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It identifies challenges that were unforeseen, as well as those that amplified existing inequities, including disrupted contact with providers, altered access to trials and vaccines, and evolving financial 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Veazey1, Katherine Kenny1, Imogen Harper1, Michelle Peterie1, Alexander Page1, Nicole Cort2, Jennifer Durling2, Eric S. Lipp2,3, Aaron C. Tan4, Kyle M. Walsh2,3, Brent A. Hanks2, Margaret Johnson2,3, Amanda E. D. Van Swearingen2, Carey K. Anders2, David M. Ashley2,3, and Mustafa Khasraw2,3  \n◥  \nFor three years, COVID-19 has circulated among our communities and around the world, fundamentally changing social interactions, health care systems, and service delivery. For people living with (and receiving treatment for) cancer, pandemic conditions presented significant additional hurdles in an already unstable and shifting environment, including disrupted personal contact with care providers, interrupted access to clinical trials, distanced therapeutic encounters, multiple immune vulnerabilities, and new forms of financial precarity. In a 2020 perspective in this journal, we examined how COVID-19 was reshaping cancer care in the early  \nstagesofthe pandemic and how these changes might endure into the future. Three years later, and in light of a series of interviews with patients and their caregivers from the United States and Australia conducted during the pandemic, we return to consider the potential legacy effects of the pandemic on cancer care. While some challenges to care provision and survivorship were unforeseen, others accentuated and amplified existing problems experienced by patients, caregivers, and health care providers. Both are likely to have enduring effects in the “post-pandemic” world, raising the importance of focusing on lessons that can be learned for the future.  \nIntroduction  \nOver the last three years, COVID-19 and the evolving societal responses to this viral threat have fundamentally altered almost every dimension of everyday life. Oncology practice and experiences of cancer survivorship have similarly been reconfigured as cancer care has adapted to the swiftly changing contexts of pandemic living, including evolving viral risks, the undulations of vaccine roll-outs and uptake, and ongoing public health measures such as lockdowns, distancing and masking. Our Perspective in this journal in 2020 took an early look at some of the structural fractures, emerging challenges and likely consequences provoked by the initial pandemic scene (1) . Since then, we have seen how people living with cancer, and their families, have been disproportionately affected by the circulating and evolving virus, accessibility and safety of vaccines, and the implementation of public health measures to limit transmission. Various studies have demonstrated some of the many ways that COVID-19 has impacted cancer care and cancer survivorship, including impacts on accessing social supports (2–5), family participation in care (6–10), reassessments  \n1Sydney Centre for Healthy Societies, School of Social and Political Sciences, The University of Sydney, Sydney, New South Wales, Australia. 2Duke Cancer Institute, Duke University Medical Center, Durham, North Carolina. 3The Preston Robert Tisch Brain Tumor Center, Duke University, Durham, North Carolina. 4Division of Medical Oncology, National Cancer Centre Singapore, Singapore.  \nCorresponding Author: Mustafa Khasraw, The Preston Robert Tisch Brain Tumor Center, Duke University, Durham, NC 27710 . Phone: 919-684-6173;  \nFax: 919-681-1697; [E-mail: mustafa.khasraw@duke.edu](E-mail: mustafa.khasraw@duke.edu)[ ](E-mail: mustafa.khasraw@duke.edu)[Clin Cancer Res 2023](Clin Cancer Res 2023);[29:1670](29:1670)–[7](7)  \n[doi:](doi: 10.1158/1078-0432.CCR-23-0151)[ 10.1158/1078-0432.CCR-23-0151](doi: 10.1158/1078-0432.CCR-23-0151)  \nThis open access article is distributed under the Creative Commons AttributionNonCommercial-NoDerivatives 4 . 0 International (CC BY-NC-ND 4 . 0) license.  \n􀀁2023The Authors;Published by the American Association for Cancer Research  \nof essential care (11–17)","cbCaio0DkxjxRu8U","https://ap.wps.com/l/cbCaio0DkxjxRu8U","pdf",225045,"English","# Introduction\n## Background","[{\"question\":\"What enduring effects of COVID-19 are discussed for cancer care and survivorship?\",\"answer\":\"The document highlights persistent hurdles such as disrupted contact with care providers, interrupted access to clinical trials, distanced therapeutic encounters, and increased immune and financial vulnerabilities.\"},{\"question\":\"How does the document update its earlier 2020 perspective?\",\"answer\":\"It builds on three years of change and provides an updated analysis grounded in patients’ and caregivers’ perspectives collected during the pandemic.\"},{\"question\":\"What community-focused concepts does the document use to interpret consequences?\",\"answer\":\"It emphasizes diminishing cultural attention to personal health issues, the “shadow” supports that fall out of view, and estrangement dynamics that emerge within clinical encounters shaped by distance.\"}]","The Enduring Effects of COVID for Cancer Care - Learning from Real-Life Clinical Practice | PDF",1790227205]