Evidence map›Paper›PMID 32709505›Full record

ArticleClinical breast cancer2020

Patient-reported Outcomes of Patients With Breast Cancer During the COVID-19 Outbreak in the Epicenter of China: A Cross-sectional Survey Study.

Li Juanjuan, Cesar Augusto Santa-Maria, Feng Hongfang, Wang Lingcheng, Zhang Pengcheng, Xu Yuanbing, Tan Yuyan, Liu Zhongchun, Du Bo, Lan Meng and 6 more

Open access · hybridAbstract read
In one paragraph

Article in Clinical breast cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed, 12 pooled it
9.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

78 citing papers in PubMed, 12 syntheses or guidelines pooled it, 128 citations in OpenAlex.

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  4. Counting the social, psychological, and economic costs of COVID-19 for cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
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  14. Exploring the impact of the COVID-19 pandemic on cancer-related distress among thoracic oncology patients at a rural cancer center.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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18 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 8 institutions in 2 countries.

Li JuanjuanDepartment of Breast and Thyroid Surgery, Renmin Hospital of Wuhan University, Wuhan, Hubei, PR China.
Cesar Augusto Santa-MariaDepartment of Oncology, The Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins School of Medicine, Baltimore, MD.
Feng HongfangDepartment of Breast Surgery, Thyroid Surgery, Huangshi Central Hospital of Edong Healthcare Group, Hubei Polytechnic University, Huangshi, Hubei, PR China.
Wang LingchengDepartment of Thyroid and Breast and Vascular Surgery, Renmin Hospital, Hubei University of Medicine, Shiyan, Hubei, PR China.
Zhang PengchengDepartment of Breast Thyroid Surgery, Xiangyang No.1 People's Hospital of Hubei University of Medicine, Xiangyang, Hubei, PR China.
Xu YuanbingDepartment of Thyroid Breast Surgery, Xiaogan Hospital Affiliated to Wuhan University of Science and Technology, Xiaogan, Hubei, PR China.
Tan YuyanDepartment of Thyroid and Breast Surgery, Yichang Central People's Hospital, Yichang, Hubei, PR China.
Liu ZhongchunDepartment of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, Hubei, PR China.
Du BoSchool of Computer Science, Wuhan University, Wuhan, Hubei, PR China; School of Computer Science, and Institute of Artificial Intelligence, Wuhan University, Wuhan, Hubei, PR China.
Lan MengSchool of Computer Science, Wuhan University, Wuhan, Hubei, PR China; School of Computer Science, and Institute of Artificial Intelligence, Wuhan University, Wuhan, Hubei, PR China.
Yang QingfengDepartment of Breast Disease, East Campus of Renmin Hospital of Wuhan University, Wuhan, Hubei, PR China.
Yao FengDepartment of Breast and Thyroid Surgery, Renmin Hospital of Wuhan University, Wuhan, Hubei, PR China.
Tu YiDepartment of Breast and Thyroid Surgery, Renmin Hospital of Wuhan University, Wuhan, Hubei, PR China.
Sun ShengrongDepartment of Breast and Thyroid Surgery, Renmin Hospital of Wuhan University, Wuhan, Hubei, PR China.
Li XingruiDepartment of Breast and Thyroid Surgery, Tongji Hospital, Tongji Medical College of Huazhong University of Science and Technology, Wuhan, Hubei, PR China. Electronic address: lixingrui07@126.com.
Chen ChuangDepartment of Breast and Thyroid Surgery, Renmin Hospital of Wuhan University, Wuhan, Hubei, PR China. Electronic address: chenc2469@163.com.
Renmin Hospital of Wuhan University · CNWuhan University · CNHubei University of Medicine · CNHuazhong University of Science and Technology · CNHubei Polytechnic University · CNSidney Kimmel Comprehensive Cancer Center · USWuhan University of Science and Technology · CNYichang Central People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWe aimed to analyze the psychological status in patients with breast cancer (BC) in the epicenter of the coronavirus disease 2019 (COVID-19) pandemic. PATIENTS AND

methodsA total of 658 individuals were recruited from multiple BC centers in Hubei Province. Online questionnaires were conducted, and these included demographic information, clinical features, and 4 patient-reported outcome scales (Generalized Anxiety Disorder Questionnaire [GAD-7], Patient Health Questionnaire [PHQ-9], Insomnia Severity Index [ISI], and Impact of Events Scale-Revised [IES-R]). Multivariable logistic regression analysis was designed to identify potential factors on mental health outcomes.

resultsQuestionnaires were collected from February 16, 2020 to February 19, 2020, the peak time point of the COVID-19 outbreak in China. Of patients with BC, 46.2% had to modify planned necessary anti-cancer treatment during the outbreak. Severe anxiety and severe depression were reported by 8.9% and 9.3% of patients, respectively. Severe distress and insomnia were reported by 20.8% and 4.0% of patients, respectively. Multivariable logistic regression analysis demonstrated poor general condition, shorter duration after BC diagnosis, aggressive BC molecular subtypes, and close contact with patients with COVID-19 as independent factors associated with anxiety. Poor general condition and central venous catheter flushing delay were factors that were independently associated with depression. In terms of insomnia, poor generation condition was the only associated independent factor. Poor physical condition and treatment discontinuation were underlying risk factors for distress based on multivariable analysis.

conclusionHigh rates of anxiety, depression, distress, and insomnia were observed in patients with BC during the COVID-19 outbreak. Special attention should be paid to the psychological status of patients with BC, especially those with poor general condition, treatment discontinuation, aggressive molecular subtypes, and metastatic BC.

Indexed as

Patient Reported Outcome MeasuresAdultAgedAnxietyBetacoronavirusBreast NeoplasmsChinaCoronavirus InfectionsCOVID-19Cross-Sectional StudiesDepressionFemaleHealth Services AccessibilityHumansInfection ControlMiddle AgedBreast cancerCOVID-19EpicenterPsychological status

Identifiers

PMID32709505
PMCPMC7275993
OpenAlexW3034171540

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.