Evidence map›Paper›PMID 37335959›Full record

ArticleJCO oncology practice2023

Patient- and Provider-Level Factors Associated With Telehealth Utilization Across a Multisite, Multiregional Cancer Practice From 2019 to 2021.

Joshua C Pritchett, Bijan J Borah, Ruchita Dholakia, James P Moriarty, Hannah H Ahn, Ming Huang, Nandita Khera, Laurie Wilshusen, Roxana S Dronca, Jonathan Ticku and 4 more

Abstract read
In one paragraph

Article in JCO oncology practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–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

15 citing papers in PubMed.

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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

14 authors.

Joshua C PritchettDepartment of Oncology, Mayo Clinic, Rochester, MN.ORCID 0000-0001-6139-5526
Bijan J BorahKern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN.
Ruchita DholakiaKern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN.
James P MoriartyKern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN.
Hannah H AhnKern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN.ORCID 0000-0003-0040-1552
Ming HuangDepartment of AI and Informatics, Mayo Clinic, Rochester, MN.
Nandita KheraDivision of Hematology/Oncology, Mayo Clinic, Phoenix, AZ.ORCID 0000-0002-0577-3155
Laurie WilshusenOffice of Patient Experience, Mayo Clinic, Rochester, MN.
Roxana S DroncaDivision of Hematology/Oncology, Mayo Clinic, Jacksonville, FL.
Jonathan TickuDepartment of Oncology, Mayo Clinic, Rochester, MN.
Aaron L LeppinKern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN.
Jon C TilburtDepartment of Medicine, Mayo Clinic, Phoenix, AZ.
Jonas PaludoDivision of Hematology, Mayo Clinic, Rochester, MN.ORCID 0000-0002-7350-5531
Tufia C HaddadDepartment of Oncology, Mayo Clinic, Rochester, MN.ORCID 0000-0001-8226-3581

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn response to the COVID-19 pandemic, many cancer practices rapidly adopted telehealth services. However, there is a paucity of data regarding ongoing telehealth visit utilization beyond this initial response. The purpose of this study was to assess changes in variables associated with telehealth visit utilization over time.

methodsThis is a cross-sectional, year-over-year, retrospective analysis of telehealth visits conducted across a multisite, multiregional cancer practice in the United States. Multivariable models examined the association of patient- and provider-level variables with telehealth utilization across outpatient visits conducted over three 8-week periods from July to August in 2019 (n = 32,537), 2020 (n = 33,399), and 2021 (n = 35,820).

resultsThe rate of telehealth utilization increased from <0.01% (2019) to 11% (2020) to 14% (2021). The most significant patient-level factors associated with increased telehealth utilization included nonrural residence and age ≤65 years. Among patients residing in rural settings, video visit utilization rates were significantly lower and phone visit utilization rates were significantly higher compared with patients from nonrural residences. Regarding provider-level factors, widening differences in telehealth utilization were observed at tertiary versus community-based practice settings. Increased telehealth utilization was not associated with duplicative care as per-patient and per-physician visit volumes in 2021 remained consistent with prepandemic levels.

conclusionWe observed continuous expansion in telehealth visit utilization from 2020 to 2021. Our experiences suggest that telehealth can be integrated into cancer practices without evidence of duplicative care. Future work should examine sustainable reimbursement structures and policies to ensure accessibility of telehealth as a means to facilitate equitable, patient-centered cancer care.

Indexed as

COVID-19NeoplasmsTelemedicineAgedCross-Sectional StudiesHumansPandemicsRetrospective Studies

Identifiers

PMID37335959
PMCPMC10538894

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.