Evidence map›Paper›PMID 35999625›Full record

ArticleBMC pediatrics2022

The impact of the COVID-19 pandemic on children with medical complexity.

Catherine Diskin, Francine Buchanan, Eyal Cohen, Tammie Dewan, Tessa Diaczun, Michelle Gordon, Esther Lee, Charlotte MooreHepburn, Nathalie Major, Julia Orkin and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMC pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
8.1field-weighted citation impact, top 2% 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

20 citing papers in PubMed, 30 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. "A very different place from when the pandemic started": Lessons learned for improving systems of care for families of children with medical complexity.Journal of child health care : for professionals working with children in the hospital and community · 2025
    Article
  7. Article
  8. The COVID-19 pandemic and asthma management: a family caregiver perspective.The Journal of asthma : official journal of the Association for the Care of Asthma · 2025
    Article
  9. Article
  10. Research staff's experiences of how the COVID-19 pandemic impacted recruitment for a paediatric network study.International journal of qualitative studies on health and well-being · 2024
    Article
  11. Article
  12. Review
  13. The Impact of COVID-19 on Children and Adolescents with Chronic Illness.Advances in experimental medicine and biology · 2024
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. 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

12 authors at 7 institutions in 1 country.

Catherine DiskinDivision of Paediatric Medicine, Department of Paediatrics, University of TorontoThe Hospital for Sick Children, 555 University Avenue, Toronto, ON, M5G 1X8, Canada. catherine.diskin@sickkids.ca.
Francine BuchananInstitute for Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
Eyal CohenDivision of Paediatric Medicine, Department of Paediatrics, University of TorontoThe Hospital for Sick Children, 555 University Avenue, Toronto, ON, M5G 1X8, Canada.
Tammie DewanAlberta's Children's Hospital Research Institute, University of Calgary, Calgary, AB, Canada.
Tessa DiaczunDivision of General Pediatrics, Department of Pediatrics, BC Children's Hospital, University of British Columbia, Vancouver, BC, Canada.
Michelle GordonOrillia Soldier's Memorial Hospital, Orillia, ON, Canada.
Esther LeeDivision of General Pediatrics, Department of Pediatrics, BC Children's Hospital, University of British Columbia, Vancouver, BC, Canada.
Charlotte MooreHepburnDivision of Paediatric Medicine, Department of Paediatrics, University of TorontoThe Hospital for Sick Children, 555 University Avenue, Toronto, ON, M5G 1X8, Canada.
Nathalie MajorDepartment of Pediatrics, University of Ottawa, Ottawa, Ontario, Canada.
Julia OrkinDivision of Paediatric Medicine, Department of Paediatrics, University of TorontoThe Hospital for Sick Children, 555 University Avenue, Toronto, ON, M5G 1X8, Canada.
Hema PatelDivision of General Pediatrics, Department of Pediatrics, The Montreal Children's Hospital, McGill University, Montréal, Quebec, Canada.
Peter J GillDivision of Paediatric Medicine, Department of Paediatrics, University of TorontoThe Hospital for Sick Children, 555 University Avenue, Toronto, ON, M5G 1X8, Canada.
Hospital for Sick Children · CASickKids Foundation · CAUniversity of British Columbia · CAMontreal Children's Hospital · CAUniversity of Calgary · CAUniversity of Ottawa · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDescriptions of the COVID-19 pandemic's indirect consequences on children are emerging. We aimed to describe the impacts of the pandemic on children with medical complexity (CMC) and their families.

methodsA one-time survey of Canadian paediatricians using the Canadian Paediatric Surveillance Program (CPSP) was conducted in Spring 2021.

resultsA total of 784 paediatricians responded to the survey, with 70% (n = 540) providing care to CMC. Sixty-seven (12.4%) reported an adverse health outcome due to a COVID-19 pandemic-related disruption in healthcare delivery. Disruption of the supply of medication and equipment was reported by 11.9% of respondents (n = 64). Respondents reported an interruption in family caregiving (47.5%, n = 252) and homecare delivery (40.8%, n = 218). Almost 47% of respondents (n = 253) observed a benefit to CMC due to COVID-19 related changes in healthcare delivery, including increased availability of virtual care and reduction in respiratory illness. Some (14.4%) reported that CMC were excluded from in-person learning when their peers without medical complexity were not.

conclusionCanadian paediatricians reported that CMC experienced adverse health outcomes during the COVID-19 pandemic, including disruptions to family caregiving and community supports. They also describe benefits related to the pandemic including the expansion of virtual care. These results highlight the need for healthcare, community and education policymakers to collaborate with families to optimize their health.

Indexed as

COVID-19CanadaChildHumansPandemicsPediatriciansSurveys and QuestionnairesChildren with medical complexityCOVID-19 pandemicImpacts

Identifiers

PMID35999625
PMCPMC9398046
OpenAlexW4293089587

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.