Evidence map›Paper›PMID 41383087›Full record

Trial reportThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2025

Impact of Ostomy Self-Management Telehealth training for rural cancer survivors on health care utilization and economic outcomes in the United States.

Daniel Maeng, Virginia Sun, Matthew E Nielsen, Rebecca L Hoffman, Tullika Garg, Sarah M Popek, Robert P Sticca, Allison A Aka, Walid M Hesham, Marcia Grant and 2 more

Abstract readRandomized Controlled TrialMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Trial report in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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.

Daniel MaengDepartment of Psychiatry, University of Rochester Medical Center, Rochester, New York, USA.ORCID https://orcid.org/0000-0002-1867-6629
Virginia SunDepartment of Population Sciences, Division of Nursing Research and Education, City of Hope, Duarte, California, USA.
Matthew E NielsenDepartment of Urology, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Rebecca L HoffmanDivision of Colorectal Surgery, Geisinger Medical Center, Danville, Pennsylvania, USA.
Tullika GargDepartment of Urology, Penn State Health Milton S. Hershey Medical Center, Hershey, Pennsylvania, USA.ORCID https://orcid.org/0000-0003-2679-7460
Sarah M PopekDepartment of Surgery, Division of Surgical Oncology, University of New Mexico, Albuquerque, New Mexico, USA.
Robert P SticcaDepartment of Surgery, University of North Dakota-Sanford Health, Fargo, North Dakota, USA.
Allison A AkaDivision of Colon and Rectal Surgery, Loma Linda University Health, Loma Linda, California, USA.
Walid M HeshamDivision of General Surgery, Lancaster General Hospital, Lancaster, Pennsylvania, USA.
Marcia GrantDepartment of Population Sciences, Division of Nursing Research and Education, City of Hope, Duarte, California, USA.
Michael HolcombArizona Telemedicine Program, University of Arizona, Tucson, Arizona, USA.
Robert S KrouseCorporal Michael J. Crescenz Veterans Affairs Medical Center and Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Funding

Ostomy Telehealth Self-management Training for Cancer SurvivorsR01CA204193 · NCI · UNIVERSITY OF PENNSYLVANIA · PI KROUSE, ROBERT SCOTT · 2019 to 2023
$3.3M
National Cancer Institute of the National Institutes of Health R01CA204193NCI NIH HHS R01 CA204193
6 · The paper itself

Abstract

purposeTo assess the impact of a structured educational curriculum Ostomy Self-Management Telehealth (OSMT) treatment among cancer survivors residing in rural areas of the United States on selected measures of health care utilization, cost, and employment status.

methodsThis was a multi-site randomized controlled trial comparing OSMT treatment group against a control group receiving usual care (UC) in rural populations. OSMT treatment consisted of virtual group sessions led by trained peer ostomates delivered once a week over a 5-week period via video conferencing platforms. Surveys related to health care utilization were administered up to four times: baseline, post-session, 3-month and 6-month follow-up.

resultsCompared to the UC group, the OSMT group was associated with lower frequencies of in-person nurse (-57.2%; p = 0.015) and physician (-76.1%; p = 0.024) visits in the post-session follow-up survey; no significant differences were observed in the subsequent follow-up surveys. Moreover, the OSMT treatment group was also associated with lower ostomy-related emergency department visits (-88.3%; p = 0.119), lower direct out-of-pocket health care (-25.8%; p = 0.405) and travel costs (-47.7%; p = 0.105), as well as higher probability of full-time employment (18.9% vs. 12.3%; p = 0.179) and lower probability of claiming disability (14.3% vs. 18.9%; p = 0.459) in the 6-month follow-up; these differences, however, were not statistically significant.

conclusionWhile not all statistically significant, the OSMT treatment was associated with some notable changes in the patterns of health care utilization and selected economic outcomes among ostomates residing in rural communities. This suggests that the OSMT treatment likely contributes to more efficient and cost-effective care in the target population. SYNOPSIS: Ostomy Self-Management Telehealth (OSMT) program seeks to reduce barriers to care and improve self-management skills especially among ostomates residing in rural communities. This study reports that OSMT was associated with lower in-person health care provider visits, suggesting OSMT may lead to more efficient and cost-effective care.

Indexed as

Cancer SurvivorsOstomyPatient Acceptance of Health CareSelf-ManagementAdultAgedFemaleHumansMaleMiddle AgedRural PopulationSurveys and QuestionnairesTelemedicineUnited Statescoachingcostostomyruralself‐managementsurvivortelehealthutilization

Identifiers

PMID41383087
PMCPMC12766856

What OpenQuestion holds

Textmetadata
LicenceTDM
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.