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. 2022 Oct;49(5):371-382.
doi: 10.1053/j.seminoncol.2022.08.001. Epub 2022 Aug 22.

The psychosocial and emotional experiences of cancer patients during the COVID-19 pandemic: A systematic review

A Muls  1 , S Georgopoulou  2 , E Hainsworth  2 , B Hartley  2 , G O'Gara  2 , S Stapleton  2 , S Cruickshank  2
Affiliations

The psychosocial and emotional experiences of cancer patients during the COVID-19 pandemic: A systematic review

A Muls et al. Semin Oncol. 2022 Oct.

Abstract

Background: COVID-19 was declared a pandemic by the World Health Organization on March 11th, 2020. Global social lockdowns were instigated to reduce spread and prevent health-services from becoming overwhelmed. People having treatment for cancer are known to have heightened psychological/emotional burden. The combined impact of managing pandemic regulations alongside this may present additional burden. The purpose of this systematic review is to examine current evidence of the psychological and emotional impact of COVID-19 on people with cancer, early in the pandemic.

Methods: Five electronic databases were searched (Embase, Global Health, HMIC, PsychINFO, CINAHL) from September 2019 to October 2021. Qualitative, quantitative and mixed-method primary research studies exploring emotional and psychological impacts of COVID-19 on cancer patients, limited to English language, were included. Quality appraisal was conducted using the MMAT.

Results: Fifty-one papers, with 27,356 people from 21 countries treated for cancer, were included. 43 studies were quantitative with a survey method approach, six studies qualitative and four used a mixed methods design. MMAT score was mostly two or three. Four themes were identified: Emotional aspects and Quality of Life; Psychosocial aspects; Impact of COVID-19 on self; Impact of COVID-19 on cancer, with themes overlapping.

Conclusion: Whilst emotional/psychological impacts such as anxiety, isolation, employment fears, and uncertainty about the future were potentially universal concerns early in the pandemic, they may have been particularly acute for people living with cancer and represent complex, overlapping factors. As COVID-19 continues to impact health-services and society, it is important to focus on any ongoing impact to the experience of cancer patients. Most of the studies reviewed used tools that do not provide deeper understanding of how and why emotional states of people with cancer were affected. Further qualitative work may reveal patterns of what was unique to cancer patients during the pandemic, compared to general populations.

Keywords: COVID-19; Cancer; Emotional impact; Experience; Psychological impact; Systematic literature review.

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Conflict of interest statement

Conflicts of Interest The authors declare no conflict of interest.

Figures

Fig 1
Fig. 1
Flow chart identification, screening and eligible papers.
Fig 2
Fig. 2
Timeline of studies.
See this image and copyright information in PMC

References

    1. World Health Organization. WHO Director-General's opening remarks at the media briefing on COVID-19, WHO Director-General's opening remarks at the media briefing on COVID-19 - 11 March 2020. Accessed November 01, 2022.
    1. Hale T, Angrist N, Cameron-Blake E, et al. Variation in government responses to COVID-19. Version 7.0. Blavatnik School of Government Working Paper. May 25, 2020. Available: www.bsg.ox.ac.uk/covidtracker. Accessed November 01, 2022
    1. World Health Organisation. WHO Coronavirus (COVID-19) Dashboard | WHO Coronavirus (COVID-19) Dashboard With Vaccination Data. Accessed November 01, 2022
    1. NHS Digital. Hospital Admitted Patient Care Activity. Impact of COVID-19 - NHS Digital. Accessed November 01, 2022
    1. National Institute for Health and Care Excellence. COVID-10 rapid guideline: delivery of systemic anticancer treatments, http://www.nice.org.uk/guidance/ng161. Accessed November 01, 2022 - PubMed

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