Lessons learned: Telemedicine patterns and clinical application in patients with gynecologic cancers during COVID-19

Ackroyd, Sarah; Walls, Melinique; Kim, Josephine S.; Lee, Nita K.

doi:10.1016/j.gore.2022.100986

Cited by 3 publications

(7 citation statements)

References 13 publications

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“…Additionally, a patient's functional status, mode of transportation and associated incurred costs to travel should be reviewed and considered when deciding the type of care patients are offered. Expanding telemedicine to all populations may require screening for eHealth literacy (defined as the ability to comprehend, find and locate health information from electronic sources), technology access and capabilities, and developing programs to increase participation [21]. An assessment of potential health disparities prior to initiating telemedicine can assist in meeting individualized needs of each patient.…”

Section: Key Pointsmentioning

confidence: 99%

“…Lack of internet or electronic devices can increase disparities in older adults [17 ▪ ,18,19]. Increased age and limited digital literacy are also linked to reduced telemedicine use [10,20,21]. A study of Medicare beneficiaries indicated that approximately 25% may lack a smartphone or computer with fast internet connection and with those lacking digital access higher among communities of color, age 85 and older, and of lower socioeconomic status [22].…”

Section: Access To Carementioning

confidence: 99%

“…Ackroyd et al conducted a retrospective chart review of patient visits from 1 January 2019 to 1 November 2020, and categorized the type of telemedicine participation of patients with gynecological cancers. The study compared in-person, video, and telephone visits and reported that when compared with in-person visits, older adults were more likely to participate in telephone visits than video visits [21]. Communication was improved with video consultations, providing an increased level of quality of care compared with telephone which was found more suitable for shorter visits such as prescription refills [21,25].…”

Section: Telemedicine Modes Of Communicationmentioning

confidence: 99%

“…The study compared in-person, video, and telephone visits and reported that when compared with in-person visits, older adults were more likely to participate in telephone visits than video visits [21]. Communication was improved with video consultations, providing an increased level of quality of care compared with telephone which was found more suitable for shorter visits such as prescription refills [21,25].…”

Section: Telemedicine Modes Of Communicationmentioning

confidence: 99%

“…This model can be embedded in standard protocols for patients on clinical trials to decrease travel time, parking costs, and time off work for patients, family members and caregivers. It may expand care, reduce time spent in the clinic by both the patient and the caregiver, and reduce exposure to infection risk [20,21]. A hybrid model may address a common barrier associated with implementation of an interdisciplinary geriatric clinic, such as physical space for the team to meet with the patient [30 ▪▪ ].…”

Section: Telemedicine Modes Of Communicationmentioning

confidence: 99%

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Telemedicine in geriatric oncology – lessons learned from the COVID-19 experience

Cabrera Chien,

Uranga,

Katheria

2024

Current Opinion in Supportive &Amp; Palliative Care

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Purpose of review Telemedicine quickly became integrated into healthcare caused by the Coronavirus 19 (COVID-19) pandemic. Rapid use of telemedicine into healthcare systems was supported by the World Health Organization and other prominent national organizations to reduce transmission of the virus while continuing to provide access to care. In this review, we explored the effect of this swift change in care and its impact on older adults with cancer. Recent findings Older adults are susceptible to the COVID-19 virus caused by various risk factors, such as comorbidity, frailty, decreased immunity, and cancer increases vulnerability to infection, hospitalization, and mortality. We found three major themes emerged in the literature published in the past 18 months, including access to care, telemedicine modes of communication, and the use of technology by older adults with cancer. These findings have brought insight into issues regarding healthcare disparities. Summary The utilization of telemedicine by older adults with cancer has potential future benefits with the integration of technology preparation prior to the patient’s initial visit and addressing known health disparities. The hybrid model of care provides in-person and or remote access to clinicians which may allow older adults with cancer the flexibility needed to obtain quality cancer care.

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Section: Key Pointsmentioning

confidence: 99%

Section: Access To Carementioning

confidence: 99%

Section: Telemedicine Modes Of Communicationmentioning

confidence: 99%

Section: Telemedicine Modes Of Communicationmentioning

confidence: 99%

Section: Telemedicine Modes Of Communicationmentioning

confidence: 99%

See 3 more Smart Citations

Telemedicine in geriatric oncology – lessons learned from the COVID-19 experience

Cabrera Chien,

Uranga,

Katheria

2024

Current Opinion in Supportive &Amp; Palliative Care

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An insight into the use of telemedicine technology for cancer patients during the Covid-19 pandemic: a scoping review

Toni,

Ayatollahi

2024

BMC Med Inform Decis Mak

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Background The use of telemedicine technology has significantly increased in recent years, particularly during the Covid-19 pandemic. This study aimed to investigate the use of telemedicine technology for cancer patients during the Covid-19 pandemic. Methods This was a scoping review conducted in 2023. Various databases including PubMed, Web of Science, Scopus, Cochrane Library, Ovid, IEEE Xplore, ProQuest, Embase, and Google Scholar search engine were searched. All quantitative, qualitative, and mixed-method studies published in English between 2020 and 2022 were included. Finally, the needed data were extracted, and the results were synthesized and reported narratively. Results A total of 29 articles were included in this review. The results showed that teleconsultation, televisit, and telerehabilitation were common telemedicine services, and video conferencing and telephone were common technologies used in these studies. In most cases, patients and healthcare providers preferred these services compared to the face-to-face consultations due to their convenience and advantages. Furthermore, the findings revealed that in terms of clinical outcomes, telemedicine could effectively reduce anxiety, pain, sleep disorders, and hospital admission rates. Conclusion The findings provided valuable insights into the various telemedicine technologies, services, users’ perspectives, and clinical outcomes in cancer patients during the Covid-19 pandemic. Overall, the positive outcomes and users’ satisfaction showed that the use of telemedicine technology can be expanded, particularly in cancer care. Future research needs to investigate both clinical and non-clinical effectiveness of using various telemedicine services and technologies for improving cancer care delivery, which can help to develop more successful strategies for implementing this technology.

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In-Clinic versus Hybrid Cancer Rehabilitation Service Delivery during the COVID-19 Pandemic: An Outcome Comparison Study

Wood,

Giri,

Kendig

et al. 2023

Current Oncology

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Diminished health-related quality of life (HRQOL) is common among cancer survivors but often amendable to rehabilitation. However, few access real-world rehabilitation services. Hybrid delivery modes (using a combination of in-clinic and synchronous telehealth visits) became popular during the COVID-19 pandemic and offer a promising solution to improve access beyond the pandemic. However, it is unclear if hybrid delivery has the same impact on patient-reported outcomes and experiences as standard, in-clinic-only delivery. To fill this gap, we performed a retrospective, observational, comparative outcomes study of real-world electronic medical record (EMR) data collected by a national outpatient rehabilitation provider in 2020–2021. Of the cases meeting the inclusion criteria (N = 2611), 60 were seen to via hybrid delivery. The outcomes evaluated pre and post-rehabilitation included PROMIS® global physical health (GPH), global mental health (GMH), physical function (PF), and the ability to participate in social roles and activities (SRA). The patient experience outcomes included the Net Promoter Survey (NPS®) and the Select Medical Patient-Reported Experience Measure (SM-PREM). A linear and logistic regression was used to examine the between-group differences in the PROMIS and SM-PREM scores while controlling for covariates. The hybrid and in-clinic-only cases improved similarly in all PROMIS outcomes (all p < 0.05). The association between the delivery mode and the likelihood of achieving the minimal important change in the PROMIS outcomes was non-significant (all p > 0.05). No between-group differences were observed in the NPS or SM-PREM scores (all p > 0.05). Although more research is needed, this real-world evidence suggests that hybrid rehabilitation care may be equally beneficial for and acceptable to cancer survivors and supports calls to expand access to and reimbursement for telerehabilitation.

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Lessons learned: Telemedicine patterns and clinical application in patients with gynecologic cancers during COVID-19

Cited by 3 publications

References 13 publications

Telemedicine in geriatric oncology – lessons learned from the COVID-19 experience

Telemedicine in geriatric oncology – lessons learned from the COVID-19 experience

An insight into the use of telemedicine technology for cancer patients during the Covid-19 pandemic: a scoping review

In-Clinic versus Hybrid Cancer Rehabilitation Service Delivery during the COVID-19 Pandemic: An Outcome Comparison Study

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