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ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2021

Internet and social media use in cancer patients: association with distress and perceived benefits and limitations.

Jacqueline L Bender, Katrina Hueniken, Lawson Eng, M Catherine Brown, Shayan Kassirian, Ilana Geist, Karmugi Balaratnam, Mindy Liang, Chelsea B Paulo, Arielle Geist and 6 more

Abstract read
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In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Online cancer forums and complementary and alternative medicine in cancer care: effects of ehealth literacy and psychological distress on use and attitudes.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  12. Patient considerations of social media account management after death.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  13. "Should I Prioritize My Cancer or My Diabetes?": Patient-Perceived Barriers to Co-Managing Cancer and Diabetes Mellitus.Journal of cancer education : the official journal of the American Association for Cancer Education · 2024
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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.

Jacqueline L BenderCancer Rehabilitation and Survivorship, Department of Supportive Care, Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada. Jackie.Bender@uhnresearch.ca.ORCID http://orcid.org/0000-0003-1501-335X
Katrina HuenikenDivision of Medical Oncology and Hematology Department of Medicine Princess Margaret Cancer Centre , University Health Network and University of Toronto , Toronto, Ontario, Canada.
Lawson EngDivision of Medical Oncology and Hematology Department of Medicine Princess Margaret Cancer Centre , University Health Network and University of Toronto , Toronto, Ontario, Canada.
M Catherine BrownDivision of Medical Oncology and Hematology Department of Medicine Princess Margaret Cancer Centre , University Health Network and University of Toronto , Toronto, Ontario, Canada.
Shayan KassirianDivision of Medical Oncology and Hematology Department of Medicine Princess Margaret Cancer Centre , University Health Network and University of Toronto , Toronto, Ontario, Canada.
Ilana GeistDivision of Medical Oncology and Hematology Department of Medicine Princess Margaret Cancer Centre , University Health Network and University of Toronto , Toronto, Ontario, Canada.
Karmugi BalaratnamDivision of Medical Oncology and Hematology Department of Medicine Princess Margaret Cancer Centre , University Health Network and University of Toronto , Toronto, Ontario, Canada.
Mindy LiangDivision of Medical Oncology and Hematology Department of Medicine Princess Margaret Cancer Centre , University Health Network and University of Toronto , Toronto, Ontario, Canada.
Chelsea B PauloDivision of Medical Oncology and Hematology Department of Medicine Princess Margaret Cancer Centre , University Health Network and University of Toronto , Toronto, Ontario, Canada.
Arielle GeistDivision of Medical Oncology and Hematology Department of Medicine Princess Margaret Cancer Centre , University Health Network and University of Toronto , Toronto, Ontario, Canada.
Pryangka RaoDivision of Medical Oncology and Hematology Department of Medicine Princess Margaret Cancer Centre , University Health Network and University of Toronto , Toronto, Ontario, Canada.
Alexander MagonyDivision of Medical Oncology and Hematology Department of Medicine Princess Margaret Cancer Centre , University Health Network and University of Toronto , Toronto, Ontario, Canada.
Elliot C SmithDivision of Medical Oncology and Hematology Department of Medicine Princess Margaret Cancer Centre , University Health Network and University of Toronto , Toronto, Ontario, Canada.
Wei XuDepartment of Biostatistics , Centre University Health Network and University of Toronto , Princess Margaret Cancer, Toronto, Ontario, Canada.
Geoffrey LiuDivision of Medical Oncology and Hematology Department of Medicine Princess Margaret Cancer Centre , University Health Network and University of Toronto , Toronto, Ontario, Canada.
Abha A GuptaDivision of Medical Oncology and Hematology Department of Medicine Princess Margaret Cancer Centre , University Health Network and University of Toronto , Toronto, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveCancer patients may turn to social media (SM) to cope with distress. We investigated associations between distress and internet/SM use for cancer information/support.

methodsAdult patients at a Canadian cancer centre completed a cross-sectional survey on sociodemographics, health status, use of cancer online resources and distress (EQ5D-5L). Statistical models adjusted for relevant variables.

resultsOf 376 participants, median age was 52 years, time since diagnosis was 1.63 years, 272 (74%) had post-secondary education and 192 (51%) were female. For cancer information/support, 276 (73%) used internet and 147 (39%) SM. Dose response relationships were observed between distress and cancer-related internet (p = 0.02), and SM use (p < 0.001). Respondents using internet/SM for cancer information/support reported greater internet confidence (internet OR = 4.0, 95% CI: 1.9-8.3; SM OR = 4.18, 95%, CI: 1.9-11.3), higher education (internet OR = 3.0, 95% CI: 1.7-5.2; SM OR = 2.21, 95% CI: 1.2-4.1) and were more likely female (internet OR = 2.6, 95% CI 1.5-4.6; SM OR = 2.1, 95% CI: 1.3-3.4). For SM for cancer information/support, more used SM > 30 min daily (OR = 3.4; 95% CI: 2.1-5.7), and were distressed (OR = 1.67, 95% CI: 1.0-2.7). SM benefits were to learn about cancer (93; 25%), distract from cancer (85; 23%) and connect with survivors (81; 22%). SM limitations were privacy (161; 43%), quality (90; 24%) and personal applicability (85; 23%). Females used SM more to connect with survivors than males (p = 0.001).

conclusionsGreater internet confidence, higher education and being female were associated with cancer-related internet/SM use. Distressed cancer patients were also more likely to turn to SM. Privacy concerns may limit SM use for coping. Future research should determine how to optimize SM in caring for and connecting with patients and reduce cancer-related distress.

Indexed as

NeoplasmsSocial MediaCanadaCancer SurvivorsCross-Sectional StudiesFemaleHumansInternetMaleMiddle AgedSurveys and QuestionnairesCancerCross-sectional surveyDistressInformationInternetSocial mediaSocial support

Identifiers

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Registered trials

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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.