Evidence map›Paper›PMID 39641009›Full record

ReviewAsia-Pacific journal of oncology nursing2024

Time toxicity in cancer care: A concept analysis using Walker and Avant's method.

Chinomso Nwozichi, Salako Omolabake, Margaret O Ojewale, Funmilola Faremi, Deliverance Brotobor, Elizabeth Olaogun, Mosidat Oshodi-Bakare, Oluwaseun Martins-Akinlose

Abstract readReview
In one paragraph

Review in Asia-Pacific journal of oncology nursing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
–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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Cancer patients' experiences of "time toxicity": a qualitative meta-synthesis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Pooled it
  2. Pooled it
  3. Experiences and coping strategies of time toxicity in young and middle-aged patients with lymphoma: a descriptive qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  4. Review
  5. Article
  6. The experience of time toxicity in cancer patients: a meta-synthesis of qualitative research.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Review
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
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  15. Article
  16. The weight of time: experience of time toxicity among advanced cancer patients and their family caregivers-a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  17. 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.

Chinomso NwozichiWellstar School of Nursing, Kennesaw State University, Georgia, USA.
Salako OmolabakeNursology Academy, Ogun State, Nigeria.
Margaret O OjewaleNigerian Army College of Nursing, Yaba, Lagos, Nigeria.
Funmilola FaremiDepartment of Nursing, Obafemi Awolowo University, Ile-Ife, Nigeria.
Deliverance BrotoborSchool of Nursing, Babcock University, Ogun State, Nigeria.
Elizabeth OlaogunSchool of Nursing, Babcock University, Ogun State, Nigeria.
Mosidat Oshodi-BakareSchool of Nursing, Babcock University, Ogun State, Nigeria.
Oluwaseun Martins-AkinloseSchool of Nursing, Babcock University, Ogun State, Nigeria.

Funding

Expanding cancer research capacity in Nigeria with team scienceD43CA260646 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI T PETER KINGHAM · 2022 to 2026
$1.4M
NCI NIH HHS D43 CA260646
6 · The paper itself

Abstract

Objective: The purpose of this concept analysis was to explore and clarify the concept of time toxicity in the context of cancer care using Walker and Avant's method, identify its defining attributes, antecedents, and consequences, and explore its implications for cancer care. Methods: Walker and Avant's eight-step method was employed to analyze time toxicity. The literature was reviewed, focusing on peer-reviewed articles, grey literature, and cancer care policy documents to identify the defining attributes, antecedents, consequences, and empirical referents of time toxicity. Contextual factors, such as health care infrastructure and socioeconomic status, shape the manifestation of time toxicity in different patient populations. Model, borderline, and contrary cases were developed to clarify the concept further. Results: Time toxicity is characterized by its defining attributes of temporal burden, disruption of daily life, cumulative effect, opportunity cost, and emotional strain. Antecedents include cancer diagnosis, complex treatment regimens, and health care inefficiencies, while consequences involve reduced quality of life, non-adherence to treatment, and economic strain. Empirical referents include time logs, patient-reported outcomes, and health care utilization data. Conclusions: Our findings underscore the multidimensional nature of time toxicity and its significant implications for cancer patients' well-being. Importantly, we highlight the vital role of oncology nurses in mitigating its effects through care coordination and patient support, thereby making our research directly applicable to clinical practice.

Indexed as

Cancer careQuality of lifeTime toxicity

Identifiers

PMID39641009
PMCPMC11617379

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.