Virtual care models for cancer survivorship

Pham, Quynh; Hearn, Jason; Gao, Bruce; Brown, Ian; Hamilton, Robert J.; Berlin, Alejandro; Cafazzo, Joseph A; Feifer, Andrew

doi:10.1038/s41746-020-00321-3

Cited by 37 publications

(30 citation statements)

References 61 publications

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“…There is plenty of evidence for the benefits of virtual care which have shown successful application of technology in palliative care, survivorship care and symptom management. 5–8 Benefits for the patient include reduced travel times, 9 reduced costs associated with travelling, reduced waiting times and reduced impact of travel on symptoms. 10 They may feel more comfortable receiving their consultation in the comfort of their own home.…”

Section: Introductionmentioning

confidence: 99%

Cancer patient experience of telephone clinics implemented in light of COVID-19

Dalby

Hill

Nabhani‐Gebara

2021

J Oncol Pharm Pract

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Introduction Due to the pandemic of COVID-19 a number of National Health Service (NHS) Trusts in the UK adopted telephone consultations for patients who were shielding. As the pandemic continues to affect these services an evaluation was conducted to determine whether telephone consultations implemented during the pandemic should be maintained long term. The objective was to evaluate this new service and to understand patient experience. Methods This study was conducted via a telephone survey. Staff working in the Macmillan centres across the Trust called patients to survey them about their experience of telephone consultations. Data were collected 23/06/20 – 17/07/20. A mix of eight open and closed questions were asked. Data were collected on an Excel spreadsheet and patient identifiable information was anonymised. Results 55 patients accepted to participate in this study. Out of 55, 39 patients rated the phone consultation they had as either 4 or 5 out of 5. When asked if they would like to continue with phone clinics 33 said they would. The majority of consultations were conducted by doctors (43/55). Patients commented they had received great support from their healthcare professionals and they felt that phone consultations were safer in the current climate. Three of the patients felt the calls were rushed and others found it difficult to discuss pain management, sides effects and post-surgery issues. Conclusions This evaluation provides a brief snapshot of the experience cancer patients are having with phone clinics. A re-evaluation will take place once video consultations are implemented.

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Section: Introductionmentioning

confidence: 99%

Cancer patient experience of telephone clinics implemented in light of COVID-19

Dalby

Hill

Nabhani‐Gebara

2021

J Oncol Pharm Pract

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“…The datedness of the data, which were collected over 4 years ago, was another limitation. A scoping review suggested that future virtual survivorship care models may benefit from integrating existing health systems and services, repurposing common technologies, involving a variety of health professionals, and engaging patients and caregivers from diverse communities (16). While cancer patients prefer treatment cost information (17), the results of this study indicate that cancer patients who experienced distress or cognitive decline during the cancer treatment preferred searching not only for official information or systematically constructed web apps, but also for more interactive information, including the details of daily life and feelings during cancer treatment.…”

Section: Discussionmentioning

confidence: 99%

Satisfaction With Web-Based Healthcare Content in Cancer Survivors: A Cross-Sectional Survey

Hanai¹,

Shinohara²,

Aoyama³

et al. 2020

Front. Digit. Health

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Health-related web content is constantly increasing, and cancer survivors use it to manage their health and activities of daily living. However, the actual usage of and satisfaction with web contents among cancer survivors is unclear. Therefore, we conducted a web-based cross-sectional survey to understand the satisfaction with web content in those cancer survivors who use the Internet to cope with their anxiety/stress, sleeplessness, or cognitive difficulties. The survey questionnaire was e-mailed to 1.2 million voluntary registrants at a research company. Cancer survivors who accessed any content via the Internet and experienced anxiety/stress, sleeplessness, or cognitive difficulties were included in the study. Out of the 412 survivors who completed the survey, 357 experienced some degree of anxiety or stress, 258 experienced sleeplessness, and 161 experienced some cognitive difficulties, such as forgetfulness or lack of attention. They used web contents to record their health or (n = 205), relieve their anxiety or stress (n = 238), and devise activities of daily living (n = 232) during cancer therapy, including surgery, chemotherapy, and radiation. The web contents included “interactive contents” (users engage with the web content by responding to it in some form), “non-interactive contents” (information medium without any user engagement), “web-storage,” or “scrolling.” Multivariate logistic regression revealed greater satisfaction with “interactive contents” in cancer survivors. This reflects that the sharing of personal experiences as well as objective information should be considered to create satisfying and effective web contents.

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“…[36][37][38] As a first step in the design phase, we recently conducted a scoping review of existing virtual care models for cancer survivorship. 39 Simultaneous to this work, we have started to review current data inputs to the Ned platform with the goal of establishing clinical cutoffs for the algorithm. This formative work will inform the creation of a draft decision tree used to algorithmically triage patients in the Ned Clinic.…”

Section: Methodological Approachmentioning

confidence: 99%

Virtual care for prostate cancer survivorship: protocol for an evaluation of a nurse-led algorithm-enhanced virtual clinic implemented at five cancer centres across Canada

et al. 2021

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IntroductionProstate cancer (PCa) is the most common cancer in Canadian men. Current models of survivorship care are no longer adequate to address the chronic and complex survivorship needs of patients today. Virtual care models for cancer survivorship have recently been associated with comparable clinical outcomes and lower costs to traditional follow-up care, with patients favouring off-site and on-demand visits. Building on their viability, our research group conceived the Ned Clinic—a virtual PCa survivorship model that provides patients with access to lab results, collects patient-reported outcomes, alerts clinicians to emerging issues, and promotes patient self-care. Despite the promise of the Ned Clinic, the model remains limited by its dependence on oncology specialists, lack of an autonomous triage algorithm, and has only been implemented among PCa survivors living in Ontario.Methods and analysisOur programme of research comprises two main research objectives: (1) to evaluate the process and cost of implementing and sustaining five nurse-led virtual PCa survivorship clinics in three provinces across Canada and identify barriers and facilitators to implementation success and (2) to assess the impact of these virtual clinics on implementation and effectiveness outcomes of enrolled PCa survivors. The design phase will involve developing an autonomous triage algorithm and redesigning the Ned Clinic towards a nurse-led service model. Site-specific implementation plans will be developed to deploy a localised nurse-led virtual clinic at each centre. Effectiveness will be evaluated using a historical control study comparing the survivorship outcomes of 300 PCa survivors enrolled in the Ned Clinic with 300 PCa survivors receiving traditional follow-up care.Ethics and disseminationAppropriate site-specific ethics approval will be secured prior to each research phase. Knowledge translation efforts will include diffusion, dissemination, and application approaches to ensure that knowledge is translated to both academic and lay audiences.

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Virtual care models for cancer survivorship

Cited by 37 publications

References 61 publications

Cancer patient experience of telephone clinics implemented in light of COVID-19

Cancer patient experience of telephone clinics implemented in light of COVID-19

Satisfaction With Web-Based Healthcare Content in Cancer Survivors: A Cross-Sectional Survey

Virtual care for prostate cancer survivorship: protocol for an evaluation of a nurse-led algorithm-enhanced virtual clinic implemented at five cancer centres across Canada

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