Evidence map›Paper›PMID 33017179›Full record

ArticleJCO global oncology2020

Understanding the Psychological Impact of COVID-19 Pandemic on Patients With Cancer, Their Caregivers, and Health Care Workers in Singapore.

Kennedy Yao Yi Ng, Siqin Zhou, Sze Huey Tan, Nur Diana Binte Ishak, Zack Zhong Sheng Goh, Zi Yang Chua, Jace Ming Xuan Chia, Ee Ling Chew, Than Shwe, Jacklyn Kah Yeen Mok and 12 more

Open access · goldAbstract read
In one paragraph

Article in JCO global oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers, 13 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 13 pooled it
10.2field-weighted citation impact, top 2% 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

66 citing papers in PubMed, 13 syntheses or guidelines pooled it, 124 citations in OpenAlex.

  1. Digital health interventions for informal cancer caregivers' mental health management: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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  3. The Experiences of Informal Carers during the COVID-19 Pandemic: A Qualitative Systematic Review.International journal of environmental research and public health · 2022
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6 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

22 authors at 3 institutions in 1 country.

Kennedy Yao Yi NgDivision of Medical Oncology, National Cancer Centre, Singapore.ORCID 0000-0001-6630-3803
Siqin ZhouDivision of Clinical Trials and Epidemiological Sciences, National Cancer Centre, Singapore.
Sze Huey TanDivision of Clinical Trials and Epidemiological Sciences, National Cancer Centre, Singapore.ORCID 0000-0002-3089-7379
Nur Diana Binte IshakDivision of Medical Oncology, National Cancer Centre, Singapore.
Zack Zhong Sheng GohLee Kong Chian School of Medicine, Nanyang Technological University, Singapore.
Zi Yang ChuaLee Kong Chian School of Medicine, Nanyang Technological University, Singapore.
Jace Ming Xuan ChiaLee Kong Chian School of Medicine, Nanyang Technological University, Singapore.
Ee Ling ChewDivision of Medical Oncology, National Cancer Centre, Singapore.
Than ShweDivision of Radiation Oncology, National Cancer Centre, Singapore.
Jacklyn Kah Yeen MokDivision of Radiation Oncology, National Cancer Centre, Singapore.
Shen Si LeongDivision of Medical Oncology, National Cancer Centre, Singapore.
Joanne Si Ying LoDivision of Medical Oncology, National Cancer Centre, Singapore.
Zoe Li Ting AngDivision of Medical Oncology, National Cancer Centre, Singapore.
Jo Lene LeowDepartment of Pharmacy, National Cancer Centre, Singapore.
Chanel Wei Jie LamDepartment of Nursing, National Cancer Centre, Singapore.
Jin Wei KwekDivision of Oncological Imaging, National Cancer Centre, Singapore.ORCID 0000-0002-3081-5767
Rebecca DentDivision of Medical Oncology, National Cancer Centre, Singapore.
Jeffrey TuanDivision of Radiation Oncology, National Cancer Centre, Singapore.
Soon Thye LimDivision of Medical Oncology, National Cancer Centre, Singapore.ORCID 0000-0002-0366-5505
William Ying Khee HwangDivision of Medical Oncology, National Cancer Centre, Singapore.ORCID 0000-0003-0143-6263
Konstadina GrivaLee Kong Chian School of Medicine, Nanyang Technological University, Singapore.ORCID 0000-0001-8173-5663
Joanne NgeowDivision of Medical Oncology, National Cancer Centre, Singapore.ORCID 0000-0003-1558-3627
National Cancer Centre Singapore · SGNanyang Technological University · SGDuke-NUS Medical School · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe coronavirus disease 2019 (COVID-19) pandemic has had a global impact, and Singapore has seen 33,000 confirmed cases. Patients with cancer, their caregivers, and health care workers (HCWs) need to balance the challenges associated with COVID-19 while ensuring that cancer care is not compromised. This study aimed to evaluate the psychological effect of COVID-19 on these groups and the prevalence of burnout among HCWs.

methodsA cross-sectional survey of patients, caregivers, and HCWs at the National Cancer Centre Singapore was performed over 17 days during the lockdown. The Generalized Anxiety Disorder-7 and Maslach Burnout Inventory were used to assess for anxiety and burnout, respectively. Self-reported fears related to COVID-19 were collected.

resultsA total of 624 patients, 408 caregivers, and 421 HCWs participated in the study, with a response rate of 84%, 88%, and 92% respectively. Sixty-six percent of patients, 72.8% of caregivers, and 41.6% of HCWs reported a high level of fear from COVID-19. The top concern of patients was the wide community spread of COVID-19. Caregivers were primarily worried about patients dying alone. HCWs were most worried about the relatively mild symptoms of COVID-19. The prevalence of anxiety was 19.1%, 22.5%, and 14.0% for patients, caregivers, and HCWs, respectively. Patients who were nongraduates and married, and caregivers who were married were more anxious. The prevalence of burnout in HCWs was 43.5%, with more anxious and fearful HCWs reporting higher burnout rates.

conclusionFears and anxiety related to COVID-19 are high. Burnout among HCWs is similar to rates reported prepandemic. An individualized approach to target the specific fears of each group will be crucial to maintain the well-being of these vulnerable groups and prevent burnout of HCWs.

Indexed as

AdultAgedAnxietyBetacoronavirusBurnout, ProfessionalCancer Care FacilitiesCaregiversCoronavirus InfectionsCOVID-19Cross-Sectional StudiesFearFemaleHealth PersonnelHealth Services AccessibilityHumansInfection Control

Identifiers

PMID33017179
PMCPMC7640379
OpenAlexW3090058270

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.