Patient Perception of Telehealth Services for Breast and Gynecologic Oncology Care during the COVID-19 Pandemic: A Single Center Survey-based Study

Zimmerman, Brittney S.; Seidman, Danielle; Berger, Natalie; Cascetta, Krystal Pauline; Nezolosky, Michelle D.; Trlica, Kara; Ryncarz, Alisa; Keeton, Caitlin; Moshier, Erin; Tiersten, Amy

doi:10.4048/jbc.2020.23.e56

Cited by 61 publications

(62 citation statements)

References 14 publications

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“…However, the preference to participate in virtual visits despite an in-person clinic option highlights acceptance of telemedicine by our patient population. Patient satisfaction with virtual visits in gynecologic cancer clinics is high [ 28 , 29 ]. Greater than 80% of gynecologic cancer patients would use telemedicine again [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Virtual visits among gynecologic oncology patients during the COVID-19 pandemic are accessible across the social vulnerability spectrum

McAlarnen

Tsaih

Aliani

et al. 2021

Gynecologic Oncology

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Objective The COVID-19 pandemic has quickly transformed healthcare systems with expansion of telemedicine. The past year has highlighted risks to immunosuppressed cancer patients and shown the need for health equity among vulnerable groups. In this study, we describe the utilization of virtual visits by patients with gynecologic malignancies and assess their social vulnerability. Methods Virtual visit data of 270 gynecology oncology patients at a single institution from March 1, 2020 to August 31, 2020 was obtained by querying a cohort discovery tool. Through geocoding, the CDC Social Vulnerability Index (SVI) was utilized to assign social vulnerability indices to each patient and the results were analyzed for trends and statistical significance. Results African American patients were the most vulnerable with a median SVI of 0.71, Asian 0.60, Hispanic 0.41, and Caucasian 0.21. Eighty-seven percent of patients in this study were Caucasian, 8.9% African American, 3.3% Hispanic, and 1.1% Asian, which is comparable to the baseline institutional gynecologic cancer population. The mean census tract SVI variable when comparing patients to all census tracts in the United States was 0.31 (range 0.00 least vulnerable to 0.98 most vulnerable). Conclusions Virtual visits were utilized by patients of all ages and gynecologic cancer types. African Americans were the most socially vulnerable patients of the cohort. Telemedicine is a useful platform for cancer care across the social vulnerability spectrum during the pandemic and beyond. To ensure continued access, further research and outreach efforts are needed.

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Section: Discussionmentioning

confidence: 99%

Virtual visits among gynecologic oncology patients during the COVID-19 pandemic are accessible across the social vulnerability spectrum

McAlarnen

Tsaih

Aliani

et al. 2021

Gynecologic Oncology

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“…Even before the pandemic, there were a multitude of studies showing that patients expressed satisfaction with this method of healthcare delivery. 13,14 The ongoing usefulness of telemedicine remains to be seen in light of obvious limitations to performing physical examinations or performing gynecologic procedures.…”

Section: Discussionmentioning

confidence: 99%

Effects of COVID-19 on Benign Gynecologic Practice

Batra¹,

Tu²,

Nakayama³

2022

Journal of Gynecologic Surgery

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Objective: The COVID-19 pandemic has altered health care. The aim of this study was to evaluate changes in gynecology practice patterns in response to the pandemic. Materials and Methods: A survey was created and distributed to members of the American Association of Gynecologist Laparoscopists, using REDCap [Research Electronic Data Capture] from July 2020 to August 2020. The responses of 112 gynecologists representing all U.S. regions and several other countries were analyzed. Results: In response to the pandemic, almost all providers' institutions took action to increase social-distancing efforts (99.1%) and to encourage use of personal protective equipment (95.5%). Furthermore, 75.5% of institutions cancelled elective surgeries and 80% started utilizing telemedicine. Practice volume dropped by 27% among respondents, and 64% felt that patients were delaying needed care. The gynecologic diagnosis felt to be most impacted by COVID-19 secondary to delays in care was pelvic pain. The pandemic accelerated implementation of telemedicine, and, interestingly, 65% of providers reported that they would continue to use telemedicine 25% of the time going forward. Conclusions: COVID-19 has reshaped clinical and surgical practices in benign gynecology. It has led physicians to begin utilizing telemedicine for gynecologic care more readily, and many will continue to utilize this method of health care even when the pandemic ends. ( J GYNECOL SURG 20XX:000

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“…In this context, the multidisciplinary team involved in the management of ovarian cancer has improved novel telemedicine strategies useful to monitor patients with ovarian cancer at a distance, thus following the progression of the disease and patient health status during the treatment. In addition, thanks to the patient-centered circular multidisciplinary network the information is easily transferred among specialists, thus increasing the speed of the implementation of therapeutic strategies and follow-up visits ( 161 - 163 ).…”

Section: Ovarian Cancer Management: From Linear To Multidisciplinary Patient-centered Care Approachmentioning

confidence: 99%

A multidisciplinary approach remains the best strategy to improve and strengthen the management of ovarian cancer (Review)

et al. 2021

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Ovarian cancer represents one of the most aggressive female tumors worldwide. Over the decades, the therapeutic options for the treatment of ovarian cancer have been improved significantly through the advancement of surgical techniques as well as the availability of novel effective drugs able to extend the life expectancy of patients. However, due to its clinical, biological and molecular complexity, ovarian cancer is still considered one of the most difficult tumors to manage. In this context, several studies have highlighted how a multidisciplinary approach to this pathology improves the prognosis and survival of patients with ovarian cancer. On these bases, the aim of the present review is to present recent advantages in the diagnosis, staging and treatment of ovarian cancer highlighting the benefits of a patient-centered care approach and on the importance of a multidisciplinary team for the management of ovarian cancer.

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Patient Perception of Telehealth Services for Breast and Gynecologic Oncology Care during the COVID-19 Pandemic: A Single Center Survey-based Study

Cited by 61 publications

References 14 publications

Virtual visits among gynecologic oncology patients during the COVID-19 pandemic are accessible across the social vulnerability spectrum

Virtual visits among gynecologic oncology patients during the COVID-19 pandemic are accessible across the social vulnerability spectrum

Effects of COVID-19 on Benign Gynecologic Practice

A multidisciplinary approach remains the best strategy to improve and strengthen the management of ovarian cancer (Review)

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