Evidence map›Paper›PMID 37917149›Full record

ArticleJMIR cancer2023

Telehealth Availability for Cancer Care During the COVID-19 Pandemic: Cross-Sectional Study.

Victoria A Marks, Walter R Hsiang, James Nie, Waez Umer, Afash Haleem, Bayan Galal, Irene Pak, Dana Kim, Michelle C Salazar, Haddon Pantel and 4 more

Open access · goldAbstract read
In one paragraph

Article in JMIR cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.2field-weighted citation impact, top 18% of its field
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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
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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 at 3 institutions in 1 country.

Victoria A MarksYale School of Medicine, New Haven, CT, United States.ORCID https://orcid.org/0000-0002-3981-4349
Walter R HsiangUniversity of California San Francisco School of Medicine, San Francisco, CA, United States.ORCID https://orcid.org/0000-0002-4718-6231
James NieUniversity of California San Francisco School of Medicine, San Francisco, CA, United States.ORCID https://orcid.org/0000-0002-4692-2743
Waez UmerThe College of New Jersey, Ewing, NJ, United States.ORCID https://orcid.org/0009-0009-3170-6245
Afash HaleemThe College of New Jersey, Ewing, NJ, United States.ORCID https://orcid.org/0000-0001-7268-6142
Bayan GalalYale School of Medicine, New Haven, CT, United States.ORCID https://orcid.org/0000-0002-8821-864X
Irene PakYale School of Medicine, New Haven, CT, United States.ORCID https://orcid.org/0000-0001-9157-746X
Dana KimYale School of Medicine, New Haven, CT, United States.ORCID https://orcid.org/0009-0007-5971-5587
Michelle C SalazarYale School of Medicine, New Haven, CT, United States.ORCID https://orcid.org/0000-0001-7922-4223
Haddon PantelYale School of Medicine, New Haven, CT, United States.ORCID https://orcid.org/0000-0003-3412-3634
Elizabeth R BergerYale School of Medicine, New Haven, CT, United States.ORCID https://orcid.org/0000-0003-3857-1725
Daniel J BoffaYale School of Medicine, New Haven, CT, United States.ORCID https://orcid.org/0000-0001-5471-8833
Jaime A CavalloYale School of Medicine, New Haven, CT, United States.ORCID https://orcid.org/0000-0002-8980-8414
Michael S LeapmanYale School of Medicine, New Haven, CT, United States.ORCID https://orcid.org/0000-0002-0727-7614
Yale University · USCollege of New Jersey · USUniversity of California, San Francisco · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

backgroundTelehealth was an important strategy for maintaining continuity of cancer care during the coronavirus pandemic and has continued to play a role in outpatient care; however, it is unknown whether services are equally available across cancer hospitals.

objectiveThis study aimed to assess telehealth availability at cancer hospitals for new and established patients with common cancers to contextualize the impact of access barriers to technology on overall access to health care.

methodsWe conducted a national cross-sectional secret shopper study from June to November 2020 to assess telehealth availability at cancer hospitals for new and established patients with colorectal, breast, and skin (melanoma) cancer. We examined facility-level factors to determine predictors of telehealth availability.

resultsOf the 312 investigated facilities, 97.1% (n=303) provided telehealth services for at least 1 cancer site. Telehealth was less available to new compared to established patients (n=226, 72% vs n=301, 97.1%). The surveyed cancer hospitals more commonly offered telehealth visits for breast cancer care (n=266, 85%) and provided lower access to telehealth for skin (melanoma) cancer care (n=231, 74%). Most hospitals (n=163, 52%) offered telehealth for all 3 cancer types. Telehealth availability was weakly correlated across cancer types within a given facility for new (r=0.16, 95% CI 0.09-0.23) and established (r=0.14, 95% CI 0.08-0.21) patients. Telehealth was more commonly available for new patients at National Cancer Institute-designated facilities, medical school-affiliated facilities, and major teaching sites, with high total admissions and below-average timeliness of care. Telehealth availability for established patients was highest at Academic Comprehensive Cancer Programs, nongovernment and nonprofit facilities, medical school-affiliated facilities, Accountable Care Organizations, and facilities with a high number of total admissions.

conclusionsDespite an increase in telehealth services for patients with cancer during the COVID-19 pandemic, we identified differences in access across cancer hospitals, which may relate to measures of clinical volume, affiliation, and infrastructure.

Indexed as

access to carebreast cancercancercolorectal cancerCOVID-19 pandemiccross-sectionalmelanomanational surveyoncologytelehealthtelemedicine

Identifiers

PMID37917149
PMCPMC10654905
OpenAlexW4386751307

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.