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Models of care for chronic myeloid leukemia patients during the COVID‐19 pandemic

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I thought a few people here might find this interesting ... it's a study (I am one of the authors) about how people have been treated for CML during the pandemic, and what people's preferences were. We hope that this will inform post-pandemic modes of care.

Thanks to several people here who contributed to this by completing a survey some months back, which contributed to the data set.

https://cmlsupport.org.uk/article/models-care-chronic-myeloid-leukemia-p...

Abstract

The ongoing COVID‐19 pandemic has presented numerous challenges to the provision of patient care within hematology. We undertook a questionnaire‐based study investigating the experiences and opinions of patients with chronic myeloid leukemia (CML) in the UK in relation to the different models of follow‐up care received during the pandemic. One hundred fifty‐four patients completed the online questionnaire. Only 19% of patients had experienced remote clinics prior to the pandemic compared with 91% afterward. After having experience of remote clinics, the proportion of patients who were positive about the remote clinic concept increased from 34% to 52% (P < .05). However, when asked to compare their experiences with face to face versus remote clinics, 48% preferred face‐to‐face clinics compared with 17% preferring remote clinics (35% expressed no preference). During the pandemic, frequency of blood tests was unchanged for 71% of patients, although they were performed in a number of different locations. The majority of patients (57%) had medication delivered to their home, with a small number (8%) having difficulty obtaining their medication. In terms of future models of care, 72% of patients were in favor of building remote appointments into the clinic model with 61% expressing a preference for a mixture of remote and face‐to‐face appointments. There was also interest in greater utilization of primary care for blood testing. Our findings should help optimize future models of care for CML patients.

Cheers David.

Myself personally I don’t mind the telephone consultations rather than a visit to the hospital which is always anxiety inducing I can now do that at home lol. The one thing you don’t get on a telephone conversation is being able to read your consultant before he even utters a word. When I used to see my consultant if he even just smiled briefly I knew all was ok before he even spoke. That may sound silly but not just myself but family would do the same when ever I’d have face to face they’d say “see you’re all right he smiled, or he looked calm”. That has been lost for me. And to top it off I’ve now got a new consultant which is even more anxiety inducing!

My consults are on the phone these days - no video. I know my consultant very well at this stage, so it works OK but I can imagine a video link being very beneficial. Steve O'Brien spoke the other day that he likes to get new patients in for a face to face so he can look them in the eye and explain things properly to them, address their fears and concerns more easily etc.

David.