Telemedicine and Cancer: Shifting a Paradigm of Care
Cancer J. 2024 Jan-Feb 01;30(1):1. doi: 10.1097/PPO.0000000000000700.NO ABSTRACTPMID:38265918 | DOI:10.1097/PPO.0000000000000700 (Source: Cancer Journal)
Source: Cancer Journal - January 24, 2024 Category: Cancer & Oncology Authors: Anne C Chiang Source Type: research

Telehealth in Cancer Care: Inequities, Barriers, and Opportunities
Cancer J. 2024 Jan-Feb 01;30(1):2-7. doi: 10.1097/PPO.0000000000000694.ABSTRACTTelecommunications technology began to be integrated into health care delivery by the mid-1900s, with the goal of increasing access to care including access to cancer care.There have been at least 3 significant telehealth expansion periods, with the most recent related to the COVID-19 pandemic. Technology uptake increased in the 1990s as quality improved, costs came down, and usability factors were addressed. As telehealth practice transitioned to use of personal devices, the COVID-19 pandemic arose, and necessity compelled widespread telehealth...
Source: Cancer Journal - January 24, 2024 Category: Cancer & Oncology Authors: Ana Maria Lopez Source Type: research

Telemedicine and Cancer Care: Barriers and Strategies to Optimize Delivery
Cancer J. 2024 Jan-Feb 01;30(1):8-15. doi: 10.1097/PPO.0000000000000691.ABSTRACTTelemedicine holds the potential to transform cancer care delivery and optimize value, access, and quality of care. A transformed regulatory environment coupled with the need to continue medical care despite operational limitations led to the rapid expansion of telemedicine in cancer care during the COVID-19 pandemic. Its utilization has since varied, and it has faced significant challenges. In this review, we will explore the state of telemedicine in cancer care delivery, the challenges it faces, and strategies to enhance its successful implem...
Source: Cancer Journal - January 24, 2024 Category: Cancer & Oncology Authors: Sahil D Doshi Erin M Bange Bobby Daly Gilad Kuperman Katherine S Panageas Michael J Morris Source Type: research

Telehealth and Outcomes in Patients With Cancer: Data and Innovation
Cancer J. 2024 Jan-Feb 01;30(1):16-21. doi: 10.1097/PPO.0000000000000697.ABSTRACTDespite that telehealth has been crucial to the delivery of oncology care during the COVID-19 pandemic, the impact of this care delivery mechanism on outcomes in cancer care has not been rigorously studied relative standard in-person care for patients with cancer. Patient-centered outcomes such as quality of life, patient satisfaction, and symptoms are important outcomes that have been the primary focus of many of the existing studies in this space, yet only a select few have evaluated overall survival and other objective efficacy endpoints. S...
Source: Cancer Journal - January 24, 2024 Category: Cancer & Oncology Authors: Michael J Grant Ann C Chiang Source Type: research

Telemedicine and Cancer Clinical Research: Opportunities for Transformation
Cancer J. 2024 Jan-Feb 01;30(1):22-26. doi: 10.1097/PPO.0000000000000695.ABSTRACTTelemedicine represents an established mode of patient care delivery that has and will continue to transform cancer clinical research. Through telemedicine, opportunities exist to improve patient care, enhance access to novel therapies, streamline data collection and monitoring, support communication, and increase trial efficiency. Potential challenges include disparities in technology access and literacy, physical examination performance, biospecimen collection, privacy and security concerns, coverage of services by insurance, and regulatory ...
Source: Cancer Journal - January 24, 2024 Category: Cancer & Oncology Authors: Mitchell S von Itzstein Mary E Gwin Arjun Gupta David E Gerber Source Type: research

Supportive Care for Cancer Patients Via Telehealth: Breaking Bad News and Providing Palliative Care Virtually
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....
Source: Cancer Journal - January 24, 2024 Category: Cancer & Oncology Authors: Tara E Soumerai Therese M Mulvey Vicki A Jackson Inga T Lennes Source Type: research

Telemedicine and Burnout-How Enhancing Operational Support Can Improve Digital Health Tools
Cancer J. 2024 Jan-Feb 01;30(1):31-33. doi: 10.1097/PPO.0000000000000698.ABSTRACTDuring the COVID-19 pandemic, there was an unprecedented growth in telemedicine due to the need to provide safe access to care during a global pandemic. The regulatory, compliance, and payment policy landscape favorably changed, paving the way for growth in utilization. Despite these favorable changes in the landscape, operational and technical burdens remained barriers to optimal use of telemedicine. Investments in operational processes and vendor selection can improve the patient and clinician experience in using telemedicine, so this digita...
Source: Cancer Journal - January 24, 2024 Category: Cancer & Oncology Authors: Debra Patt Colleen O'Neill Source Type: research

Digital Health for Oncological Care
Cancer J. 2024 Jan-Feb 01;30(1):34-39. doi: 10.1097/PPO.0000000000000693.ABSTRACTDigital health tools extend well beyond telemedicine, holding great potential to advance oncological care. We survey digital health and provide recommendations across the health continuum, tailoring them to oncology, including prevention, detection and diagnosis, and treatment and monitoring. Within the prevention realm, we review wellness technologies, cancer screening, mental health solutions, and digital biomarkers. For detection and diagnosis, we describe existing and emerging solutions for remote patient monitoring and various means to ca...
Source: Cancer Journal - January 24, 2024 Category: Cancer & Oncology Authors: Adam B Cohen Lee H Schwamm Source Type: research

Telehealth and Technology: New Directions in Cancer Care
Cancer J. 2024 Jan-Feb 01;30(1):40-45. doi: 10.1097/PPO.0000000000000692.ABSTRACTTelehealth is a broad concept that refers to any delivery of health care in real time using technologies to connect people or information that are not in the same physical location. Until fairly recently, telehealth was more aspiration than reality. This situation changed radically due in part to the COVID-19 pandemic, which led to a near-overnight inability for patients to be seen for routine management of chronic health conditions, including those with cancer. The purpose of this brief narrative review is to outline some areas where emerging...
Source: Cancer Journal - January 24, 2024 Category: Cancer & Oncology Authors: James Yu Carolyn Petersen Sonya Reid S Trent Rosenbloom Jeremy L Warner Source Type: research

Telemedicine and Cancer: Shifting a Paradigm of Care
Cancer J. 2024 Jan-Feb 01;30(1):1. doi: 10.1097/PPO.0000000000000700.NO ABSTRACTPMID:38265918 | DOI:10.1097/PPO.0000000000000700 (Source: Cancer Journal)
Source: Cancer Journal - January 24, 2024 Category: Cancer & Oncology Authors: Anne C Chiang Source Type: research

Telehealth in Cancer Care: Inequities, Barriers, and Opportunities
Cancer J. 2024 Jan-Feb 01;30(1):2-7. doi: 10.1097/PPO.0000000000000694.ABSTRACTTelecommunications technology began to be integrated into health care delivery by the mid-1900s, with the goal of increasing access to care including access to cancer care.There have been at least 3 significant telehealth expansion periods, with the most recent related to the COVID-19 pandemic. Technology uptake increased in the 1990s as quality improved, costs came down, and usability factors were addressed. As telehealth practice transitioned to use of personal devices, the COVID-19 pandemic arose, and necessity compelled widespread telehealth...
Source: Cancer Journal - January 24, 2024 Category: Cancer & Oncology Authors: Ana Maria Lopez Source Type: research

Telemedicine and Cancer Care: Barriers and Strategies to Optimize Delivery
Cancer J. 2024 Jan-Feb 01;30(1):8-15. doi: 10.1097/PPO.0000000000000691.ABSTRACTTelemedicine holds the potential to transform cancer care delivery and optimize value, access, and quality of care. A transformed regulatory environment coupled with the need to continue medical care despite operational limitations led to the rapid expansion of telemedicine in cancer care during the COVID-19 pandemic. Its utilization has since varied, and it has faced significant challenges. In this review, we will explore the state of telemedicine in cancer care delivery, the challenges it faces, and strategies to enhance its successful implem...
Source: Cancer Journal - January 24, 2024 Category: Cancer & Oncology Authors: Sahil D Doshi Erin M Bange Bobby Daly Gilad Kuperman Katherine S Panageas Michael J Morris Source Type: research

Telehealth and Outcomes in Patients With Cancer: Data and Innovation
Cancer J. 2024 Jan-Feb 01;30(1):16-21. doi: 10.1097/PPO.0000000000000697.ABSTRACTDespite that telehealth has been crucial to the delivery of oncology care during the COVID-19 pandemic, the impact of this care delivery mechanism on outcomes in cancer care has not been rigorously studied relative standard in-person care for patients with cancer. Patient-centered outcomes such as quality of life, patient satisfaction, and symptoms are important outcomes that have been the primary focus of many of the existing studies in this space, yet only a select few have evaluated overall survival and other objective efficacy endpoints. S...
Source: Cancer Journal - January 24, 2024 Category: Cancer & Oncology Authors: Michael J Grant Ann C Chiang Source Type: research

Telemedicine and Cancer Clinical Research: Opportunities for Transformation
Cancer J. 2024 Jan-Feb 01;30(1):22-26. doi: 10.1097/PPO.0000000000000695.ABSTRACTTelemedicine represents an established mode of patient care delivery that has and will continue to transform cancer clinical research. Through telemedicine, opportunities exist to improve patient care, enhance access to novel therapies, streamline data collection and monitoring, support communication, and increase trial efficiency. Potential challenges include disparities in technology access and literacy, physical examination performance, biospecimen collection, privacy and security concerns, coverage of services by insurance, and regulatory ...
Source: Cancer Journal - January 24, 2024 Category: Cancer & Oncology Authors: Mitchell S von Itzstein Mary E Gwin Arjun Gupta David E Gerber Source Type: research

Supportive Care for Cancer Patients Via Telehealth: Breaking Bad News and Providing Palliative Care Virtually
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....
Source: Cancer Journal - January 24, 2024 Category: Cancer & Oncology Authors: Tara E Soumerai Therese M Mulvey Vicki A Jackson Inga T Lennes Source Type: research