Evidence map›Paper›PMID 38924789›Full record

ArticleJournal of the National Cancer Institute. Monographs2024

Telehealth Research and Innovation for Veterans with Cancer: the THRIVE Center.

Leah L Zullig, Danil Makarov, Daniel Becker, Navid Dardashti, Ivonne Guzman, Michael J Kelley, Irina Melnic, Janeth Juarez Padilla, Sidney Rojas, Jerry Thomas and 2 more

Abstract read
In one paragraph

Article in Journal of the National Cancer Institute. Monographs, 2024. 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
–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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
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

12 authors.

Leah L ZulligCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Healthcare System, Durham, NC, USA.ORCID 0000-0002-6638-409X
Danil MakarovVA New York Harbor Healthcare System, New York, NY, USA.ORCID 0000-0002-0565-9272
Daniel BeckerVA New York Harbor Healthcare System, New York, NY, USA.ORCID 0000-0001-7230-8432
Navid DardashtiVA New York Harbor Healthcare System, New York, NY, USA.
Ivonne GuzmanCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Healthcare System, Durham, NC, USA.
Michael J KelleyDepartment of Veterans Affairs, National Oncology Program, Washington, DC, USA.ORCID 0000-0001-9523-6080
Irina MelnicVA New York Harbor Healthcare System, New York, NY, USA.
Janeth Juarez PadillaVA New York Harbor Healthcare System, New York, NY, USA.ORCID 0000-0003-3819-4587
Sidney RojasVA New York Harbor Healthcare System, New York, NY, USA.ORCID 0009-0001-1291-4921
Jerry ThomasVA New York Harbor Healthcare System, New York, NY, USA.
Christa TumminelloCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Healthcare System, Durham, NC, USA.
Scott E ShermanVA New York Harbor Healthcare System, New York, NY, USA.ORCID 0000-0003-1752-7303

Funding

Telehealth Research and Innovation for Veterans with Cancer (THRIVE)P50CA271358 · NCI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI DANIL V. MAKAROV, Scott E Sherman · 2022 to 2026
$6.9M
HSRD VA CIN 13-410NCI NIH HHS 5P50CA271358NCI NIH HHS P50 CA271358
6 · The paper itself

Abstract

backgroundIn recent years the US health-care system has witnessed a substantial increase in telehealth use. Telehealth enhances health-care access and quality and may reduce costs. However, there is a concern that the shift from in-person to telehealth care delivery may differentially improve cancer care access and quality in certain clinical settings and for specific patient populations while potentially exacerbating disparities in care for others. Our National Cancer Institute-funded center, called Telehealth Research and Innovation for Veterans with Cancer (THRIVE), is focused on health equity for telehealth-delivered cancer care. We seek to understand how social determinants of telehealth-particularly race and ethnicity, poverty, and rurality-affect the use of telehealth.

methodsTHRIVE draws from the Health Disparities Research Framework and the Consolidated Framework for Implementation Research. THRIVE consists of multiple cores that work synergistically to assess and understand health equity for telehealth-delivered cancer care. These include the Administrative Core, Research and Methods Core, Clinical Practice Network, and Pragmatic Trial.

resultsAs of October 2023, we identified and trained 5 THRIVE scholars, who are junior faculty beginning a research career. We have reviewed 20 potential pilot studies, funding 6. Additionally, in communication with our funders and advisory boards, we have adjusted our study design and analytic approach, ensuring feasibility while addressing our operational partners' needs.

conclusionsTHRIVE has several key strengths. First, the Veterans Health Administration's health-care system is large and diverse regarding health-care setting type and patient population. Second, we have access to longitudinal data, predating the COVID-19 pandemic, about telehealth use. Finally, equitable access to high-quality care for all veterans is a major tenet of the Veterans Health Administration health-care mission. As a result of these advantages, THRIVE can focus on isolating and evaluating the impact of social determinants of telehealth on equity in cancer care.

Indexed as

NeoplasmsTelemedicineVeteransCOVID-19Healthcare DisparitiesHealth EquityHealth Services AccessibilityHumansUnited StatesUnited States Department of Veterans Affairs

Identifiers

PMID38924789
PMCPMC11207852

What OpenQuestion holds

Textmetadata
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.