Evidence map›Paper›PMID 28737998›Full record

ArticleTelemedicine journal and e-health : the official journal of the American Telemedicine Association2018

Examination of the Patient-Focused Impact of Cancer Telegenetics Among a Rural Population: Comparison with Traditional In-Person Services.

Nan M Solomons, Amanda E Lamb, Frances L Lucas, Eileen F McDonald, Susan Miesfeldt

Abstract read
In one paragraph

Article in Telemedicine journal and e-health : the official journal of the American Telemedicine Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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  4. Virtual Care in Patients with Cancer: A Systematic Review.Current oncology (Toronto, Ont.) · 2021
    Pooled it
  5. Videoconferencing to deliver genetics services: a systematic review of telegenetics in light of the COVID-19 pandemic.Genetics in medicine : official journal of the American College of Medical Genetics · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Nan M Solomons1 Health Informatics Programs, College of Graduate and Professional Studies, University of New England , Portland, Maine.
Amanda E Lamb2 Maine Medical Center Cancer Institute , Maine Medical Center, Scarborough, Maine.
Frances L Lucas3 Center for Outcomes Research and Evaluation, Maine Medical Center Research Institute , Maine Medical Center, Portland, Maine.
Eileen F McDonald4 The Center for Genetics and Prevention, Dana Farber Cancer Institute , Boston, Massachusetts.
Susan Miesfeldt2 Maine Medical Center Cancer Institute , Maine Medical Center, Scarborough, Maine.

Funding

Understanding Factors Influencing COVID-19 Testing and Vaccination in Immigrant Low-income and Homeless Populations and Testing Targeted InterventionsU54GM115516 · NIGMS · MAINEHEALTH · PI Brenda Morissette Joly · 2017 to 2026
$51.6M
NIGMS NIH HHS U54 GM115516
6 · The paper itself

Abstract

backgroundTelecommunication models promise to improve access to cancer genetic counseling. Little is known about their impact among the geographically underserved. This work examined knowledge and emotional outcomes and attitudes/beliefs regarding cancer telegenetic services (via live-interactive videoconferencing) in Maine. MATERIALS AND

methodsCancer telegenetic patients seen at two remote sites and control (in-person) patients responded to pre-/postsurveys assessing care impact on hereditary breast and ovarian cancer (HBOC) knowledge and emotional health, ease of access to services, and telegenetics satisfaction/acceptability.

results158/174 (90%) participants returned pre- and immediate postcounseling surveys (90 remote and 68 in-person). Fewer returned 1-month postsurveys. Remote patients were older with lower education levels, more likely to live in rural counties and to have cancer histories. The two groups were matched relative to gender, race, and health insurance status. HBOC knowledge improved equally in both groups pre- versus immediately postcounseling and was maintained at 1 month in both groups. Decreased anxiety was evident postcounseling with no significant difference between groups. Depression improved significantly in remote patients immediately postcounseling; 1-month depression measures were lower in both groups. The availability of telegenetics eased transportation needs/work absences, and patients reported satisfaction with telecommunication quality. Despite overall acceptance of telegenetics, 32% of remote patients noted preference for in-person care.

conclusionsThere were few differences in HBOC knowledge and emotional outcomes comparing traditional in-person cancer genetic services with telegenetics, and satisfaction with/acceptance of this model was high. These data relate to scalability of cancer telegenetics in rural regions regionally and nationally.

Indexed as

Rural PopulationAdultAgedAge FactorsAnxietyDepressionEmotionsFemaleGenetic CounselingHealth Knowledge, Attitudes, PracticeHealth Services AccessibilityHereditary Breast and Ovarian Cancer SyndromeHumansMaineMaleMiddle Agedcancer genetic counselinge-Healthm-Healthtelehealthtelemedicine

Identifiers

PMID28737998
PMCPMC8259038

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.