Telemedicine in patient care of long‐term transplant survivors

Lee, Catherine J.; Wickline, Mihkai; Flowers, Mary E.D.

doi:10.1002/9781119612780.ch4

Cited by 1 publication

(1 citation statement)

References 47 publications

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“…The long-term follow-up (LTFU) program at Fred Hutchinson Cancer Research Center (FHCRC) is a well-established telemedicine program for alloHCT survivors that was designed to support community oncologists and primary care physicians in managing post-alloHCT complications and survivorship care ( Table 2 ) [ 25 ]. The program receives over 3,200 queries annually from patients and community providers, with most queries relating to diagnosing and managing cGVHD, infections, immunizations, disease relapse, subsequent primary malignancies (SPMs), and psychosocial issues.…”

Section: Telemedicine For Long-term Care After Allohctmentioning

confidence: 99%

Telemedicine in Hematopoietic Cell Transplantation and Chimeric Antigen Receptor-T Cell Therapy

Gandhi

Lee

2023

Cancers

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Telemedicine has played an important role in delivering healthcare for primary care, chronic disease patients, and those with solid organ malignancies. However, its application in subspecialties such as hematologic malignancies, hematopoietic cell transplantation (HCT), or chimeric antigen receptor-T cell (CAR-T) therapy is not widespread since physical examination is a vital component in delivering care. During the COVID-19 pandemic, we widely used telemedicine, since protecting our immunocompromised patients became our top priority. The employment of HCT and CAR-T therapies continues to grow for high-risk hematologic malignancies, particularly in older and frail patients who must visit specialty centers for treatment access. Generally, HCT and CAR-T therapy care is highly complex, necessitating commitment from patients, caregivers, and a multidisciplinary team at specialty academic centers. All healthcare systems adapted to the crisis and implemented rapid changes during the COVID-19 public health emergency (PHE). Telemedicine, a vital modality for delivering healthcare in underserved areas, experienced rapid expansion, regardless of the geographic region, during the COVID-19 PHE. The data emerging from practices implemented during the PHE are propelling the field of telemedicine forward, particularly for specialties with complex medical treatments such as HCT and CAR-T therapy. In this review, we examine the current data on telemedicine in HCT and cellular therapy care models for the acute and long-term care of our patients.

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Section: Telemedicine For Long-term Care After Allohctmentioning

confidence: 99%