Browsing by Author "Are, Chandrakanth"

Now showing 1 - 3 of 3
  • Thumbnail Image
    Item
    Challenges of cancer survivorship care in Chile: a longitudinal study comparing the quality of care and quality of life for cancer survivors in a primary care network and a cancer centre in Chile
    (2025) Puschel Illanes, Klaus; Arancibia, Victor; Rioseco, Andrea ; Paz, Sarah; Soto, María Gabriela ; Martinez, Javiera; Faundez, Marcela; Acevedo Claros, Francisco Nicolas; Di Biase, Felipe ; Emery, Jon; Leon Ramirez, Augusto; Are, Chandrakanth; Thompson, Beti
    Objective: The rapid growth in the cancer survivor population in Chile and Latin America raises newchallenges in addressing their care needs. This study assesses the health status and compares the quality of care and quality of life in cancer survivors at a primary care network and a private cancer centre in Santiago, Chile. Design: Retrospective cohort study. Setting: Three primary care clinics and one cancer centre in Chile. Participants: All breast and colorectal cancer patients identified from a primary care retrospective cohort of 61 174 were followed from 2018 to 2023 and compared with an equivalent sample of patients from a university cancer centre identified during the same period.Outcome measures: Quality of care was assessed based on American Cancer Society standards, while quality of life was measured using the EuroQol 5 Dimensions-5 Levels survey instrument Results: A total of 420 cancer survivors participated in the study; 208 from primary care and 212 from the cancer centre. All participants received substandard care. Patients in primary care had lower educational levels and higher rates of comorbidity. They reported a lower quality of life score (72.22 vs 78.43, p<0.001), a higher prevalence of chronic pain (37.02% vs 25.6%, p=0.016) and more severe mental health symptoms (19.89% vs 10.05%, p=0.03). Differences in educational level and cancer stage at diagnosis explained the observed disparities in chronic pain and mental health disorders between the two populations. Primary care patients received more psychosocial care (OR=2.29; 95%CI: 1.55 to 3.39),cardiovascular assessment (OR=2.66; 95% CI:2.17 to 3.26) and psychosocial evaluations (OR: 9.07; 95%CI:4.75 to 17.32). Conclusion: Cancer survivors face a significant disease burden and receive substandard care in Chile. As the primary source of care for this population, primary care is challenged to better integrate with speciality care to develop an effective shared care model for cancer survivors.
  • No Thumbnail Available
    Item
    Global Forum of Cancer Surgeons: Cancer Surgery During the COVID-19 Pandemic: Impact and Lessons Learned
    (2022) Are, Chandrakanth; Tyler, D.; Howe, J.; Olivares, A.; Nissan, A.; Zippel, D.; Gupta, A.; Savant, D.; D'Ugo, D.; Rubio, I; Bargallo-Rocha, J. E.; Martinez-Said, H.; Takeuchi, H.; Taketomi, A.; Oliveira, A. F.; Ribeiro, H. S. Castro; Cheema, M. A.; Majid, H. J.; Chen, G.; Roviello, F.; Gronchi, A.; Leon, A.; Lee, W. Y.; Park, D. J.; Park, J.; Auer, R.; Gawad, W. A.; Zaghloul, A.
    Background The purpose of this article is to summarize the opinions of the surgical oncology leaders from the Global Forum of Cancer Surgeons (GFCS) about the global impact of COVID-19 pandemic on cancer surgery. Methods A panel session (virtual) was held at the annual Society of Surgical Oncology 2021 International Conference on Surgical Cancer Care to address the impact of COVID-19 on cancer surgery globally. Following the virtual meeting, a questionnaire was sent to all the leaders to gather additional opinions. The input obtained from all the leaders was collated and analyzed to understand how cancer surgeons from across the world adapted in real-time to the impact of COVID-19 pandemic. Results The surgical oncology leaders noted that the COVID-19 pandemic led to severe disruptions in surgical cancer care across all domains of clinical care, education, and research. Several new changes/protocols associated with increased costs were implemented to deliver safe care. Leaders also noted that preexisting disparities in care were exacerbated, and the pandemic had a detrimental effect on well-being and financial status. Conclusions The COVID-19 pandemic has led to severe disruptions in surgical cancer care globally. Leaders of the GFCS opined that new strategies need to be implemented to prepare for any future catastrophic events based on the lessons learned from the current events. The GFCS will embark on developing such a roadmap to ensure that surgical cancer care is preserved in the future regardless of any catastrophic global events.
  • No Thumbnail Available
    Item
    The interdisciplinary and psychosocial gap in cancer survivorship: A longitudinal study in a Latin American Cancer Center
    (2021) Puschel, Klaus; Leon, Augusto; Arancibia, Victor; Aubel, Paula; Velasquez, Cristian; Saez, Sebastian; Vines, Eugenio; Leon, Augusto G. H.; Thompson, Beti; Are, Chandrakanth
    Background and Objectives There is lack of information on the quality of care provided to the rapidly increasing population of cancer survivors in Latin America. Our study attempts to address this gap and to identify areas needed to be improved.