Evidence map›Paper›PMID 38622350›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2024

"Like not having an arm": a qualitative study of the impact of visitor restrictions on cancer care during the COVID-19 pandemic.

Laura M Holdsworth, Rachel Siden, Bonnie O Wong, Mae Verano, Anna Sophia Lessios, Holly K Tabor, Lidia Schapira, Rebecca Aslakson

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

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 40% 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

3 citing papers in PubMed, 1 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
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 at 5 institutions in 1 country.

Laura M HoldsworthDivision of Primary Care and Population Health, Stanford University School of Medicine, Palo Alto, CA, USA. l.holdsworth@stanford.edu.ORCID http://orcid.org/0000-0003-0611-2700
Rachel SidenDivision of Primary Care and Population Health, Stanford University School of Medicine, Palo Alto, CA, USA.
Bonnie O WongDepartment of Surgery, Brigham and Women's Hospital, Boston, MA, USA.
Mae VeranoDivision of Primary Care and Population Health, Stanford University School of Medicine, Palo Alto, CA, USA.
Anna Sophia LessiosDivision of Primary Care and Population Health, Stanford University School of Medicine, Palo Alto, CA, USA.
Holly K TaborDivision of Primary Care and Population Health, Stanford University School of Medicine, Palo Alto, CA, USA.
Lidia SchapiraStanford Cancer Institute, Stanford, CA, USA.
Rebecca AslaksonDepartment of Anesthesiology, Larner College of Medicine at the University of Vermont, Burlington, VT, USA.
Stanford University · USBrigham and Women's Hospital · USCancer Prevention Institute of California · USStanford Health Care · USUniversity of Vermont · US

Funding

Patient-Centered Outcomes Research Institute IHS-1609-36518
6 · The paper itself

Abstract

purposeVisitor restriction policies to prevent the spread of COVID-19 among patients and clinicians were widespread during the pandemic, resulting in the exclusion of caregivers at key points of cancer care and treatment decision-making. The aim of this study was to explore how visitor restrictions impacted cancer treatment decision-making and care from patient and physician perspectives.

methodsSixty-seven interviews, including 48 cancer patients and 19 cancer and palliative care physicians from four academic cancer centers in the USA between August 2020 and July 2021.

resultsVisitor restrictions that prevented caregivers from participating in clinic appointments and perioperative hospital care created challenges in cancer care that spanned three domains: practical, social, and informational. We identified eight themes that characterized challenges within the three domains across all three groups, and that these challenges had negative emotional and psychological consequences for both groups. Physicians perceived that patients' negative experiences due to lack of support through the physical presence of caregivers may have worsened patient outcomes.

conclusionsOur data demonstrate the tripartite structure of the therapeutic relationship in cancer care with caregivers providing critical support in the decision-making and care process to both patients and physicians. Caregiver absences led to practical, psychosocial, and informational burdens on both groups, and likely increased the risk of burnout among physicians. Our findings suggest that the quality of cancer care can be enhanced by engaging caregivers and promoting their physical presence during clinical encounters.

Indexed as

COVID-19NeoplasmsArmCaregiversHospitalsHumansPandemicsQualitative ResearchCaregiversCOVID-19Decision-makingPerioperative periodQualitative methodsUpper gastrointestinal cancer

Identifiers

PMID38622350
PMCPMC11018646
OpenAlexW4394853488

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.