCUMENTED PATIENT CARE BEFORE AND AFTER IMPLEMENTATION OF END OF LIFE CARE PATHWAY FOR TERMINALLY ILL PATIENTS AT SHAUKAT KHANUM MEMORIAL CANCER HOSPITAL AND RESEARCH CENTRE

2018 ◽  
Vol 4 (3) ◽  
Author(s):  
Irum Ghafoor ◽  
Haroon Hafeez ◽  
Farhat Naz ◽  
Muhammad Abu Baker
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Care Pathway ◽  
Symptom Control ◽  
Terminally Ill ◽  
Research Centre ◽  
Life Care ◽  
Terminally Ill Patients ◽  
Cancer Hospital ◽  
Before And After

Purpose: Shaukat Khanum Memorial Cancer Hospital and Research Cancer primarily deals with cancer patients and has various departments which provide best-integrated lifesaving care. However, when patients who have been given all possible medical and oncological treatment still progress their disease, they are then referred for best supportive care to palliative care department. The aim of this paper was to audit documented care for palliative patients before and after implementation of end of life care (ELC) pathway.Materials and Methods: We used a retrospective method to audit 45 terminally ill patients over a period of 3 months. Then, a re-audit was done over a period of 3 months and data were collected for patients who were started on SKM-ELC pathway.Results: Results show that the implementation of ELC pathway, 67% of the patients were not prescribed PRN medications for symptom control, 20% of the patients were not reviewed for the need of assisted nutrition and for 20% of the patient’s primary team were not even notified that the patient is dying. After the ELC pathway implementation, it was found that 100% of patients were reviewed for PRN medications and assisted nutrition. Oncologists were timely notified that the patient is dying.Conclusion: In summary, we can say that implantation of ELC pathway has significantly improved documented patients care in all aspects.Key words: Cancer, care for dying, end of life care, goals of care pathway

The COVID-19 pandemic led to a reduction in cancer services in Australia.

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. e18812-e18812
Author(s):  
Christine Biondi ◽  
Vivienne Milch ◽  
Van Nguyen ◽  
Regina Ryan ◽  
David Roder ◽  
...  
Keyword(s):  
Diagnostic Procedures ◽  
Medical Services ◽  
Cancer Type ◽  
Time Data ◽  
Cancer Services ◽  
Initial Recovery ◽  
Surrogate Measures ◽  
Service Data ◽  
The Impact ◽  
Second Wave

e18812 Background: Australian oncologists reported dramatic decreases in cancer referrals during the pandemic. As real time data were difficult to acquire, Cancer Australia used surrogate measures to infer where reductions in medical services occurred. We analysed data available through the Medicare Benefits Schedule (MBS), a list of the medical services and professional attendances subsidised by the Australian Government, for the five highest incidence cancers: breast, colorectal, lung, prostate, and skin cancers. Methods: We identified over 500 MBS item codes for diagnostic and treatment procedures for malignancies and pre-cancerous conditions. Item codes were categorised into analysis groups based on cancer type and/or similarities in type of service. Data were examined at national and jurisdictional levels for 2020 to determine reductions during the initial COVID-19 period and to monitor subsequent recovery. Data were compared to 2019 to account for normal seasonal variation. Results: Australia’s first wave of the pandemic ran from March to May, and a second wave in the state of Victoria alone ran from July to September 2020. We observed notable reductions across all diagnostic and surgical procedure groups examined, with initial reductions observed between March and April for diagnostic procedures, and a one-month delay for surgical procedures, between April and May. Some services showed an initial recovery in May, with many showing partial or full recovery by June. For some groups, analyses showed sustained reductions over the 12-month period. While COVID-19 case numbers were greater during the second wave, the impact on services was less pronounced, likely owing to more refined policy approaches to managing health system and workforce capacity. There was further recovery by September for some but not all services. Similar patterns of change were observed across all Australian states and territories, with some variation by jurisdiction. Conclusions: The pandemic has impacted the delivery of cancer care. Any potential delays in diagnoses and treatment due to these reductions in services may lead to more advanced cancer stage at diagnosis and poorer patient outcomes including recurrence and survival. Impact of COVID-19 on selected cancer services in Australia in 2020.[Table: see text]

An audit of transfusion reaction monitoring and reporting at a cancer hospital in Pakistan- a step towards hemovigilance

2020 ◽  
pp. 1-13
Author(s):  
Muhammad Hasan ◽  
Imran Ahmed Siddiqui ◽  
Zahid Qamar ◽  
Asad Hayat ◽  
Admin
Keyword(s):  
Ethylenediaminetetraacetic Acid ◽  
Blood Bank ◽  
Clinical Staff ◽  
Research Centre ◽  
Blood Component ◽  
Transfusion Reaction ◽  
Cancer Hospital ◽  
Retrospective Audit ◽  
Component Time ◽  
Transfusion Reactions

Abstract Objective: To monitor the frequencies of different adverse transfusion reactions and to assess the compliance of clinical staff with the process of sending proper transfusion reaction workup within the specified time. Methods: The retrospective audit was conducted at the blood bank of Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan, and comprised all transfusion reaction forms received from July 1, 2017, to June 30, 2018. The forms were analysed for type of blood component, time in which it was received by thw blood bank, whether or not the form was completely filled, whether or not all required samples were provided, and the type of reaction. Results: Of the 12,787 units dispensed and transfused, 50(0.39%) transfusion reactions were noted. Allergic was the most frequent type 24(48%). Red cells accounted for 38(76%) of the reactions. In 58(95%) cases, reaction forms were completely filled. Blood bags in 36(59%) and post-transfusion ethylenediaminetetraacetic acid samples in 35(57.3%) cases were received at blood bank within 2 hours of reaction. Conclusion: Incidence of transfusion reactions was found to be low as there was good compliance with procedures on the part of the clinical staff. Key Words: Transfusion reactions, Haemo-vigilance, Clinical audit.

Shaukat Khanum Memorial Cancer Hospital and Research Centre Endowment Fund

2014 ◽  
Vol 11 (2) ◽  
pp. 71-87
Author(s):  
Ayesha Bhatti ◽  
Junaid Ashraf ◽  
M. Farhan Akhtar
Keyword(s):  
Research Centre ◽  
Endowment Fund ◽  
Cancer Hospital

scholarly journals ELECTRONIC HEALTH RECORD SYSTEMS;

2017 ◽  
Vol 24 (01) ◽  
pp. 182-187
Author(s):  
Hamid Mehmood ◽  
Muhammad Aslam ◽  
Sadia Aslam ◽  
Ammara Waqar ◽  
Athar Khan ◽  
...  
Keyword(s):  
Information Technology ◽  
Data Analysis ◽  
Sample Size ◽  
Healthcare Services ◽  
Research Centre ◽  
User Friendliness ◽  
Quantitative Research Methods ◽  
Cancer Hospital ◽  
The Government ◽  
Structured Questionnaire

Introduction: e-Health is a combination of medical informatics, public health,business and information technology. Health information technology has increased theproductivity by reengineering of health care but it requires new measurement tools to monitorthe impact of it .e-health is not only for the development of technologies but also it includesproper planning, thinking, broad thinking to improve healthcare services with the help ofinformation and communication technology. Objectives: 1) To assess the perceptions ofphysicians towards the use, effectiveness and efficiency of EHR 2) To identify the differencesbetween electronic and paper based records 3) To evaluate the usage of Electronic HealthRecords.4) To analyze satisfaction and challenges face by the physicians using EHR. ResearchDesign: This is an Exploratory and Descriptive Research. In this study hybrid research methodis used which includes qualitative and quantitative research methods. Sampling technique:For this study, a purposive sample of 43 physicians was selected. The sample size was 60but 17 responses were incomplete so they were excluded and the final sample size was 43.Data was collected from two different hospitals of Pakistan which include the physicians fromShaukat Khanum Memorial Cancer Hospital and Research Centre, and Indus Hospital. Of the43 participants, 51% were from Indus Hospital and 49% were from Shaukat Khanum MemorialCancer Hospital and Research Centre. Instrument: A structured questionnaire was used tocollect data and it was collected by email responses and direct interview. EHR Questionnaire:A questionnaire was used in the study. The EHR Questionnaire has comprised of 24 items. Thisquestionnaire was developed by Msukwa. B.K.Martin.1 Data Analysis: Data analysis was doneby Statistical Package for Social Sciences (SPSS) and Microsoft Excel. Procedure: The sampleconsisted of physicians from Shaukat Khanum Memorial Cancer Hospital and Research Centre,and Indus Hospital from Karachi. EHR is a new technology and hospitals are moving towardsit, some are under process and very few like the above mentioned hospitals are using it. Thequestionnaire was not complicated. It was a structured questionnaire with easy questions withmultiple options to fill in. Respondents were also acknowledged for their cooperation andparticipation in the study. Conclusion: EHR should be used effectively, proper training is neededto ensure that physicians are able to operate the system and can have maximum benefits fromthe technology by utilizing all its applications. The government should encourage adoption ofElectronic Health l Records in Pakistan by developing a public-private partnership. The studyfocused also on EHR effectiveness by checking the working of EHR its quick and satisfactoryresults its accuracy, adequacy, timeliness, user- friendliness, availability and reliability.

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