Evidence map›Paper›PMID 35329416›Full record

Observational studyInternational journal of environmental research and public health2022

Quality of Life in Patients with Pancreatic Cancer before and during the COVID-19 Pandemic.

Andrea Alexander, Stephen Fung, Martin Eichler, Nadja Lehwald-Tywuschik, Vasuki Uthayakumar, Sami-Alexander Safi, Christian Vay, Hany Ashmawy, Sinan Kalmuk, Alexander Rehders and 2 more

Abstract readObservational Study
In one paragraph

Observational study in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. The Pancreas in Coronavirus Disease 2019 Infection.Gastroenterology clinics of North America · 2023
    Review
  8. Understanding the experiences of lung cancer patients during the COVID-19 pandemic: a qualitative interview study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023
    Article
  9. Article
  10. Article
  11. Article
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.

Andrea AlexanderDepartment of General, Visceral and Pediatric Surgery, University Hospital Düsseldorf and Medical Faculty, Heinrich-Heine-University Düsseldorf, 40225 Duesseldorf, Germany.
Stephen FungDepartment of General, Visceral and Pediatric Surgery, University Hospital Düsseldorf and Medical Faculty, Heinrich-Heine-University Düsseldorf, 40225 Duesseldorf, Germany.ORCID 0000-0002-7341-5798
Martin EichlerClinic and Polyclinic for Internal Medicine I, University Hospital Carl Gustav Carus Dresden, 01307 Dresden, Germany.ORCID 0000-0001-9654-2207
Nadja Lehwald-TywuschikDepartment of General, Visceral and Pediatric Surgery, University Hospital Düsseldorf and Medical Faculty, Heinrich-Heine-University Düsseldorf, 40225 Duesseldorf, Germany.
Vasuki UthayakumarDepartment of General, Visceral and Pediatric Surgery, University Hospital Düsseldorf and Medical Faculty, Heinrich-Heine-University Düsseldorf, 40225 Duesseldorf, Germany.
Sami-Alexander SafiDepartment of General, Visceral and Pediatric Surgery, University Hospital Düsseldorf and Medical Faculty, Heinrich-Heine-University Düsseldorf, 40225 Duesseldorf, Germany.ORCID 0000-0002-9874-9225
Christian VayDepartment of General, Visceral and Pediatric Surgery, University Hospital Düsseldorf and Medical Faculty, Heinrich-Heine-University Düsseldorf, 40225 Duesseldorf, Germany.ORCID 0000-0002-3076-8518
Hany AshmawyDepartment of General, Visceral and Pediatric Surgery, University Hospital Düsseldorf and Medical Faculty, Heinrich-Heine-University Düsseldorf, 40225 Duesseldorf, Germany.ORCID 0000-0003-0434-0873
Sinan KalmukDepartment of General, Visceral and Pediatric Surgery, University Hospital Düsseldorf and Medical Faculty, Heinrich-Heine-University Düsseldorf, 40225 Duesseldorf, Germany.
Alexander RehdersDepartment of General, Visceral and Pediatric Surgery, University Hospital Düsseldorf and Medical Faculty, Heinrich-Heine-University Düsseldorf, 40225 Duesseldorf, Germany.
Sascha VaghiriDepartment of General, Visceral and Pediatric Surgery, University Hospital Düsseldorf and Medical Faculty, Heinrich-Heine-University Düsseldorf, 40225 Duesseldorf, Germany.
Wolfram Trudo KnoefelDepartment of General, Visceral and Pediatric Surgery, University Hospital Düsseldorf and Medical Faculty, Heinrich-Heine-University Düsseldorf, 40225 Duesseldorf, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronavirus disease 19 (COVID-19) substantially affects cancer patients due to adverse outcomes and disruptions in cancer care. Recent studies have indicated the additional stress and anxiety burden arising from the pandemic and impairing quality of life in this vulnerable group of patients. However, patients with cancer represent a heterogenous group. Therefore, we conducted a study on patients with pancreatic cancer, requiring demanding surgical interventions and chemotherapy regimens due to its aggressive tumor biology, to explore the pandemic's impact on quality of life within this homogenous cohort.

methodsIn a descriptive observational study, the quality of life of patients who had undergone pancreatic surgery for tumor resection at our institution between 2014 and the beginning of the pandemic in March 2020 was assessed. For HRQoL measurement, we used the European Organisation for Research and Treatment of Cancer Quality of Life Core Questionnaire (EORTC QLQ-C30), comparing their situation before the pandemic and since its beginning. An additional self-developed questionnaire was applied to assess the life circumstances during the pandemic.

resultsOur cohort included 26 patients. Scores from the survey in HRQoL revealed no significant changes over time between before and during the pandemic. A medium deterioration in HRQoL was apparent in social functioning, as well as a small deterioration in role functioning and emotional functioning. Worries concerning a potential impact of COVID-19 on personal health were expressed. Psychological limitations in QoL were mainly attributed to the pandemic, whereas physical limitations in QoL were rather associated with the underlying disease of pancreatic cancer.

conclusionThe COVID-19 pandemic is causing considerable social and emotional distress among pancreatic cancer patients. These patients will benefit from psychological support during the pandemic and beyond. Long-time survivors of pancreatic cancer, such as those included in our cohort, appear to have improved resilience facing the psychosocial challenges of the pandemic. For pancreatic cancer, surgical care is considered the cornerstone of treatment. Prolonged delays in healthcare cause serious damage to mental and physical health. To date, the longer-term clinical consequences are not known and can only be estimated. The potential tragic outcome for the vulnerable group of pancreatic cancer patients highlights the urgency of timely healthcare decisions to be addressed in the future.

Indexed as

COVID-19Pancreatic NeoplasmsHumansPandemicsQuality of LifeSurveys and QuestionnairesCOVID-19pancreatic tumorpandemicquality of life

Identifiers

PMID35329416
PMCPMC8948872

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.