Evidence map›Paper›PMID 33769657›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2021

The psychological burden of waiting for procedures and patient-centred strategies that could support the mental health of wait-listed patients and caregivers during the COVID-19 pandemic: A scoping review.

Anna R Gagliardi, Cindy Y Y Yip, Jonathan Irish, Frances C Wright, Barry Rubin, Heather Ross, Robin Green, Susan Abbey, Mary Pat McAndrews, Donna E Stewart

Open access · goldAbstract readScoping Review
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 2 pooled it
20.9field-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

58 citing papers in PubMed, 2 syntheses or guidelines pooled it, 111 citations in OpenAlex.

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  12. Improving oral health service delivery: the patient perspective.Primary health care research & development · 2025
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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

10 authors at 4 institutions in 1 country.

Anna R GagliardiToronto General Hospital Research Institute, University Health Network, Toronto, Canada.ORCID 0000-0002-5721-809X
Cindy Y Y YipUniversity of British Columbia, Vancouver, Canada.
Jonathan IrishSurgical Oncology Program/Access to Care-Surgery, Ontario Health-Cancer Care Ontario, Toronto, Canada.
Frances C WrightDepartment of Surgery, Sunnybrook Health Sciences Centre, Toronto, Canada.
Barry RubinPeter Munk Cardiac Centre, University Health Network, Toronto, Canada.
Heather RossTed Rogers Centre of Excellence in Heart Function, University Health Network, Toronto, Canada.
Robin GreenToronto Rehabilitation Institute, University Health Network, Toronto, Canada.
Susan AbbeyMedical Psychiatry & Psychosocial Oncology, University Health Network, Toronto, Canada.
Mary Pat McAndrewsKrembil Research Institute, University Health Network, Toronto, Canada.
Donna E StewartUniversity Health Network Centre for Mental Health, University of Toronto, Toronto, Canada.
University Health Network · CACancer Care Ontario · CASunnybrook Health Science Centre · CAUniversity of British Columbia · CA

Funding

CIHR
6 · The paper itself

Abstract

backgroundWaiting for procedures delayed by COVID-19 may cause anxiety and related adverse consequences.

objectiveTo synthesize research on the mental health impact of waiting and patient-centred mitigation strategies that could be applied in the COVID-19 context.

methodsUsing a scoping review approach, we searched 9 databases for studies on waiting lists and mental health and reported study characteristics, impacts and intervention attributes and outcomes.

resultsWe included 51 studies that focussed on organ transplant (60.8%), surgery (21.6%) or cancer management (13.7%). Most patients and caregivers reported anxiety, depression and poor quality of life, which deteriorated with increasing wait time. The impact of waiting on mental health was greater among women and new immigrants, and those of younger age, lower socio-economic status, or with less-positive coping ability. Six studies evaluated educational strategies to develop coping skills: 2 reduced depression (2 did not), 1 reduced anxiety (2 did not) and 2 improved quality of life (2 did not). In contrast, patients desired acknowledgement of concerns, peer support, and periodic communication about wait-list position, prioritization criteria and anticipated procedure date.

conclusionsFindings revealed patient-centred strategies to alleviate the mental health impact of waiting for procedures. Ongoing research should explore how to optimize the impact of those strategies for diverse patients and caregivers, particularly in the COVID-19 context. PATIENT OR PUBLIC CONTRIBUTION: Six patients and four caregivers waiting for COVID-19-delayed procedures helped to establish eligibility criteria, plan data extraction and review a draft and final report.

Indexed as

PandemicsPatient-Centered CareWaiting ListsCaregiversCOVID-19FemaleHumansMental HealthQuality of LifeSARS-CoV-2anxietydepressionimplementation sciencemental healthpatient-centred carequality improvementquality of lifereviewwaiting lists

Identifiers

PMID33769657
PMCPMC8235883
OpenAlexW3136900895

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.