Objective <p>To systematically review and synthesize qualitative studies on cancer patients’ experiences of time toxicity, providing evidence to inform policy making.</p> Methods <p>We searched PubMed, Web of Science, Cochrane Library, Embase, CINAHL, CNKI, Wanfang, VIP, SinoMed, and other databases for qualitative studies on cancer patients’ experiences of time toxicity, from database inception to November 2025. Included studies were appraised using the 2016 edition of the JBI quality appraisal criteria for qualitative research from the Joanna Briggs Institute (Australia). Results were synthesized using an aggregation approach for meta-synthesis.</p> Results <p>Ten studies were included. Forty-one themes were extracted, which were grouped into 11 categories and further consolidated into 4 synthesized findings: (1) multidimensional sources of time toxicity; (2) negative impacts of time toxicity; (3) coping strategies adopted to address time toxicity; and (4) positive experiences from investing time in treatment.</p> Conclusions <p>Time toxicity has multidimensional effects on cancer patients’ daily rhythms, psychological states, and social roles, and requires coordinated attention from healthcare professionals, society, and policy makers. Future efforts should build systemic support through integrating healthcare resources, optimizing service processes, and strengthening social support to reduce patients’ time toxicity.</p>

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Cancer patients’ experiences of “time toxicity”: a qualitative meta-synthesis

  • Ziyi Li,
  • Yanli Liu,
  • Jiazhuo Zhang,
  • Jiefang Duan,
  • Wenjun Xiu,
  • Wenyu Zhang,
  • Li Zhang,
  • Hui Yang

摘要

Objective

To systematically review and synthesize qualitative studies on cancer patients’ experiences of time toxicity, providing evidence to inform policy making.

Methods

We searched PubMed, Web of Science, Cochrane Library, Embase, CINAHL, CNKI, Wanfang, VIP, SinoMed, and other databases for qualitative studies on cancer patients’ experiences of time toxicity, from database inception to November 2025. Included studies were appraised using the 2016 edition of the JBI quality appraisal criteria for qualitative research from the Joanna Briggs Institute (Australia). Results were synthesized using an aggregation approach for meta-synthesis.

Results

Ten studies were included. Forty-one themes were extracted, which were grouped into 11 categories and further consolidated into 4 synthesized findings: (1) multidimensional sources of time toxicity; (2) negative impacts of time toxicity; (3) coping strategies adopted to address time toxicity; and (4) positive experiences from investing time in treatment.

Conclusions

Time toxicity has multidimensional effects on cancer patients’ daily rhythms, psychological states, and social roles, and requires coordinated attention from healthcare professionals, society, and policy makers. Future efforts should build systemic support through integrating healthcare resources, optimizing service processes, and strengthening social support to reduce patients’ time toxicity.