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BACKGROUND: The Coronavirus disease 2019 (COVID-19) pandemic has been declared a public health emergency of international concern, which causes excessive anxiety in health care workers In addition, publication bias and the low quality of publications are widespread, which can cause unreliable results OBJECTIVE: The first aim of this meta-analysis is to examine the prevalence of anxiety among health care workers and determine whether it had increased due to the COVID-19 pandemic In addition, our second aim is to investigate whether there has been an increase in publication bias METHODS: All related studies that were published/released from 2015 to 2020 will be searched in electronic databases The risk of bias in individual studies will be assessed using the STROBE checklist The heterogeneity of the studies will be assessed using the I2 statistic The effect size (prevalence rates of anxiety) and a 95% confidence interval for each research will also be calculated We shall use moderator analysis to test for the effect of COVID-19 on health care workers\' anxiety, and detect publication bias in COVID-19 studies We shall also assess publication bias using the funnel plot and Egger\'s regression In the presence of publication bias, if studies have no homogeneity, the trim-and-fill procedure will be applied to adjust the missing studies RESULTS: Searches of databases will commence and we are required to complete this meta-analysis within two months, if our submission is accepted CONCLUSIONS: This study presents a protocol for meta-analysis targets to provide comprehensive evidence about whether COVID-19 pandemic increases the prevalence of anxiety among health care workers and whether there has been an increase in publication bias and a deterioration in the quality of publications due to the pandemic The result of this review can provide evidence to help health managers to make informed decisions for preventing anxiety of health care workers
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The Effect of COVID-19 Pandemic on Health Care Workers\' Anxiety: Protocol for a Meta-Analysis
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