ArticleCancer control : journal of the Moffitt Cancer Center
Disruptions in Oncology Care Confronted by Patients with Gynecologic Cancer Following Hurricanes Irma and Maria in Puerto Rico.
Article in Cancer control : journal of the Moffitt Cancer Center. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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14 citing papers in PubMed.
- A multiscale geospatial analysis integrating explainable machine learning to characterize spatial disparities in melanoma mortality associated with environmental justice and healthcare access in the contiguous United States.Frontiers in public health · 2026Article
- Opioid prescription and usage disparities among Puerto Rican breast cancer survivors: findings from the Puerto Rico central cancer registry-health insurance linkage database (PRCCR-HILD).Cancer causes & control : CCC · 2025Article
- Article
- Association between Stressors after Hurricanes Irma and María and Psychological Distress in Patients with Active Breast and Colorectal Cancer Treatment.Puerto Rico health sciences journal · 2025Article
- Implementing a Validated Multi-Symptom Assessment Tool During Telephone Triage to Reduce Oncology Patient Emergency Room Visits.Journal of the advanced practitioner in oncology · 2024Article
- Treatment Interruptions and Mortality Among Puerto Rican Women With Gynecologic Cancers in Puerto Rico After Hurricanes Irma and María: A Retrospective Cohort Study.Disaster medicine and public health preparedness · 2024Article
- Protecting vulnerable patient populations from climate hazards: the role of the nation's cancer centers.Journal of the National Cancer Institute · 2023Article
- Maintaining quality of life and care for cancer survivors experiencing disaster disruptions: a review of the literature.BMC cancer · 2023Review
- Healthcare and Social Organizations' Disaster Preparedness, Response, and Recovery Experience: Lessons Learned From Hurricanes Irma and Maria.Disaster medicine and public health preparedness · 2023Article
- Too hot and too humid in the Caribbean: Impacts of extreme heat events and non-accidental mortality in the tropical island of Puerto Rico (2015-2020).The journal of climate change and healthArticle
- Impacts of climate change on cancer risk, clinical outcomes, and care delivery: A scoping review.The journal of climate change and healthReview
- Linking precipitation-driven flooding events to acute respiratory illness in New York city.The journal of climate change and healthArticle
- Post-hurricane related flooding and essential services interruptions, and their impact on the quality of life of women with gynecological cancer in Puerto Rico.The journal of climate change and healthArticle
- Climate concerns and extreme weather event impacts on people with cancer and cancer caregivers in Puerto Rico.The journal of climate change and healthArticle
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Authors and funding
7 authors.
Funding
Abstract
backgroundIn September 2017, hurricanes Irma and Maria affected Puerto Rico (PR) and the US Virgin Islands (USVI), causing major disruptions in basic services and health care. This study documented the stressors and experiences of patients with gynecologic cancer receiving oncology care in PR following these hurricanes.
methodsWe conducted 4 focus groups (December 2018-April 2019) among women aged ≥21 years from PR who were diagnosed with gynecological cancer between September 2016 and September 2018 (n = 24). Using the same eligibility criteria, we also interviewed patients from the USVI (n = 2) who were treated in PR. We also conducted key-informant interviews with oncology care providers and administrators (n = 23) serving gynecologic cancer patients in PR. Discussions were audio-recorded, transcribed verbatim, and coded to identify emergent themes using a constant comparison method.
resultsAnalyses of focus group discussions and interviews allowed us to identify the following emergent themes: 1) disruptions in oncology care were common; 2) communication between oncology providers and patients was challenging before and after the hurricanes hit; 3) patient resilience was key to resume care; and 4) local communities provided much-needed social support and resources.
conclusionsThis study provides firsthand information about the disruptions in oncology care experienced by and the resiliency of women with gynecologic cancer following hurricanes Irma and Maria. Our findings underscore the need to incorporate oncology care in the preparedness and response plans of communities, health systems, and government agencies to maintain adequate care for cancer patients during and after disasters such as hurricanes.
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