Evidence map›Paper›PMID 34845860›Full record

Observational studyCancer medicine2021

Examining the association among fear of COVID-19, psychological distress, and delays in cancer care.

Nicole E Caston, Valerie M Lawhon, Karen Lisa Smith, Kathleen Gallagher, Rebekah Angove, Eric Anderson, Alan Balch, Andres Azuero, Chao-Hui Sylvia Huang, Gabrielle B Rocque

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Cancer medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 4% 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

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

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  17. "I Had to Do It All Alone": Hispanic Perspectives on Navigating Breast Cancer Treatment.International journal of environmental research and public health · 2023
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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 3 institutions in 1 country.

Nicole E CastonDivision of Hematology and Oncology, University of Alabama at Birmingham (UAB), Birmingham, Alabama, USA.ORCID 0000-0001-7474-6110
Valerie M LawhonDivision of Hematology and Oncology, University of Alabama at Birmingham (UAB), Birmingham, Alabama, USA.
Karen Lisa SmithJohns Hopkins University School of Medicine, Baltimore, Maryland, USA.ORCID 0000-0002-6687-0119
Kathleen GallagherPatient Advocate Foundation, Hampton, Virginia, USA.ORCID 0000-0003-3315-8720
Rebekah AngovePatient Advocate Foundation, Hampton, Virginia, USA.
Eric AndersonPatient Advocate Foundation, Hampton, Virginia, USA.
Alan BalchPatient Advocate Foundation, Hampton, Virginia, USA.
Andres AzueroDivision of Hematology and Oncology, University of Alabama at Birmingham (UAB), Birmingham, Alabama, USA.
Chao-Hui Sylvia HuangDivision of Gerontology, Geriatrics and Palliative Care, University of Alabama at Birmingham (UAB), Birmingham, Alabama, USA.
Gabrielle B RocqueDivision of Hematology and Oncology, University of Alabama at Birmingham (UAB), Birmingham, Alabama, USA.ORCID 0000-0003-4188-9785
University of Alabama at Birmingham · USPatient Advocate Foundation · USJohns Hopkins University · US

Funding

American Cancer Society Mentored Research Scholar Grant MRSG- 17-051-01 -PCSMBreast Cancer Research Foundation of Alabama
6 · The paper itself

Abstract

backgroundGiven the high risk of COVID-19 mortality, patients with cancer may be vulnerable to fear of COVID-19, adverse psychological outcomes, and health care delays.

methodsThis longitudinal study surveyed the pandemic's impact on patients with cancer (N= 1529) receiving Patient Advocate Foundation services during early and later pandemic. Generalized estimating equation with repeated measures was conducted to assess the effect of COVID-19 on psychological distress. Logistic regression with repeated measures was used to assess the effect of COVID-19 on any delays in accessing health care (e.g., specialty care doctors, laboratory, or diagnostic testing, etc.).

resultsAmong 1199 respondents, 94% considered themselves high risk for COVID-19. Respondents with more fear of COVID-19 had a higher mean psychological distress score (10.21; 95% confidence intervals [CI] 9.38-11.03) compared to respondents with less fear (7.55; 95% CI 6.75-8.36). Additionally, 47% reported delaying care. Respondents with more fear of COVID-19 had higher percentages of delayed care than those with less (56; 95% CI 39%-72% vs. 44%; 95% CI 28%-61%). These relationships persisted throughout the pandemic. For respondents with a COVID-19 diagnosis in their household (n = 116), distress scores were similar despite higher delays in care (58% vs. 27%) than those without COVID-19.

conclusionsFear of COVID-19 is linked to psychological distress and delays in care among patients with cancer. Furthermore, those who are personally impacted see exacerbated cancer care delays. Timely psychosocial support and health care coordination are critical to meet increased care needs of patients with cancer during the COVID-19 pandemic.

Indexed as

FearPsychological DistressAdultAgedCOVID-19FemaleHumansLongitudinal StudiesMaleMiddle AgedNeoplasmsPandemicsStress, PsychologicalYoung Adultcare disruptionCOVID-19COVID-19 fearmental healthoncologypsychological distress

Identifiers

PMID34845860
PMCPMC8683527
OpenAlexW3216584564

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.