{"id":26116,"date":"2022-02-02T08:31:00","date_gmt":"2022-02-02T08:31:00","guid":{"rendered":"https:\/\/www.bensnaturalhealth.com\/blog\/?p=26116"},"modified":"2026-06-02T07:47:40","modified_gmt":"2026-06-02T07:47:40","slug":"prostate-cancer-and-covid","status":"publish","type":"post","link":"https:\/\/www.bensnaturalhealth.com\/blog\/prostate-health\/prostate-cancer-and-covid\/","title":{"rendered":"The Impact of Coronavirus on Cancer Care"},"content":{"rendered":"The impact of COVID-19 jolted the system and changed our normality. The healthcare system is also working differently and subject to new regulations and challenges.\n\n\n\n\n\nThe impact of SARS COV 2 infection is also in the management of hospital care. Some hospitals became referrals for COVID care.\n\n\n\n\n\nMany non-COVID hospitals and clinics had to shut down outpatient appointments and some elective procedures. Cancer care and referrals are also becoming a growing challenge during coronavirus.\n\n\n\n\n\nAfter more than one year with COVID-19, the results of delayed care and decline in outpatient appointment is now emerging. It is particularly evident in patients with chronic and life-threatening diseases such as cancer.\n\n\n\n\n\nDelays in receiving necessary medical treatment have sometimes resulted in the deterioration of their health and the emergence of further complications.\n\n\n\n\n\nIt is not only a viral infection causing a respiratory condition in COVID 19 patients<\/a>. Its consequences have had a hidden impact in non-infected patients that is now becoming evident. For example, in the field of cancer referrals and treatment.\n\n\n\n\n\nIn this article, we’re reviewing the evidence to know how coronavirus disease impacts cancer patients’ lives and what we can do about it.\n\n\n\n\n\nFor that purpose, we will analyze findings from a systematic review and specific data from various countries.\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
<\/div>\n\n\n\n

Drop in <\/strong>cancer<\/strong> referrals<\/strong><\/h2>\n\n\n\n\nOne of the reasons for the delay in diagnosing cancer during coronavirus is a significant drop in cancer referrals.\n\n\n\n\n\nAccording to a systematic review including data from 62 studies, the leading cause of cancer referral reduction was a decrease in availability. Cancer care often becomes unavailable in this crisis for many reasons.\n\n\n\n\n\nOne of them is a reduction in routine activities in the medical community-for example, a decrease in-home visits to the elderly and screening.\n\n\n\n\n\nPatients are often not informed about cancer and do not recognize the signs. Thus, limited contact with their primary care physician reduces the chance of spotting cancer from an early stage.\n\n\n\n\n\n\n\n\n

Delays<\/h3>\n\n\n\n\nGoing directly to the hospital is not guarantee an appropriate diagnosis, either.\n\n\n\n\n\nPersonnel reduction was reported in up to 60% of patients in the study. This personnel displaced and assigned as a workforce to care for COVID-19 cases<\/a>, reducing their availability to diagnose and treat chronic disease.\n\n\n\n\n\nThroughout this time, screening<\/a> is still an essential aspect of healthcare. Efforts are made to keep our population healthy and spot cancer before it’s too late. But the volume of urgent cases due to COVID-19 and the emergent regulations to stop its spread have taken their toll.\n\n\n\n\n\nMoreover, even if doctors and patients finally meet and try to reach a diagnosis, studies also showed a disruption in the supply chain. Imaging equipment, technical maintenance, contrast substances, medications, and other medical supplies are often lacking. This problem was reported in 79% of the centers interviewed for this systematic review (1).\n\n\n\n\n\nThere was a report about high mortality in pediatric cancer due to delays in cancer referral. It was a case of 5 children who came to a hospital in the United States with negative COVID-19 tests. They were not diagnosed early and required resuscitation, intubation, and other life-saving interventions. Two of them died after a few days.\n\n\n\n\n\nWhat was the reason for the delay? The family of one of these patients was reluctant to seek medical care. They were afraid of exposing themselves and their children to coronavirus. The family of the remaining four patients had sufficient contact with health professionals. But they were still not adequately diagnosed.\n\n\n\n\n\nA variety of healthcare system problems were possibly playing a role (2):\n\n\n\n\n\n\n\n\n

Referral reduction<\/strong><\/h3>\n\n\n\n\nLaboratories, emergency departments, and many specialists were unavailable.\n\n\n\n\n

Incorrect use of telemedicine<\/strong><\/h3>\n\n\n\n\nThere was either an incorrect transition to telemedicine or resistance to this type of service. Using this type of service has its limitations, and both doctors and patients should be aware. Doctors are unable to detect pallor, hepatosplenomegaly, unstable vitals, and other cancer signs.\n\n\n\n\n

Diagnostic bias<\/strong><\/h3>\n\n\n\n\nSigns of malignancy are often signs of COVID-19. For example, malaise, fever, and respiratory symptoms.\n\n\n\n\n
<\/div>\n\n\n\n

Delay in <\/strong>treatment<\/strong><\/h2>\n\n\n\n\nHaving a drop in cancer referrals would not only delay the diagnosis. It will also delay treatment, sometimes to a late stage of the disease. Even patients with a clear diagnosis have had an interruption or obstruction in their treatment. In the systematic review mentioned above, there was also data about delays in treatment.\n\n\n\n\n\nOut of 62 studies reported by these authors, 22 focused on treatment delays. Cancer surgery was <\/a>delayed or reduced because of coronavirus in 16 studies. Radiotherapy delayed in 10 studies. Outpatient visits were canceled or rescheduled in 10 studies.\n\n\n\n\n\nMedical procedures for patients with chronic diseases such as cancer have suffered disruptions from coronavirus for over one year. This reduces the number of chemotherapy sessions, the availability of surgery, radiotherapy, and other procedures.\n\n\n\n\n\nThe systematic review reported that 77.5% of patients experienced an interruption in different stages of their treatment. The reason patients were given is not only related to quarantine compliance.\n\n\n\n\n\nIt is not only because of social isolation or to minimize COVID-19 exposure. Instead, the efforts centered on attending to the most urgent cases and the highest volume of patients coming from COVID-related complications. In this regard, doctors were no more than following national or local guidelines.\n\n\n\n\n\nAnother cause was related to the medical supply shortage. 40% of patients in a medical center reported difficulty accessing their anticancer medications.\n\n\n\n\n\nSimilarly, 36% of modifications in chemotherapy<\/a> regimens were due to medicine shortage. Even clinical trials and experimental cancer treatment reduced by up to 65% (1).\n\n\n\n\n\nThe problem is not as bad as canceling treatments or shutting down cancer care. However, patients face significant obstacles to treating their condition, and their tumors keep growing as time passes.\n\n\n\n\n
<\/div>\n\n\n\n

What you can do<\/strong><\/h2>\n\n\n\n\nIt is possible to solve this problem but it requires efforts from the medical community and their patients. We’re going through difficult times, and it was not possible to predict all of the consequences.\n\n\n\n\n\nSo, instead of waiting for the end of the pandemic, it is better to start doing something about it.\n\n\n\n\n\n\n\n\n\nHere’s a group of ideas from a recent research paper published in the European Journal of Cancer Care (3):\n\n\n\n\n\n\n\n\n

Understand there’s a risk of delay<\/strong><\/h3>\n\n\n\n\nBy reading this article, you’re giving the first step forward. We all need to know that diagnostic delay from coronavirus is a possibility for cancer and other severe health problems.\n\n\n\n\n\nIn the systematic review cited above, most studies were in Italy, the United Kingdom, and other parts of Europe. Most data from the United States evaluated local was limited to a type of cancer<\/a> or type of procedure. They should make thorough investigations to understand the burden of the problem.\n\n\n\n\n\nMeanwhile, patients should be aware that the system is overwhelmed, and reaching a diagnosis could be more complicated than pre-coronavirus times.\n\n\n\n\n

Use telemedicine, but be aware of its limitations<\/strong><\/h3>\n\n\n\n\nThe expansion of telemedicine is positive after COVID-19. It is a valuable tool, and we are encouraged to use it. However, both doctors and patients should know its limitations.\n\n\n\n\n\nIn cancer care, a thorough physical exam is necessary to find out what’s wrong. However, telemedicine has its limitations, such as the resolution of the device you’re using.\n\n\n\n\n\nDoctors won’t be able to give you an accurate opinion about lesions they are not fully able to see.\n\n\n\n\n\nTalk to your doctor about these limitations and consider whether or not a face-to-face encounter will be necessary.\n\n\n\n\n

Don’t put off seeing a doctor<\/strong><\/h3>\n\n\n\n\nSince the pandemic, many people have put off going to the doctor. For example, since April 2020, over 58,000 men have begun prostate cancer treatment in England, but this number is 14,000 less than expected in comparison to pre-pandemic numbers.\n\n\n\n\n\nMany men have told Prostate Cancer UK that they didn’t want to ‘bother’ their GP during the pandemic – particularly if they didn’t have many symptoms, which is often the case in patients with early prostate cancer.\n\n\n\n\n\nThis means that men who are at a higher risk of prostate cancer are missing crucial conversations with their doctor that can lead to a diagnosis.\n\n\n\n\n\nEarly diagnosis and treatment are associated with better cancer patient outcomes. It is important to understand that many patients often do not show symptoms in the early stages. Therefore, you should check your cancer risk factors and don’t delay seeing your healthcare provider.\n\n\n\n\n

Identify and deal with obstructions to healthcare access<\/strong><\/h3>\n\n\n\n\nSometimes, the obstacle to healthcare access is founded on fear and apprehension. We think that hospitals are the epicenter of disease and do not want to be infected. This is reasonable but not a helpful thought if we’re letting chronic illness on its own.\n\n\n\n\n\nNeglecting your condition out of fear is never a good idea. Doctors can also expand access to medical services making it more flexible for patients. Making it clear for patients and keeping in contact with the population is vital.\n\n\n\n\n\nIt could also be useful to set up temporary diagnostic sites with specialists. They would screen for cancer and other conditions without overcrowding medical facilities.\n\n\n\n\n

Understand your cancer risk<\/strong><\/h3>\n\n\n\n\nPatients with increased risk should have the upper hand in diagnostic procedures and workups. In this case, patients at risk are not only those with an environmental or genetic predisposition<\/a>.\n\n\n\n\n\nPatients who usually do not show up or postpone doctor visits should also be considered high risk. Placing extra obstacles will make them delay their treatment even more. Thus, doctors should create a system to detect “lost” patients and procure them. They should also tag patients with chronic disease, old age, and those who require extra attention.\n\n\n\n\n\nPatients with cultural and language barriers also have an overlapping risk to consider. This is not only a doctor’s job.\n\n\n\n\n\nPatients and their families should prompt high-risk patients in all of these categories to look for medical attention. Do not leave everything for a later time and do not support them in the idea of neglecting their condition.\n\n\n\n\n

Health literacy<\/strong><\/h3>\n\n\n\n\nUnderstanding the human body and the basics of health is essential in these trying times. This is health literacy, and it will be one of the tools against cancer diagnostic delays.\n\n\n\n\n\nPatients should be informed about cancer, its risk factors, signs, and symptoms. That way, it is less likely that they will miss an emerging sign. For example, a painless breast nodule in breast cancer or chronic cough and chest pain in lung cancer.\n\n\n\n\n\nAwareness campaigns to educate women about breast cancer have contributed a lot to reporting nodules<\/a>. They jump the screening step and go directly with their doctor with concern.\n\n\n\n\n\nSimilarly, educating the population about cancer signs and symptoms is essential for an early diagnosis of cancer<\/a> in our coronavirus reality.\n\n\n\n\n

Don’t forget about psychosocial needs<\/strong><\/h3>\n\n\n\n\nOne of the aspects of cancer is how it connects to psychological aspects. Stress, anxiety, interpersonal and financial issues can contribute to tumor growth by affecting our immune system.\n\n\n\n\n\nIf you’re subject to significant stress, it is essential to find coping strategies to relieve tension. If you don’t feel stressed at all, don’t underestimate stress. Sometimes it is hidden under several layers of defense mechanisms covering it up.\n\n\n\n\n\nFear about COVID 19 infections<\/a> should never become an obstacle to look for medical attention, especially if you experience concerning symptoms.\n\n\n\n\n
<\/div>\n\n\n\n

Conclusion<\/strong><\/h2>\n\n\n\n\nAs coronavirus cases increase and the efforts focus on treating these patients, the diagnosis of cancer and xother chronic diseases starts to decline.\n\n\n\n\n\nRecent studies show a significant reduction in cancer referral, diagnosis, and treatment.\n\n\n\n\n\nThis is happening in the UK, the United States, Italy, and many other countries. In the long term, this leads to delayed treatment, advanced cancer stages, and more complications.\n\n\n\n\n\nEven prostate cancer patients have experienced significant delays in prostate cancer treatment. This type of cancer is usually slow-growing, and it takes many years to develop obstructive symptoms in male patients.\n\n\n\n\n\nHowever, prostate cancer screening is essential to detect cases before the tumor spreads to other organs, turning into advanced prostate cancer.\n\n\n\n\n\nIn some instances, prostate cancer can behave aggressively, necessitating treatments like radiation therapy and androgen deprivation therapy.\n\n\n\n\n\nThe recommendation is for males with urinary symptoms and risk factors for prostate cancer not to delay scheduling a visit with their urologist.\n\n\n\n\n\nTelemedicine is an alternative to obtain an initial assessment and read your PSA test<\/a>, but you may need face-to-face interaction and a physical exam in some cases.\n\n\n\n\n\nFor PCA patients with small prostate tumors, the recommendation is to keep in close contact with your urologist<\/a>.\n\n\n\n\n\nIf you’re under active surveillance, do not miss an appointment and report any change in your urinary symptoms. If you have metastatic prostate cancer, you usually receive hormone therapy in oral medications.\n\n\n\n\n\nSome chemotherapeutics can also be administered orally to avoid hospital visits.\n\n\n\n\n\nConsult your healthcare provider to explore the available choices.\n\n\n\n\n\nDo not give up if you ever get a radical prostatectomy canceled or postponed. This has happened to other cancer patients throughout this challenging time.\n\n\n\n\n\n","protected":false},"excerpt":{"rendered":"

The impact of COVID-19 jolted the system and changed our normality. The healthcare system is also working differently and subject to new regulations and challenges. The impact of SARS COV 2 infection is also in the management of hospital care. Some hospitals became referrals for COVID care. Many non-COVID hospitals and clinics had to shut […]<\/p>\n","protected":false},"author":13,"featured_media":26140,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[1],"tags":[97,41],"health_topic":[132,124],"class_list":["post-26116","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","tag-coronavirus","tag-prostate-supplements-2","health_topic-prostate-cancer-topic","health_topic-prostate-health"],"acf":[],"yoast_head":"\nThe Impact of Coronavirus on Cancer Care<\/title>\n<meta name=\"description\" content=\"As coronavirus (covid 19) cases increase, recent studies show a significant reduction in cancer referral, diagnosis, and treatment.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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