"Soup cans, brooms, and Zoom:" Rapid conversion of a cancer survivorship program to telehealth during <scp>COVID</scp>‐19

Jhaveri, Kinnari; Cohen, Jamie A.; Barulich, Mikela; Levin, Anna; Goyal, Neha; Loveday, Tristan; Chesney, Margaret A.; Shumay, Dianne M.

doi:10.1002/pon.5473

Cited by 33 publications

(42 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Survivors have been subject to signi cant delays and cancellations of follow-up appointments and the rapid transition of in-person healthcare interactions to telehealth in resource settings that permit its widespread implementation [7,11,19,21,[24][25][26]. As such, the pandemic has affected the availability and accessibility of routine healthcare services.…”

Section: Discussionmentioning

confidence: 99%

“…Particularly, physical examinations and some elements of survivorship care (e.g. exercise programs) cannot be effectively delivered remotely and have been temporarily suspended, postponed or removed from survivorship care plans [19,21,24]. As efforts are made to reduce risk of nosocomial COVID-19 transmission, signi cant changes have been made to the normal standard of care (in terms of frequency, types of care and mode of delivery) that some survivors have grown to depend on.…”

Section: Discussionmentioning

confidence: 99%

“…Preliminary research in the eld indicates that cancer patients and survivors may have increased susceptibility to COVID-19 infection [18,22] and as a result, the necessity of interventions must be weighted against the potential risk of inadvertent COVID-19 exposure [18]. In an attempt to protect cancer survivors and due to the redirection of healthcare resources, cancer surveillance and other elements of survivorship care have been postponed or cancelled [7,11,19,21,[24][25][26]. This may result in increased anxiety, diminished quality of life and delayed diagnosis of any disease recurrence or secondary malignancies [16].…”

Section: Discussionmentioning

confidence: 99%

“…In fact, Papautsky & Hamlish [25] conducted a survey of breast cancer survivors in which 44% reported delays across all aspects of cancer care and treatment. Flannigan et al [19], Jhaveri et al [21], and Nilsen et al [24] demonstrate how the pandemic has necessitated drastic changes in the delivery of some cancer survivorship programs. While there has been an effort to rapidly transition to delivering elements of survivorship care (e.g.…”

Section: Survivorship Care Deliverymentioning

confidence: 99%

“…Boakye et al [16] and Huang et al [20] noted that postponement of surveillance and other elective procedures to improve quality of life may lead to increase anxiety, delayed diagnosis of disease recurrence and reduced quality of life. Chan et al [7] indicated that some healthcare providers have noted increased anxiety and distress among survivors in relation to using telehealth and Jhaveri et al [21] noted that some survivors have expressed an increased need for behavioural health and social support during the pandemic. Nekhlyudov et al [13] highlighted that the pandemic may disproportionately impact the physical and psychosocial wellbeing of cancer survivors due to the requirement to maintain physical distancing from their social and support networks and increased anxiety related to cancellation, postponement, or modi cation of follow-up visits and cancer surveillance.…”

Section: Psychosocial and Physical Wellbeingmentioning

confidence: 99%

See 4 more Smart Citations

Systematic rapid living review of the impact of the COVID-19 pandemic on cancer survivors: update to August 27th, 2020

Jammu

Chasen

Lofters

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: The COVID-19 pandemic has resulted in drastic changes in the global healthcare delivery landscape and has had practical repercussions for cancer survivors. This systematic rapid living review has been undertaken to synthesize the available knowledge regarding the impact of the COVID-19 pandemic in a timely manner. This initial rapid review will present the findings of literature published up to August 27, 2020.Design: A systematic search of PubMed, Scopus and Google Scholar databases was conducted to identify all articles, available in English language, regarding the impact of the COVID-19 pandemic on cancer survivors published between December 2019 and August 27, 2020. The search strategy employed the following search strings: “covid-19 OR coronavirus OR sars-cov-2” with “cancer survivors OR cancer survivorship”.Results: The database search yielded 1639 articles, of which 19 were included. Of the 19 selected articles, there were 12 expert opinions articles, two literature reviews, two prospective cohort studies, one retrospective cohort study, one descriptive study and one pooled meta-analysis that comment on the impact of the COVID-19 pandemic on the physical wellbeing (16 articles), psychosocial wellbeing (15 articles) and financial wellbeing of cancer survivors (3 articles).Conclusions: Limited definitive evidence exists regarding the impact of the COVID-19 pandemic on cancer survivors. Currently available literature provides preliminary indications of wide-ranging impacts of the pandemic on cancer survivors with respect to the requirement to adapt to new means of healthcare delivery as well as their physical, psychosocial and economic wellbeing. The pandemic has left survivors dealing with the consequences of rigorous cancer treatment in the context of new challenges related to social isolation, financial hardship and uncertainty with respect to their ongoing care. Additional rigorously designed research initiatives are required to elucidate the impact of the pandemic on cancer survivors.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Survivorship Care Deliverymentioning

confidence: 99%

Section: Psychosocial and Physical Wellbeingmentioning

confidence: 99%

See 3 more Smart Citations

Systematic rapid living review of the impact of the COVID-19 pandemic on cancer survivors: update to August 27th, 2020

Jammu

Chasen

Lofters

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

A randomized prospective trial of an ostomy telehealth intervention for cancer survivors

Krouse,

Zhang,

Wendel

et al. 2023

Cancer

View full text Add to dashboard Cite

BackgroundCancer survivors with ostomies face complex challenges. This study compared the Ostomy Self‐Management Telehealth program (OSMT) versus attention control usual care (UC).MethodsThree academic centers randomized participants. OSMT group sessions were led by ostomy nurses and peer ostomates (three for ostomates‐only, one for support persons, and one review session for both). Surveys at baseline, OSMT completion, and 6 months were primary outcome patient activation (PAM), self‐efficacy (SE), City of Hope quality of life‐Ostomy (COH‐O), and Hospital Anxiety and Depression Scale (HADS). Surveys were scored per guidelines for those completing at least two surveys. Linear mixed effects models were used to select potential covariates for the final model and to test the impact of OSMT within each timeframe.ResultsA total of 90 OSMT and 101 UC fulfilled analysis criteria. Arms were well‐matched but types of tumors were unevenly distributed (p = .023). The OSMT arm had a nonsignificant improvement in PAM (confidence interval [CI], –3.65 to 5.3]; 4.0 vs. 2.9) at 6 months. There were no significant differences in other surveys. There was a significant OSMT benefit for urinary tumors (four SE domains). Higher OSMT session attendance was associated with post‐session improvements in five SE domains (p < .05), two COH‐O domains (p < .05), and HADS anxiety (p = .01). At 6 months, there remained improvements in one SE domain (p < .05), one COH‐O domain (p < .05), and HADS anxiety (p < .01).ConclusionsNo clear benefit was seen for the OSMT intervention, although there may be an advantage based on type of tumor. Benefit with greater session attendance was also encouraging.Plain Language Summary Cancer patients with ostomies have many challenges. We tested a telehealth curriculum compared to usual care. There are indications of benefit for the program for those that attend more sessions and those with urostomies.

show abstract

Driving distances and loss to follow‐up after hematopoietic cell transplantation

Banerjee

Loren

2021

eJHaem

View full text Add to dashboard Cite

In a recent multicenter analysis, long geographic distances predicted loss to followup (LTF) among allogeneic hematopoietic cell transplantation (HCT) survivors. We hypothesized that lower frequencies of patient interactions (including in-person appointments and telemedicine encounters) would predict LTF rather than long driving distances. However, in our retrospective single-center analysis of 263 HCT survivors, the only predictors of LTF were residence in the furthest driving-distance quartile and Medicaid insurance (but not annualized frequencies of patient interactions). Our findings suggest that telemedicine may not necessarily "rescue" long-distance HCT survivors from LTF. Other solutions, for example patient-specific partnerships with local providers, may be helpful. K E Y W O R D S geographic factors, hematopoietic cell transplantation, lost to follow-up, telemedicine How to cite this article: Banerjee R, Loren AW. Driving distances and loss to follow-up after hematopoietic cell

show abstract

"Soup cans, brooms, and Zoom:" Rapid conversion of a cancer survivorship program to telehealth during COVID‐19

Cited by 33 publications

References 10 publications

Systematic rapid living review of the impact of the COVID-19 pandemic on cancer survivors: update to August 27th, 2020

Systematic rapid living review of the impact of the COVID-19 pandemic on cancer survivors: update to August 27th, 2020

A randomized prospective trial of an ostomy telehealth intervention for cancer survivors

Driving distances and loss to follow‐up after hematopoietic cell transplantation

Contact Info

Product

Resources

About