Multidisciplinary telemedicine and the importance of being seen

Wall, Sarah; Knauss, Brittany; Compston, Amy; Redder, Elyse; Folefac, Edmund; Presley, Carolyn J.; Rosko, Ashley

doi:10.1016/j.jgo.2020.05.006

Cited by 17 publications

(12 citation statements)

References 4 publications

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“…Managing the cancer care of an at-risk population for COVID-19 complications requires both internal and external resources from taxed health systems and agencies dealing with an influx of patients. Healthcare providers are coping with the societal shifts and sustained emotional stressors faced by the general population as well as being at greater risk of exposure, moral dilemmas, extreme workloads, and rapidly evolving practice environments (e.g., shifts to telemedicine) [17,18] which may affect the health outcomes of older adults with cancer [19]. Furthermore, as the primary source of medical information for patients, their ability to stay informed and be a consistent trusted resource for patients is hindered by ever-changing institutional and healthcare system guidelines.…”

Section: Introductionmentioning

confidence: 99%

Experiences of healthcare providers of older adults with cancer during the COVID-19 pandemic

Krok‐Schoen

Pisegna

BrintzenhofeSzoc

et al. 2021

Journal of Geriatric Oncology

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Objectives: Care for older adults with cancer became more challenging during the COVID-19 pandemic. We sought to examine healthcare providers' clinical barriers, patient questions, and overall experiences related to care delivery for these patients during the pandemic. Materials and methods: Members of the Advocacy Committee of the Cancer and Aging Research Group along with the Association of Community Cancer Centers developed a 20-question survey for healthcare providers of older adults with cancer. Eligible participants were recruited by email sent through professional organizations' listservs, email blasts, and social media. This manuscript reports the qualitative data from the survey's three open-ended questions. Free text, open-ended survey items were analyzed by two independent coders for identification of common themes using NVivo software. Theme agreement was reached through consensus and count comparisons of participant responses were made. Results: Healthcare system organizational challenges and meeting basic needs and support were commonly reported themes among respondents (n = 274). Barriers to care delivery included organizational challenges, patients' access to resources and support, concerns for patients' mental and physical health, and telehealth challenges. Respondents reported older adults were asking about their health and cancer care as well as access to basic needs and supports. Providers described worrying about patients' mental health, fear of personal safety, frustration in multi-level institutions, as well as experiencing positive leadership and communication. Conclusion: Providers are faced with balancing their concerns for personal and patient safety. These findings demand resources and support allocation for older adults with cancer and healthcare providers during the COVID-19 pandemic.

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Section: Introductionmentioning

confidence: 99%

Experiences of healthcare providers of older adults with cancer during the COVID-19 pandemic

Krok‐Schoen

Pisegna

BrintzenhofeSzoc

et al. 2021

Journal of Geriatric Oncology

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“…With regard to telemedicine, evidence for its acceptance by older patients is scarce, with a recent systematic review in a non-oncological setting showing there were high levels of satisfaction across several assessed domains relating to telemedicine 33 and some early data in the general cancer population pointing at a fair general acceptance of telemedicine, as well as of tele-health multidisciplinary geriatric oncology clinics. 34 Tele-health has been shown to improve patient outcomes in non-oncological settings especially by lowering re-admission rates, which is of pivotal importance for older patients during the pandemic. 35 These data are in line with those presented at recent ESMO congress in the Oncotelemed Trial, 36 highlighting high patients' satisfaction for virtual visits, with, however, older patients having less knowledge of new technologies and preferring telephone contacts over videocalls and/or e-mails.…”

Section: Discussionmentioning

confidence: 99%

Cancer Patient-Reported Experience Measures (PREMs) Regarding the Policies Implemented to Contain the Spread of Sars-CoV-2 and Vaccination Campaign at Veneto Institute of Oncology

Caccese¹,

Imbevaro²,

Feltrin³

et al. 2022

PPA

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The SARS-CoV-2 spread has impacted Healthcare systems. COVID-19 pandemic has had consequences for patients with cancer, being associated with delays in diagnosis, in treatment And follow-up care, increase in overall infection rates and higher mortality. A survey on COVID-19 and a vaccination-questionnaire were developed at different times of the outbreak, to evaluate cancer patient-reported experience measures (PREMs) on the policies implemented to reduce the infection from SARS-CoV-2 and on the timing and methods of COVID-19 vaccination. Patients and Methods:The survey was distributed to all patients accessing the Institute during the "first-wave" Of the pandemic, evaluating patients' concerns about the pandemic, the pandemics' consequences on their cancer care, and their perception Of the measures adopted to limit the infection spread. The vaccination-questionnaire was proposed to 10% of the first 5297 cancer patients vaccinated with two doses of the Pfizer-BioNTechCOVID-19 vaccine. This questionnaire aimed at assessing the degree Of satisfaction with the Institutional vaccination campaign and vaccination-related adverse events. Results: From May 18th 2020 to June 15th 2020 the survey was completed by 3238 patients. Most of the responders expressed concern on the pandemic yet acknowledging their oncological disease as a priority. Measures implemented were appreciated by patients. Telemedicine was positively evaluated and the absence of the caregiver during the visit did not determine discomfort for two thirds of patients. From March 6th 2021 to May 8th 2021 the vaccination-questionnaire was completed by 357 patients. The 98.8% were satisfied with the vaccination campaign. No serious vaccination-correlated adverse events were reported. No patient had to delay/discontinue chemotherapy due to vaccination. Conclusion: PREMs during COVID-19 pandemic and related vaccination can provide important information to help reorganization of the health care systems for cancer care. Patients' feedback on the organizational changes implemented in the emergency period are essential for healthcare improvement and to help informed choices that are consistent with patients' needs.

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“…80 Some early data in the general cancer population point at a fair general acceptance of telemedicine, as well as of telehealth multidisciplinary geriatric oncology clinics. 83 Given this background, telehealth services for older cancer patients should be particularly encouraged during the COVID-19 pandemic for delivering geriatric assessment, 84 for management of treatment-related toxicity, for follow-up, as well as for pre-habilitation programs. 63…”

Section: Telehealth For Older Patients With Cancermentioning

confidence: 99%

“…Patients’ and caregivers’ satisfaction for telemedicine lacks evidence, since no clear definition nor measurement are available, yet, a recent systematic review in a non‐oncological setting found there were high levels of satisfaction across several assessed domains relating to telemedicine 80 . Some early data in the general cancer population point at a fair general acceptance of telemedicine, as well as of telehealth multidisciplinary geriatric oncology clinics 83 …”

Section: Recommendations For Management In Specific Settingsmentioning

confidence: 99%

Older cancer patients and COVID‐19 outbreak: Practical considerations and recommendations

et al. 2020

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As of today (31st August 2020) more than 25,000,000 subjects have been recognized worldwide to be infected with SARS-CoV-2 (Severe Acute Respiratory Syndrome Coronavirus 2), with almost 900,000 deaths. Italy, Spain, and France in Europe have been the first affected countries, along with the United Kingdom and, outside Europe, United States of America as well as Brazil have the highest number of deaths as well as of infected subjects. 1 The impact of respiratory virus infections on morbidity and mortality in patients with cancer is widely recognized, with a risk of being hospitalized which is fourfold higher compared to age-matched subjects. 2 In this epidemiological scenario, older persons with cancer are at particularly high risk of adverse outcomes, 3,4 because of their actual risk of getting the disease, as well as for a higher likelihood of being denied proper and timely cancer treatment in order to protect them from COVID-19

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Multidisciplinary telemedicine and the importance of being seen

Cited by 17 publications

References 4 publications

Experiences of healthcare providers of older adults with cancer during the COVID-19 pandemic

Experiences of healthcare providers of older adults with cancer during the COVID-19 pandemic

Cancer Patient-Reported Experience Measures (PREMs) Regarding the Policies Implemented to Contain the Spread of Sars-CoV-2 and Vaccination Campaign at Veneto Institute of Oncology

Older cancer patients and COVID‐19 outbreak: Practical considerations and recommendations

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