Telemedicine During the COVID-19 Pandemic: Impact on Care for Rare Cancers

Smrke, Alannah; Younger, Eugenie; Wilson, R. M.; Husson, Olga; Farag, Sheima; Merry, Eve; Macklin-Doherty, Aislinn; Cojocaru, Elena; Arthur, Amani; Benson, Charlotte; Miah, Aisha; Zaidi, Shane; Gennatas, Spyridon; Jones, Robin L.

doi:10.1200/go.20.00220

Cited by 104 publications

(144 citation statements)

References 9 publications

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“…(2020) India QI Audit Rheumatology Mar. 12–20, 2020 100 completed satisfaction survey Median age 54, 87% females Survey LOE VI Smrke et al. (2020) UK Descriptive Retrospective case series Rare Cancer Mar.…”

Section: Resultsmentioning

confidence: 99%

Satisfaction with the use of telehealth during COVID-19: An integrative review

Andrews

Berghofer

Long

et al. 2020

International Journal of Nursing Studies Advances

191

141

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Background The novel coronavirus (COVID-19) pandemic has defined 2020 thus far. Businesses, social and religious gatherings, travel, and almost all forms of transportation shut down to halt the spread of COVID-19. People were ordered to quarantine in place, and the world appears to go into a standstill. In the midst of being quarantined people with acute and chronic conditions still require medical care and treatment. An alternative way for people to receive needed health care was necessary. Hence, we saw an unprecedented surge in telehealth. With this unprecedented surge in use of telehealth, there is matter of delivering quality care. Objective Guided by the Donabedian Model, the purpose of this integrative review was to examine current evidence on patient and healthcare provider's satisfaction with the use of telehealth during the COVID-19 pandemic. Design An integrative review of the literature Data sources The literature review was conducted utilizing PubMED, CINAHL, Google Scholar and Cochrane Library databases. Inclusion criteria were studies published from January 2020 to July 11, 2020, published and translated in English language, and studies that evaluated patients and providers satisfaction with the use of telehealth or telemedicine during COVID-19. Eighteen articles were included in this review. Review methods An evaluation matrix was developed to collect data from the included articles. The articles were appraised using Fineout-Overholt & Gallagher-Ford Rapid Critical Appraisal Checklist for Descriptive Studies and Rapid Critical Appraisal of Evidence-Based Practice Implementation or Quality Improvement Projects (Melnyk & Fineout-Overholt, 2015). Authors independently appraised each article using the appropriate appraisal tools. Results Ten of the articles (53%) included were studies conducted in the United States. Sixteen out of 18 studies evaluated patient satisfaction and five studies examined healthcare providers’ satisfaction with the use of telehealth. The majority of telehealth services offered were by subspecialists. Overall, patients and healthcare providers have high level of satisfaction with the use of telehealth during COVID-19 pandemic. Many patients and healthcare providers reported willingness to continue using telehealth after the pandemic. Conclusion This integrative review provided additional evidence on patient and healthcare provider's satisfaction with the use of telehealth. Findings in this review may not be surprising as individuals, healthcare providers, and health systems needed to adopt the use telehealth due to necessity. However, the results for telehealth are promising.

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Section: Resultsmentioning

confidence: 99%

Satisfaction with the use of telehealth during COVID-19: An integrative review

Andrews

Berghofer

Long

et al. 2020

International Journal of Nursing Studies Advances

191

141

View full text Add to dashboard Cite

show abstract

“…While tele-oncology cannot substitute for some in-person visits, [ 21 ], clinicians and patients to date have had some positive experiences using telehealth services, including saving personal protective equipment (PPE) and reducing the need for hospital services [ 22 ]. Other evidence indicates that telehealth has not increased physicians’ workload and that both cancer patients and providers have expressed satisfaction with transitions to telehealth for certain services [ 23 ]. Recent surveys in various countries suggests that, while many patients still prefer in-person visits for some aspects of care, telehealth platforms offer a reasonable and satisfactory alternative for other cancer care services [ 11 , 24 , 25 ].…”

Section: Resultsmentioning

confidence: 99%

Factors affecting cancer patients’ electronic communication with providers: Implications for COVID-19 induced transitions to telehealth

Street

2020

Patient Education and Counseling

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Highlights Almost half of cancer survivors in this survey had not communicated electronically with clinicians over the past 12 months. Using technology for health-related purposes was a stronger predictor of electronic communication than demographic characteristics and past communication experiences with clinicians. Implications of the findings for facilitating transitions to telehealth in cancer care since the pandemic are discussed.

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“…Rapid implementation of telemedicine during the COVID-19 pandemic has given us the opportunity to evaluate the acceptability of remote monitoring, showing that the majority of patients would prefer the incorporation of telemedicine in follow-up. Given the increasing pressures on global healthcare systems, including the National Health Service (NHS) in the UK, telemedicine may be an effective way to manage selected patients [27]. Preference for face to face appointments was associated with lower resilient coping and was more common in patients who did not know their treatment intent.…”

Section: Discussionmentioning

confidence: 99%

“…Questions developed for this survey included socio-demographic items, sarcoma management items, worry about COVID-19, psychosocial impact of the COVID-19 pandemic, and care experiences during the pandemic. Further details and preliminary results of the telemedicine section have been published elsewhere [27].…”

Section: Methodsmentioning

confidence: 99%

Health-Related Quality of Life and Experiences of Sarcoma Patients during the COVID-19 Pandemic

Younger

Smrke

Lidington

et al. 2020

Cancers

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Sarcomas are rare cancers with a spectrum of clinical needs and outcomes. We investigated care experiences and health-related quality of life (HRQoL) in sarcoma patients during the COVID-19 pandemic. Patients with appointments during the first two months of the UK lockdown were invited to complete a survey. Questions included views on care modifications, COVID-19 worry and psychosocial impact, and EORTC-QLQ-C30 items. 350 patients completed the survey; median age 58 (16–92) years. Care modifications included telemedicine (74%) and postponement of appointments (34%), scans (34%) or treatment (10%). Most felt the quality of care was not affected (72%), however, social life (87%) and emotional wellbeing (41%) were affected. Worry about COVID-19 infection was moderately high (mean 5.8/10) and significantly related to higher cancer-related worry; associated with lower emotional functioning irrespective of treatment intent. Curative patients (44%) with low resilient coping scores had significantly higher COVID-19 worry. Patients who did not know their treatment intent (22%) had significantly higher COVID-19 worry and insomnia. In summary, care experiences were generally positive; however, cancer-related worry, low resilient coping and uncertainty about treatment intent were associated with COVID-19 worry. These patients may benefit from additional psychological support during the pandemic and beyond.

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Telemedicine During the COVID-19 Pandemic: Impact on Care for Rare Cancers

Cited by 104 publications

References 9 publications

Satisfaction with the use of telehealth during COVID-19: An integrative review

Satisfaction with the use of telehealth during COVID-19: An integrative review

Factors affecting cancer patients’ electronic communication with providers: Implications for COVID-19 induced transitions to telehealth

Health-Related Quality of Life and Experiences of Sarcoma Patients during the COVID-19 Pandemic

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