Telemedicine and gynecologic oncology: caring for patients remotely during a global pandemic

Wong, Janice; González, Rafael Lazcano; Albright, Ben; Hayes, Taylor R.; Swartz, Anthony; Havrilesky, Laura J.; Lee, Paula S.; Previs, Rebecca A.

doi:10.1016/j.xagr.2022.100124

Cited by 7 publications

(7 citation statements)

References 13 publications

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“…During the early pandemic, oncology patients felt that their telemedicine visits were secure, effective, and noncompromising of the patient-physician relationship 3–5 . Virtual care was bolstered by the additional benefits of reduced travel time, inclusion of family members, and decreased financial burden 2,6 . Patient-reported downsides to telehealth included difficulties with technology, lack of physical examination, and concern for the security of their private medical information 2,7 .…”

Section: Patient Perceptionsmentioning

confidence: 99%

“…[3][4][5] Virtual care was bolstered by the additional benefits of reduced travel time, inclusion of family members, and decreased financial burden. 2,6 Patient-reported downsides to telehealth included difficulties with technology, lack of physical examination, and concern for the security of their private medical information. 2,7 It is interesting to note that while post hoc studies endeavored to assess patient perspectives after the massive rollout of telemedicine, there was no use of a distress screening tool in real time to compare patients receiving in-person care to those receiving virtual care.…”

Section: Patient Perceptionsmentioning

confidence: 99%

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Supportive Care for Cancer Patients Via Telehealth

Soumerai,

Mulvey,

Jackson

et al. 2024

Cancer J

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Delivering oncologic care via telemedicine has presented a unique set of benefits and challenges. Discussions of sensitive topics between patients and providers can be difficult on a virtual platform. Although it was imperative to utilize telemedicine to keep cancer patients safe during the height of the pandemic, its continued use in the postvaccination era has provided important conveniences to both providers and patients. In the case of breaking bad news and end-of-life discussions, however, in-person care has remained the overwhelming preference of both groups. If face-to-face consultation is not possible or feasible in these situations, virtual visits are a viable option to connect oncologists with their patients.

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Section: Patient Perceptionsmentioning

confidence: 99%

Section: Patient Perceptionsmentioning

confidence: 99%

Supportive Care for Cancer Patients Via Telehealth

Soumerai,

Mulvey,

Jackson

et al. 2024

Cancer J

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“…In several small RCTs, there was no difference in patient satisfaction between virtual and in-person visits for gynecologic surgical offices [7,8 ▪ ]. A 2023 noninferiority RCT of office compared with video preoperative visits found that patient reported greater convenience and satisfaction with video preoperative visits [9 ▪▪ ].…”

Section: Preoperative Visitsmentioning

confidence: 99%

Perioperative visits in minimally invasive gynecologic surgery

Ingraham

Makai

2023

Current Opinion in Obstetrics &Amp; Gynecology

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Purpose of reviewPerioperative visits for gynecologic surgery patients have traditionally included in-person examinations and counseling, but the advent of telemedicine has prompted clinicians to consider varying approaches to perioperative care. We aim to educate readers on the optimal setting and context of perioperative visits and provide insight from our experience to optimize care. Recent findingsThe widespread adoption of telemedicine and a focus on equity and access has prompted gynecologic surgeons to reconsider traditional preoperative and postoperative visits.

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“…Clinical trial recruitment and enrollment present ongoing challenges for progress and equity in cancer research. Barriers include narrow eligibility criteria, inadequate time to discuss trials, and low trial awareness . Consequently, only 5% of the adult cancer population participates in clinical trials .…”

Section: Introductionmentioning

confidence: 99%

Patient-Reported Outcomes as a Recruitment Strategy for Clinical Trial Enrollment

Verdini,

Bryl,

Baser

et al. 2024

JAMA Oncol

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ImportanceClinical trials are critical for progress in oncology; however, only 5% of the adult cancer population participates. Harnessing data that are routinely collected (ie, electronic patient-reported outcomes [ePROs]) may serve as a method to promote trial enrollment.ObjectiveTo evaluate if an ePRO-prompted recruitment strategy is associated with increased clinical trial enrollment.Design, Setting, and ParticipantsA randomized substudy was conducted from September 2022 to March 2023 at a multisite tertiary cancer center as part of an ongoing clinical trial that was testing a symptom-intervention for cancer-related fatigue. Patients with breast cancer who were undergoing radiotherapy who completed at least 1 ePRO questionnaire during the study period were included. Physician-level cluster randomization assigned fatigue-eligible patients to either receive a portal message invitation to a symptom-intervention trial or standard of care (SOC; physician-based referral).ExposureePRO questionnaires distributed in routine practice were queried weekly and screened for moderate or greater fatigue, the principle inclusion criterion for the primary trial. To assess the association of the portal message source with response and enrollment, every other patient received a message from the primary radiation oncology team or the referral service.Main Outcomes and MeasuresClinical trial response/referral and enrollment.ResultsA total of 1041 patients completed ePRO questionnaires, of whom 394 (38%; 53 Asian [13.6%], 43 Black [11.0%], 29 Hispanic [7.4%], and 262 White individuals [66.5%]; median [IQR] age, 55 [47-65] years) endorsed moderate or greater fatigue while receiving treatment. A total of 210 patients (53.3%) were assigned to receive a portal message and 184 (46.7%) patients, SOC. In the portal message group, 73 patients (35%) responded and 41 (20%) enrolled compared with 1 patient (0.5%) referred and 0 enrolled in the SOC group (P &lt; .001). The response rate to portal messages favored the referral service vs the primary radiation oncology service (44% vs 26%; P = .01), but there was no significant difference in enrollments.Conclusions and RelevanceThe study results suggest that use of routine care ePROs was associated with greater enrollment in a symptom-intervention trial compared with physician-based referral. Messaging directly from the referral service may support enrollment and help reduce oncology physician-level barriers to trial enrollment for studies testing symptom interventions.

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Telemedicine and gynecologic oncology: caring for patients remotely during a global pandemic

Cited by 7 publications

References 13 publications

Supportive Care for Cancer Patients Via Telehealth

Supportive Care for Cancer Patients Via Telehealth

Perioperative visits in minimally invasive gynecologic surgery

Patient-Reported Outcomes as a Recruitment Strategy for Clinical Trial Enrollment

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