ArticleNPJ digital medicine2025
Digital divides in telehealth accessibility for cancer care in the United States.
Article in NPJ digital medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Telehealth and healthcare access for individuals with Down syndrome: a systematic review of opportunities and barriers.BMC health services research · 2026Pooled it
- Cancer Risk Factors, Screening, and Neighborhood Socioeconomic Deprivation Across the U.S. Urban-to-Frontier Continuum.Journal of the National Cancer Institute. Monographs · 2026Article
- Physics-Informed Graph Learning for Spatially Contiguous and Capacity-Constrained Hospital Service Area Delineation.Computers, environment and urban systems · 2026Article
- Social Determinants of Digital Health Intervention Use in China: National Cross-Sectional Study.Journal of medical Internet research · 2026Article
- The mirrored burden and accountable handovers in cancer survivorship: co‑designing a post‑treatment transition standard.npj health systems · 2026Article
- Digital Nutritional Care in Oncology: Opportunities to Enhance Quality of Life and Support Patient-Centered Care.Cancers · 2026Review
- Telehealth Scale and Artificial Intelligence Adoption Tiers Across Clinical and Operational Domains in US Hospitals: Cross-Sectional Study.Journal of medical Internet research · 2026Article
- A Community-Level Digital Health Readiness Index for the US.JAMA network open · 2026Article
- Spatial and telehealth accessibility to eating disorder treatment in the United States: evidence from registry and LLM-augmented data.International journal of health geographics · 2026Article
- Review
- Telehealth Infrastructure for Cancer Care in the United States.Scientific data · 2026Article
- How does on-demand delivery impact the accessibility and equity of community pharmacies? Perspective from groups with heterogeneous geographic-digital barriers.Frontiers in public health · 2026Article
- Application of Spatial Methods in Rural Cancer Control Research in the United States.Current epidemiology reports · 2026Review
- County-level social, preventive care, and behavioral correlates of colorectal cancer mortality in the United States: a nationwide ecological analysis.Frontiers in oncology · 2026Article
- Telehealth as a catalyst for smart rural development and sustainable tourism: a feasibility case study from Agrafa, Greece.Frontiers in digital health · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
Telehealth has been promoted as a solution to spatial healthcare access barriers, yet its role in addressing cancer care disparities remains uncertain, particularly in the context of digital divides in broadband availability and affordability. This study assessed spatial and telehealth accessibility to cancer care across 33,499 ZIP Code Tabulation Areas (ZCTA) in the United States using the two-step floating catchment area (2SFCA) and two-step virtual catchment area (2SVCA) methods, respectively. Incorporating physician locations, cancer incidence, travel time based on transportation networks, and broadband coverage and subscription rates, we found that accessibility declined from urban to rural areas and was lower in ZCTA with greater socioeconomic deprivation. Areas with higher proportions of Black and Hispanic populations showed modestly higher access scores, yet a three-way interaction among rurality, deprivation, and racial ethnic composition revealed compounded disadvantages. Telehealth reduced but did not eliminate these gaps, highlighting how its reliance on digital infrastructure may both alleviate and intensify disparities in cancer care access.
Identifiers
What OpenQuestion holds
Registered trials
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.