Evidence map›Paper›PMID 33565259›Full record

ArticlePediatric blood & cancer2021

Impacts of COVID-19 on caregivers of childhood cancer survivors.

Courtney E Wimberly, Lisa Towry, Caroline Caudill, Emily E Johnston, Kyle M Walsh

Open access · bronzeAbstract read
In one paragraph

Article in Pediatric blood & cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
19.0field-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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Maternal Prenatal Use of Alcohol, Tobacco, and Illicit Drugs and Associations with Childhood Cancer Subtypes.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2024
    Article
  5. The Impact of COVID-19 on Children and Adolescents with Chronic Illness.Advances in experimental medicine and biology · 2024
    Review
  6. Article
  7. Article
  8. Rural, Large Town, and Urban Differences in Optimal Subspecialty Follow-up and Survivorship Care Plan Documentation among Childhood Cancer Survivors.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2023
    Article
  9. The Enduring Effects of COVID for Cancer Care: Learning from Real-Life Clinical Practice.Clinical cancer research : an official journal of the American Association for Cancer Research · 2023
    Article
  10. Article
  11. Article
  12. Risk and Resilient Functioning of Families of Children with Cancer during the COVID-19 Pandemic.International journal of environmental research and public health · 2023
    Article
  13. Article
  14. Article
  15. Factors associated with employment status among mothers of survivors of childhood cancer: a cross-sectional study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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

5 authors at 3 institutions in 1 country.

Courtney E WimberlyDivision of Neuro-Epidemiology, Department of Neurosurgery, Duke University School of Medicine, Durham, North Carolina, USA.
Lisa TowryAlex's Lemonade Stand Foundation, Bala Cynwyd, Pennsylvania, USA.
Caroline CaudillInstitute for Cancer Survivorship and Outcomes, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Emily E JohnstonDivision of Pediatric Hematology/Oncology, Department of Pediatrics, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Kyle M WalshDivision of Neuro-Epidemiology, Department of Neurosurgery, Duke University School of Medicine, Durham, North Carolina, USA.ORCID 0000-0002-5879-9981
Duke University · USUniversity of Alabama at Birmingham · USAlex's Lemonade Stand Foundation · US

Funding

Immune Correlates and Mechanisms of Perinatal Cytomegalovirus Infection and Later Life ALL DevelopmentR21CA242439 · NCI · DUKE UNIVERSITY · PI WALSH, KYLE M · 2019 to 2020
$385k
NCI NIH HHS R21 CA242439
6 · The paper itself

Abstract

purposeWe sought to assess the impact of disruptions due to coronavirus disease 2019 (COVID-19) on caregivers of childhood cancer survivors.

methodsA 13-question survey containing multiple-choice, Likert-type, and free-text questions on experiences, behaviors, and attitudes during the COVID-19 outbreak was sent to childhood cancer caregivers and completed between April 13 and May 17, 2020. Ordered logistic regression was used to investigate relationships between demographics, COVID-related experiences, and caregiver well-being.

resultsCaregivers from 321 unique families completed the survey, including 175 with children under active surveillance/follow-up care and 146 with children no longer receiving oncology care. Overall, caregivers expressed exceptional resiliency, highlighting commonalities between caring for a child with cancer and adopting COVID-19 prophylactic measures. However, respondents reported delayed/canceled appointments (50%) and delayed/canceled imaging (19%). Eleven percent of caregivers reported struggling to pay for basic needs, which was associated with greater disruption to daily life, greater feelings of anxiety, poorer sleep, and less access to social support (p < .05). Caregivers who were self-isolating reported greater feelings of anxiety and poorer sleep (p < .05). Respondents who expressed confidence in the government response to COVID-19 reported less disruption to their daily life, decreased feelings of depression and anxiety, better sleep, and greater hopefulness (p < .001)

conclusionsCaregivers are experiencing changes to medical care, financial disruptions, and emotional distress due to COVID-19. To better serve caregivers and medically at-risk children, clinicians must evaluate financial toxicity and feelings of isolation in families affected by childhood cancer, and work to provide reliable information on how COVID-19 may differentially impact their children.

Indexed as

Social SupportAdaptation, PsychologicalAdultAnxietyCancer SurvivorsCaregiversChildCOVID-19FemaleHumansMaleNeoplasmsParent-Child RelationsParentsStress, Psychologicalaccess to carechildhood cancerCOVID-19parental distresspsychological harmSARS-CoV-2

Identifiers

PMID33565259
PMCPMC7995053
OpenAlexW3127373226

What OpenQuestion holds

Textmetadata
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.