The Effect of Telehealth Interventions on Quality of Life of Cancer Patients: A Systematic Review and Meta-Analysis

Larson, J. M.; Rosen, Adam B.; Wilson, Fernando A.

doi:10.1089/tmj.2017.0112

Cited by 103 publications

(97 citation statements)

References 37 publications

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“…The overall grade of satisfaction with VC amongst surgeons was higher (9, IQR 9-10) than for the F2F-consult (8,. In both groups, surgeons felt they had discussed everything that was necessary in all of the included cases.…”

Section: Provider Satisfaction With the Consultmentioning

confidence: 89%

“…The use of VC in ambulatory patients undergoing treatment for, or recovering from, colorectal cancer has not been investigated to date according to literature. In patients with colorectal cancer there are no studies reporting on the attitude, use of and/or satisfaction with VC as an alternative for face-to-face (F2F) consultation [8]. Specific concerns may arise on the use of VC for patients with malignant disease, when complex information needs to be shared and when physical aftercare is multidisciplinary and compound [9].…”

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confidence: 99%

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Video consultation during follow up care: effect on quality of care and patient- and provider attitude in patients with colorectal cancer

et al. 2020

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Background Video consultation (VC) is gaining attention as a possible alternative to outpatient clinic visits. However, little is known in terms of attitude, satisfaction and quality of care using VC over a face-to-face (F2F) consultation. The aim of this observational survey study was to compare the attitude and satisfaction with VC amongst patients suffering from colorectal cancer and their treating surgeons at the outpatient surgical care clinic in a tertiary referral centre. Methods A patient-preference model was chosen following the concept of shared decision making. A total of fifty patients with colorectal cancer were asked to choose between VC-or a F2F-contact during their follow up at the outpatient surgical care clinic and were subsequently assigned to either the VC-group or the F2F-group. Attitude and satisfaction rates of both groups and their surgeons were measured using a questionnaire administered immediately after the consultation. Results Out of the 50 patients, 42% chose VC as their preferred follow-up modality. Patients demographics did not differ significantly. Patients who use video calling in their personal life choose VC significantly more often than patients lacking such experience (p = 0.010). These patients scored high on both the attitude-and satisfaction scale of the post-VC questionnaire. Patients who chose a F2F-contact seemed to question the ability of the surgeon to properly assess their healthcare condition by using a video connection more (p = 0.024). Surgeons were highly satisfied with the use of VC. Conclusions Based on patient preference, VC is equivalent to a F2F consultation in terms of patient satisfaction and perceived quality of care. Shared decision making is preferred with regard to which contact modality is used during follow up. For easy uptake in other environments it is to be recommended to facilitate VC using the electronic patient portal.

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Section: Provider Satisfaction With the Consultmentioning

confidence: 89%

mentioning

confidence: 99%

Video consultation during follow up care: effect on quality of care and patient- and provider attitude in patients with colorectal cancer

et al. 2020

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“…Our study found similar results to a recent meta-analysis of cancer patients in treatment that found the QOL assessment used made a significant difference in the mean effect of those in the telehealth intervention compared with those in UC. 34 Our study showed that the mean effect for the FACT assessment study group was significant, whereas using the EORTC-QLQ-C30 assessment did not yield a statistically significant effect on cancer survivors QOL. 34 The assessments were used with a variety of technology types and forms of cancer.…”

Section: Discussionmentioning

confidence: 50%

“…34 Our study showed that the mean effect for the FACT assessment study group was significant, whereas using the EORTC-QLQ-C30 assessment did not yield a statistically significant effect on cancer survivors QOL. 34 The assessments were used with a variety of technology types and forms of cancer. This is interesting when attempting to compare studies using slightly different assessment techniques and if they are comparable given differences in measurements.…”

Section: Discussionmentioning

confidence: 50%

“…32 These findings are somewhat in contrast to a systematic review and meta-analysis of cancer patients undergoing treatment that did not show significant effect of telehealth support interventions on patients' QOL compared with UC. 34 This may be due to the differences in survivors compared with their counterparts still receiving cancer therapies, which effect each patient differently and can cause multiple issues, including physical, functional, and psychosocial symptoms and complications. 16,[35][36][37][38][39] Patients may have differing physical and psychological symptoms while in treatment compared with after completing active treatment.…”

Section: Discussionmentioning

confidence: 99%

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The effect of telehealth interventions on quality of life of cancer survivors: A systematic review and meta-analysis

Larson

Rosen²,

Wilson

2019

Health Informatics J

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The objective of this study was to perform a systematic review and meta-analysis comparing the effect of telehealth interventions to usual care for cancer survivors’ quality of life. A comprehensive search of four different databases was conducted. Manuscripts were included if they assessed telehealth interventions and usual care for adult cancer survivors and reported a measure of quality of life. Pooled random effects models were used to calculate overall mean effects for quality of life pre- and post-intervention. Eleven articles fit all systematic review and meta-analysis criteria. Initial analyses indicated that telehealth interventions demonstrated large improvements compared with usual care in quality of life measures (Δ = 0.750, p = 0.007), albeit with substantial heterogeneity. Upon further analysis and outlier removal, telehealth interventions demonstrated significant improvements in quality of life compared with usual care (Δ = 0.141–0.144, p < 0.05). The results of the systematic review with meta-analysis indicate that supplementary interventions through telehealth may have a positive impact on quality of life compared with in-person usual care.

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The evolution and utilization of telehealth in ambulatory nutrition practice

Shah

Krupiński

Bernard³

et al. 2021

Nut in Clin Prac

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The term telehealth is often used interchangeably with telemedicine. Telemedicine involves the electronic exchange of medical information between two remote sites for the optimization of patient care, whereas telehealth is the application of all electronic communication and delivery systems in the provision of healthcare. Telehealth gives patients an opportunity to communicate with their healthcare providers and, overall, access ambulatory care that otherwise is not available in their area of residence. Several telehealth delivery systems are available for electronic communication. Telehealth and other communications technologies used in the delivery of healthcare services are regulated at both the federal and state levels. Coverage and payment policies vary among the different insurers (e.g., Medicare, Medicaid, and private plans), and policies may further be defined by state telehealth parity laws. Telenutrition involves the use of digital technology to provide nutrition care to patients and caregivers and shows potential to optimize nutrition care and outcomes. The coronavirus disease 2019 pandemic has contributed to sweeping legislative and regulatory changes that allowed the temporary expansion of telehealth delivery and reimbursement to maintain continuity of care for patients who were not able to come in for an in‐person office visit with their healthcare provider. The purpose of this review is to introduce key concepts of telehealth delivery systems including policy, legal, and regulatory considerations for ambulatory care as well as the role of telenutrition in nutrition care, and highlight the evolving role of telehealth in optimizing patient and nutrition care during a pandemic and beyond.

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The Effect of Telehealth Interventions on Quality of Life of Cancer Patients: A Systematic Review and Meta-Analysis

Cited by 103 publications

References 37 publications

Video consultation during follow up care: effect on quality of care and patient- and provider attitude in patients with colorectal cancer

Video consultation during follow up care: effect on quality of care and patient- and provider attitude in patients with colorectal cancer

The effect of telehealth interventions on quality of life of cancer survivors: A systematic review and meta-analysis

The evolution and utilization of telehealth in ambulatory nutrition practice

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