Evidence map›Paper›PMID 36720492›Full record

ArticleCMAJ open

The impact of delaying surgery during the COVID-19 pandemic in Alberta: a qualitative study.

Khara M Sauro, Christine Smith, Jaling Kersen, Emma Schalm, Natalia Jaworska, Pamela Roach, Sanjay Beesoon, Mary E Brindle

Abstract read
In one paragraph

Article in CMAJ open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Frailty of Health Care Systems.Canadian geriatrics journal : CGJ · 2025
    Article
  2. Observational
  3. Review
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  7. Review
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  13. "My Quality of Life is Not There. I'm Dying Here. I Cannot Take This Anymore." Exploring Patient Experiences With Surgical Wait Times in Otolaryngology: A Mixed Methods Study.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
    Article
  14. 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

8 authors.

Khara M SauroDepartment of Community of Health Sciences and O'Brien Institute for Public Health (Sauro, Smith, Kersen, Schalm, Jaworska, Roach, Brindle), Cumming School of Medicine; Department of Surgery (Sauro, Brindle), Cumming School of Medicine; Department of Oncology and Arnie Charbonneau Cancer Institute (Sauro), Cumming School of Medicine; Department of Critical Care Medicine (Schalm, Jaworska), Cumming School of Medicine; Department of Family Medicine (Roach, Brindle), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Surgery Strategic Clinical Network (Beesoon), Alberta Health Services, Edmonton, Alta. kmsauro@ucalgary.ca.
Christine SmithDepartment of Community of Health Sciences and O'Brien Institute for Public Health (Sauro, Smith, Kersen, Schalm, Jaworska, Roach, Brindle), Cumming School of Medicine; Department of Surgery (Sauro, Brindle), Cumming School of Medicine; Department of Oncology and Arnie Charbonneau Cancer Institute (Sauro), Cumming School of Medicine; Department of Critical Care Medicine (Schalm, Jaworska), Cumming School of Medicine; Department of Family Medicine (Roach, Brindle), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Surgery Strategic Clinical Network (Beesoon), Alberta Health Services, Edmonton, Alta.
Jaling KersenDepartment of Community of Health Sciences and O'Brien Institute for Public Health (Sauro, Smith, Kersen, Schalm, Jaworska, Roach, Brindle), Cumming School of Medicine; Department of Surgery (Sauro, Brindle), Cumming School of Medicine; Department of Oncology and Arnie Charbonneau Cancer Institute (Sauro), Cumming School of Medicine; Department of Critical Care Medicine (Schalm, Jaworska), Cumming School of Medicine; Department of Family Medicine (Roach, Brindle), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Surgery Strategic Clinical Network (Beesoon), Alberta Health Services, Edmonton, Alta.
Emma SchalmDepartment of Community of Health Sciences and O'Brien Institute for Public Health (Sauro, Smith, Kersen, Schalm, Jaworska, Roach, Brindle), Cumming School of Medicine; Department of Surgery (Sauro, Brindle), Cumming School of Medicine; Department of Oncology and Arnie Charbonneau Cancer Institute (Sauro), Cumming School of Medicine; Department of Critical Care Medicine (Schalm, Jaworska), Cumming School of Medicine; Department of Family Medicine (Roach, Brindle), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Surgery Strategic Clinical Network (Beesoon), Alberta Health Services, Edmonton, Alta.
Natalia JaworskaDepartment of Community of Health Sciences and O'Brien Institute for Public Health (Sauro, Smith, Kersen, Schalm, Jaworska, Roach, Brindle), Cumming School of Medicine; Department of Surgery (Sauro, Brindle), Cumming School of Medicine; Department of Oncology and Arnie Charbonneau Cancer Institute (Sauro), Cumming School of Medicine; Department of Critical Care Medicine (Schalm, Jaworska), Cumming School of Medicine; Department of Family Medicine (Roach, Brindle), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Surgery Strategic Clinical Network (Beesoon), Alberta Health Services, Edmonton, Alta.
Pamela RoachDepartment of Community of Health Sciences and O'Brien Institute for Public Health (Sauro, Smith, Kersen, Schalm, Jaworska, Roach, Brindle), Cumming School of Medicine; Department of Surgery (Sauro, Brindle), Cumming School of Medicine; Department of Oncology and Arnie Charbonneau Cancer Institute (Sauro), Cumming School of Medicine; Department of Critical Care Medicine (Schalm, Jaworska), Cumming School of Medicine; Department of Family Medicine (Roach, Brindle), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Surgery Strategic Clinical Network (Beesoon), Alberta Health Services, Edmonton, Alta.
Sanjay BeesoonDepartment of Community of Health Sciences and O'Brien Institute for Public Health (Sauro, Smith, Kersen, Schalm, Jaworska, Roach, Brindle), Cumming School of Medicine; Department of Surgery (Sauro, Brindle), Cumming School of Medicine; Department of Oncology and Arnie Charbonneau Cancer Institute (Sauro), Cumming School of Medicine; Department of Critical Care Medicine (Schalm, Jaworska), Cumming School of Medicine; Department of Family Medicine (Roach, Brindle), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Surgery Strategic Clinical Network (Beesoon), Alberta Health Services, Edmonton, Alta.
Mary E BrindleDepartment of Community of Health Sciences and O'Brien Institute for Public Health (Sauro, Smith, Kersen, Schalm, Jaworska, Roach, Brindle), Cumming School of Medicine; Department of Surgery (Sauro, Brindle), Cumming School of Medicine; Department of Oncology and Arnie Charbonneau Cancer Institute (Sauro), Cumming School of Medicine; Department of Critical Care Medicine (Schalm, Jaworska), Cumming School of Medicine; Department of Family Medicine (Roach, Brindle), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Surgery Strategic Clinical Network (Beesoon), Alberta Health Services, Edmonton, Alta.

Funding

CIHR
6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic overwhelmed health care systems, leading many jurisdictions to reduce surgeries to create capacity (beds and staff) to care for the surge of patients with COVID-19; little is known about the impact of this on patients whose surgery was delayed. The objective of this study was to understand the patient and family/caregiver perspective of having a surgery delayed during the COVID-19 pandemic.

methodsUsing an interpretative descriptive approach, we conducted interviews between Sept. 20 and Oct. 8, 2021. Adult patients who had their surgery delayed or cancelled during the COVID-19 pandemic in Alberta, Canada, and their family/caregivers were eligible to participate. Trained interviewers conducted semistructured interviews, which were iteratively analyzed by 2 independent reviewers using an inductive approach to thematic content analysis.

resultsWe conducted 16 interviews with 15 patients and 1 family member/caregiver, ranging from 27 to 75 years of age, with a variety of surgical procedures delayed. We identified 4 interconnected themes: individual-level impacts on physical and mental health, family and friends, work and quality of life; system-level factors related to health care resources, communication and perceived accountability within the system; unique issues related to COVID-19 (maintaining health and isolation); and uncertainty about health and timing of surgery.

interpretationAlthough the decision to delay nonurgent surgeries was made to manage the strain on health care systems, our study illustrates the consequences of these decisions, which were diffuse and consequential. The findings of this study highlight the need to develop and adopt strategies to mitigate the burden of waiting for surgery during and after the COVID-19 pandemic.

Indexed as

COVID-19AdultAlbertaHumansPandemicsQualitative ResearchQuality of Life

Identifiers

PMID36720492
PMCPMC9894654

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.