Evidence map›Paper›PMID 34068441›Full record

ArticleCurrent oncology (Toronto, Ont.)2021

Psychosocial Distress in Adult Patients Awaiting Cancer Surgery during the COVID-19 Pandemic.

David Forner, Sarah Murnaghan, Geoffrey Porter, Ross J Mason, Paul Hong, S Mark Taylor, James Bentley, Gregory Hirsch, Christopher W Noel, Matthew H Rigby and 6 more

Open access · goldAbstract read
In one paragraph

Article in Current oncology (Toronto, Ont.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
2.9field-weighted citation impact, top 6% 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, 39 citations in OpenAlex.

  1. Review
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  11. Patient-reported experiences of cancer care related to the COVID-19 pandemic in Switzerland.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
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  12. Article
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  14. Experiences of cancer care in COVID-19: A longitudinal qualitative study.European journal of oncology nursing : the official journal of European Oncology Nursing Society · 2022
    Article
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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 at 2 institutions in 1 country.

David FornerDivision of Otolaryngology-Head & Neck Surgery, Dalhousie University, Halifax, NS B3H 2Y9, Canada.ORCID 0000-0002-1014-3545
Sarah MurnaghanDepartment of Surgery, Dalhousie University, Halifax, NS B3H 2Y9, Canada.
Geoffrey PorterDepartment of Surgery, Dalhousie University, Halifax, NS B3H 2Y9, Canada.
Ross J MasonDepartment of Urology, Dalhousie University, Halifax, NS B3H 2Y9, Canada.
Paul HongDivision of Otolaryngology-Head & Neck Surgery, Dalhousie University, Halifax, NS B3H 2Y9, Canada.
S Mark TaylorDivision of Otolaryngology-Head & Neck Surgery, Dalhousie University, Halifax, NS B3H 2Y9, Canada.
James BentleyDepartment of Obstetrics and Gynecology, Dalhousie University, Halifax, NS B3H 2Y9, Canada.
Gregory HirschDepartment of Surgery, Dalhousie University, Halifax, NS B3H 2Y9, Canada.
Christopher W NoelInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON M5T 3M6, Canada.ORCID 0000-0002-6625-0809
Matthew H RigbyDivision of Otolaryngology-Head & Neck Surgery, Dalhousie University, Halifax, NS B3H 2Y9, Canada.
Martin CorstenDivision of Otolaryngology-Head & Neck Surgery, Dalhousie University, Halifax, NS B3H 2Y9, Canada.
Jonathan R TritesDivision of Otolaryngology-Head & Neck Surgery, Dalhousie University, Halifax, NS B3H 2Y9, Canada.
Victoria TaylorDivision of Otolaryngology-Head & Neck Surgery, Dalhousie University, Halifax, NS B3H 2Y9, Canada.
Cynthia KendellDepartment of Surgery, Dalhousie University, Halifax, NS B3H 2Y9, Canada.
Margaret JorgensenDepartment of Surgery, Dalhousie University, Halifax, NS B3H 2Y9, Canada.
Robin UrquhartDepartment of Surgery, Dalhousie University, Halifax, NS B3H 2Y9, Canada.
Dalhousie University · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cancer causes substantial emotional and psychosocial distress, which may be exacerbated by delays in treatment. The COVID-19 pandemic has resulted in increased wait times for many patients with cancer. In this study, the psychosocial distress associated with waiting for cancer surgery during the pandemic was investigated. This cross-sectional, convergent mixed-methods study included patients with lower priority disease during the first wave of COVID-19 at an academic, tertiary care hospital in eastern Canada. Participants underwent semi-structured interviews and completed two questionnaires: Hospital Anxiety and Depression Scale (HADS) and Perceived Stress Scale (PSS). Qualitative analysis was completed through a thematic analysis approach, with integration achieved through triangulation. Fourteen participants were recruited, with cancer sites including thyroid, kidney, breast, prostate, and a gynecological disorder. Increased anxiety symptoms were found in 36% of patients and depressive symptoms in 14%. Similarly, 64% of patients experienced moderate or high stress. Six key themes were identified, including uncertainty, life changes, coping strategies, communication, experience, and health services. Participants discussed substantial distress associated with lifestyle changes and uncertain treatment timelines. Participants identified quality communication with their healthcare team and individualized coping strategies as being partially protective against such symptoms. Delays in surgery for patients with cancer during the COVID-19 pandemic resulted in extensive psychosocial distress. Patients may be able to mitigate these symptoms partially through various coping mechanisms and improved communication with their healthcare teams.

Indexed as

Time-to-TreatmentAdaptation, PsychologicalAdultAgedAnxietyCommunicable Disease ControlCOVID-19Cross-Sectional StudiesDepressionFemaleHumansMaleMiddle AgedNeoplasmsNova ScotiaPandemicscancerCOVID-19psychosocial distresswaiting lists

Identifiers

PMID34068441
PMCPMC8161781
OpenAlexW3161152672

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.