Telehealth in Oncology During the COVID-19 Outbreak: Bringing the House Call Back Virtually

Liu, Raymond; Sundaresan, Tilak; Reed, Mary; Trosman, Julia Rachel; Weldon, Christine B.; Kolevska, Tatjana

doi:10.1200/op.20.00199

Cited by 62 publications

(79 citation statements)

References 9 publications

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“…Studies will also need to address clinical outcomes with routine use of telemedicine, which may depend on surveillance frequency, as well as patient self-management and community-based interventions. 9,10,[18][19][20] More Than a Pat on the Back: In-Person Visits in Radiation Oncology 21,22 Physical examinations are recommended during followup for many cancer sites, although evidence is generally limited. Typical scenarios for ROs may include digital rectal examinations for prostate cancer, laryngoscopy for head and neck cancers, lymph node palpation for lymphomas, or pelvic examinations for gynecologic cancers.…”

Section: Telemedicinedhealing At a Distancementioning

confidence: 99%

Section: Telemedicine—healing At a Distancementioning

confidence: 99%

“…This transition will therefore not only require technological infrastructure and dedicated workflows, but also training and education for both staff and patients. 20 , 25 …”

Section: More Than a Pat On The Back: In-person Visits In Radiation Omentioning

confidence: 99%

See 2 more Smart Citations

“Connection Failed”: A Word of Caution on Telemedicine in Radiation Oncology

Finazzi

Papachristofilou

Zimmermann

2020

International Journal of Radiation Oncology*Biology*Physics

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Section: Telemedicinedhealing At a Distancementioning

confidence: 99%

Section: Telemedicine—healing At a Distancementioning

confidence: 99%

See 1 more Smart Citation

“Connection Failed”: A Word of Caution on Telemedicine in Radiation Oncology

Finazzi

Papachristofilou

Zimmermann

2020

International Journal of Radiation Oncology*Biology*Physics

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“…So far many authors have reported the importance of organizing patient ow, including adopting strategy of telemedicine, to minimize contact between them (Hanna et al 2020;Lambertini et al 2020;Liu et al 2020). The approach described in the present single-institution experience, based on a simple double-step triage strategy, allows the identi cation of patients at risk for active COVID-19 infection, and avoid their admission to the outpatient clinic and inpatient ward.…”

Section: Discussionmentioning

confidence: 91%

Resilience in Cancer Care at the Time of COVID-19: Practical Approach to the Management of Cancer Patients During the COVID-19 Emergency in a Large Italian Community Hospital

Lasagna

Secondino

Agustoni

et al. 2020

Preprint

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PurposeWith the emergence of coronavirus disease 2019 (COVID-19), the Oncologists have had to face the challenge of continuing active treatments without compromising the safety of our patients and healthcare personnel. Methods From February 24th, we reorganized our Oncology Unit with the introduction of a double-step triage strategy for cancer patients under treatment in order to identify patients at risk from COVID-19 and to avoid their admission to the outpatient clinic and to the inpatient ward.ResultsFrom February 24 to April 7 2020, we have performed 819 phone calls, leading to the authorization of 788 accesses (312 patients) to the outpatient clinic for active treatments. 26 patients (8.3%) with symptoms were kept at home and managed by repeated telephone calls; 23 of them were managed at home with symptomatic treatments and antibiotics and the others 3 were hospitalized for suspected COVID. At the second triage level, 5 patients weren’t admitted to the Outpatient clinic for persistent fever or respiratory distress.177 patients were admitted to the inpatient ward: none has been found to be COVID-19 positive and both outpatient and inpatient areas were still COVID-19 free. No healthcare workers became infected by SARS-CoV-2.ConclusionOur practical approach based on a simple double-step triage strategy, allows the identification of patients at risk for active COVID-19 infection, did not request neither human nor economic extra resources and appears effective, within a large community Hospital, in maintaining cancer care and therapy while protecting patients and healthcare workers from COVID-19 infection.

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“…Automated medication refill and delivery have been also provided to ensure treatment continuity (Table 4). As supported from the literature, communication using digital technology can be adopted as a key strategy to continue delivery of cancer care while protecting vulnerable oncology patients and health care workers [38][39]. Telemedicine is also tool to empower patients and caregivers, therefore alleviate their social burden and improve quality of life [37].…”

Section: Impact On Patient Carementioning

confidence: 99%

An Asian Perspective of the Management of COVID-19: the Asian National Cancer Centers Alliance Led Regional Comparison

Dewi

Gatellier²,

Sabapathy³

et al. 2020

Asian Pac J Cancer Care

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Objective: To describe how the Asian National Cancer Centers Alliance (ANCCA) members preserve high standards of care for cancer patients while battling the COVID-19 pandemic and to propose new strategies in the Asian Cancer Centers’ preparedness to future pandemics. Methods: A 41-question-based survey was developed using an online survey tool and conducted among 15 major Asian National Cancer Centers, including 13 ANCCA members. Direct interviews of several specialists were conducted subsequently to obtain additional answers to key questions that emerged during the survey analysis. Result: Institution/country-specific results provided a strong insight on the diverse ways of managing the pandemic around Asia, while maintaining well-balanced cancer care. Pragmatic strategies were put in place in each NCC hospital, including zoning and intensive triage depending on the pandemic impact. Distancing strategies and telemedicine were implemented in different capacity depending on the national healthcare system. In addition, there was a diverse impact on the manpower and financial aspect of cancer care across surveyed NCCs relating to magnitude of the pandemic impact on the country. Conclusion: The priorities nevertheless remain on maintaining cancer care delivery while protecting both patients and health care workers from the risk of COVID-19 infection. The role of a think-tank such as ANCCA to help share experiences in a timely manner can enhance preparedness in future pandemic scenarios.

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Telehealth in Oncology During the COVID-19 Outbreak: Bringing the House Call Back Virtually

Cited by 62 publications

References 9 publications

“Connection Failed”: A Word of Caution on Telemedicine in Radiation Oncology

“Connection Failed”: A Word of Caution on Telemedicine in Radiation Oncology

Resilience in Cancer Care at the Time of COVID-19: Practical Approach to the Management of Cancer Patients During the COVID-19 Emergency in a Large Italian Community Hospital

An Asian Perspective of the Management of COVID-19: the Asian National Cancer Centers Alliance Led Regional Comparison

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