Evidence map›Paper›PMID 35098486›Full record

ArticleJournal of cancer survivorship : research and practice2023

Experiences of adolescent and young adult cancer survivors during the COVID-19 pandemic.

Adam Yan, Kaitlyn Howden, Alyson L Mahar, Ian Scott, Camille Glidden, Julie Deleemans, Karine Chalifour, Geoff Eaton, Abha Gupta, James M Bolton and 2 more

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of cancer survivorship : research and practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
7.2field-weighted citation impact, top 3% 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

13 citing papers in PubMed, 19 citations in OpenAlex.

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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

12 authors at 7 institutions in 2 countries.

Adam YanDivision of Pediatric Hematology Oncology, The Hospital for Sick Children, University of Toronto, Toronto, Canada.
Kaitlyn HowdenDepartment of Pediatrics and Child Health, CancerCare Manitoba, University of Manitoba, 75 McDermot Ave, Winnipeg, MB, ON-2015R3E 0V9, Canada.
Alyson L MaharDepartment of Community Health Sciences, Max Rady College of Medicine, University of Manitoba, Winnipeg, Canada.
Ian ScottDepartment of Psychosocial Oncology, CancerCare Manitoba, Winnipeg, Canada.
Camille GliddenDepartment of Psychiatry, University of Manitoba, Winnipeg, Canada.
Julie DeleemansDepartment of Psychosocial Oncology, University of Calgary Cumming School of Medicine, Calgary, AB, Canada.
Karine ChalifourYoung Adult Cancer Canada, St. John's, Newfoundland and Labrador, Canada.
Geoff EatonYoung Adult Cancer Canada, St. John's, Newfoundland and Labrador, Canada.
Abha GuptaDivision of Pediatric Hematology Oncology, The Hospital for Sick Children, University of Toronto, Toronto, Canada.
James M BoltonDepartment of Community Health Sciences, Max Rady College of Medicine, University of Manitoba, Winnipeg, Canada.
Sheila N GarlandDepartment of Psychology, Memorial University, St. John's, Newfoundland and Labrador, Canada.
Sapna OberoiDepartment of Pediatrics and Child Health, CancerCare Manitoba, University of Manitoba, 75 McDermot Ave, Winnipeg, MB, ON-2015R3E 0V9, Canada. soberoi@cancercare.mb.ca.ORCID 0000-0002-6071-0042
CancerCare Manitoba · CAHarvard University · USHospital for Sick Children · CAManitoba Health · CAMemorial University of Newfoundland · CAUniversity of Calgary · CAUniversity of Manitoba · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to evaluate the impact of the COVID-19 pandemic on adolescent and young adult (AYA) cancer survivors.

methodsWe conducted a cross-sectional survey of AYAs aged 18-49 with cancer in Canada between January and February 2021. Data from survivors, defined as AYAs more than one year off cancer treatment, were analysed. Multiple logistic regression was used to identify factors associated with psychological distress, loneliness and insomnia.

resultsThe analysis included 384 survivors. Moderate-to-severe psychological distress was reported by 257 (68.9%) survivors and was associated with an income ≥ $60,000 (adjusted odds ratio [AOR] 2.15, 95% CI 1.11-4.17) and the presence of a pre-existing chronic physical health condition (AOR 2.05, 95% CI 1.18-3.56). Loneliness was reported by 204 (54.0%) survivors and was associated with being unemployed (AOR 2.26 95%CI 1.18-4.31), pandemic causing finances to be worse (AOR 1.82, 95%CI 1.08-3.06) and the presence of a pre-pandemic mental health condition (AOR 1.88, 95% CI 1.03-3.42). Clinical insomnia was reported by 74 (19.5%) survivors and was associated with employment status as a student (AOR 3.00, 95% CI 1.08-8.29) or unemployed (AOR 3.97, 95% CI 1.46-10.83), earning $60,000 or more in the year 2020 (AOR 4.36, 95% CI 1.43-13.32), having haematologic cancer (AOR 2.21, 95% CI 1.05-4.70) and being single (AOR 2.52, 95% CI 1.08-5.91). Pandemic negatively affected employment, finances, physical activity, cancer care and substance use for 73.9%, 66.5%, 32.5%, 21.8% and 19.2% of survivors, respectively. Worries about finances, contracting COVID-19, cancer treatment increasing the risk of COVID-19 infection, and having poor health outcomes from contracting COVID-19 were reported by 46.0%, 45.6%, 55.0% and 47.3% of survivors, respectively.

conclusionsThe COVID-19 pandemic has had a significant impact on AYA cancer survivors, and these individuals report high levels of psychological distress, insomnia and loneliness. IMPLICATIONS FOR CANCER SURVIVORS: Cancer survivors are at risk for worsening mental and physical health outcomes during the COVID-19 pandemic. Targeted interventions and support programs are urgently needed to support the mental health of AYA cancer survivors and optimize their health outcomes.

Indexed as

Cancer SurvivorsCOVID-19NeoplasmsSleep Initiation and Maintenance DisordersAdolescentCross-Sectional StudiesHumansPandemicsYoung AdultAdolescents and young adultsCancerCOVID-19OncologyPandemicSurvivorship

Identifiers

PMID35098486
PMCPMC8801282
OpenAlexW4210389120

What OpenQuestion holds

Textmetadata
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.