Evidence map›Paper›PMID 34170430›Full record

ArticleAnnals of surgical oncology2021

Cancer in the Shadow of COVID: Early-Stage Breast and Prostate Cancer Patient Perspectives on Surgical Delays Due to COVID-19.

Claire Sokas, Masami Kelly, Christina Sheu, Julia Song, H Gilbert Welch, Regan Bergmark, Christina Minami, Quoc-Dien Trinh

Abstract read
In one paragraph

Article in Annals of surgical oncology, 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
–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

25 citing papers in PubMed.

  1. Article
  2. Review
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  5. IMPACT OF COVID-19 PANDEMIC ON THE SURGICAL TREATMENT OF GASTRIC CANCER: A 3-YEAR ANALYSIS.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2025
    Article
  6. Article
  7. Article
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  12. Patient reported experiences of Swedish patients being investigated for cancer during the Covid-19 pandemic.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Article
  13. 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
    Article
  14. Patients' experiences undergoing cancer surgery during the COVID-19 pandemic: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Article
  15. Article
  16. The Use of Chatbots in Oncological Care: A Narrative Review.International journal of general medicine · 2023
    Review
  17. Article
  18. Review
  19. 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
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Claire SokasDepartment of Surgery, Center for Surgery and Public Health, Brigham and Woman's Hospital, Boston, MA, USA. csokas@bwh.harvard.edu.ORCID http://orcid.org/0000-0002-4682-8431
Masami KellyDepartment of Surgery, Center for Surgery and Public Health, Brigham and Woman's Hospital, Boston, MA, USA.
Christina SheuDepartment of Surgery, Center for Surgery and Public Health, Brigham and Woman's Hospital, Boston, MA, USA.
Julia SongHarvard Medical School, Boston, MA, USA.
H Gilbert WelchDepartment of Surgery, Center for Surgery and Public Health, Brigham and Woman's Hospital, Boston, MA, USA.
Regan BergmarkDepartment of Surgery, Center for Surgery and Public Health, Brigham and Woman's Hospital, Boston, MA, USA.
Christina MinamiDepartment of Surgery, Center for Surgery and Public Health, Brigham and Woman's Hospital, Boston, MA, USA.
Quoc-Dien TrinhDepartment of Surgery, Center for Surgery and Public Health, Brigham and Woman's Hospital, Boston, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDuring the height of the coronavirus disease 2019 (COVID-19) pandemic, elective surgeries, including oncologic surgeries, were delayed. Little prospective data existed to guide practice, and professional surgical societies issued recommendations grounded mainly in common sense and expert consensus, such as medical therapy for early-stage breast and prostate cancer patients. To understand the patient experience of delay in cancer surgery during the pandemic, we interviewed breast and prostate cancer patients whose surgeries were delayed due to the pandemic. PATIENTS AND

methodsPatients with early-stage breast or prostate cancer who suffered surgical postponement at Brigham and Women's Hospital (BWH) were invited to participate. Semi-structured telephone interviews were conducted with 21 breast and prostate cancer patients. Interviews were transcribed, and qualitative analysis using ground-theory approach was performed.

resultsMost patients reported significant distress due to cancer and COVID. Key themes that emerged included the lack of surprise and acceptance of the surgical delays but endorsed persistent cancer- and delay-related worries. Satisfaction with patient-physician communication and the availability of a delay strategy were key factors in patients' acceptance of the situation; perceived lack of communication prompted a few patients to seek care elsewhere. DISCUSSION: The clinical effect of delay in cancer surgery will take years to fully understand, but there are immediate steps that can be taken to improve the patient experience of delays in care, including elicitation of individual patient perspectives and ongoing communication. More work is needed to understand the wider experiences of patients, especially minority, socioeconomically disadvantaged, and uninsured patients, who encounter delays in oncologic care.

Indexed as

COVID-19Prostatic NeoplasmsHumansMalePandemicsProspective StudiesSARS-CoV-2

Identifiers

PMID34170430
PMCPMC8231084

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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.