Evidence map›Paper›PMID 41467572›Full record

SynthesisPalliative medicine2026

Effectiveness of and implementation requirements for telehealth in palliative care patients with advanced cancer: A systematic review and meta-analysis.

Arisa Kawashima, Taiji Noguchi, Taiki Furukawa, Akiko Unesoko, Shintaro Togashi, Kazuki Sato

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Palliative medicine, 2026. 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. Review
  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

6 authors.

Arisa KawashimaDivision of Integrated Health Sciences, Nagoya University Graduate School of Medicine, Japan.ORCID 0000-0001-7864-9289
Taiji NoguchiDepartment of Community Health and Preventive Medicine, Hamamatsu University School of Medicine, Shizuoka, Japan.ORCID 0000-0001-9165-5501
Taiki FurukawaMedical IT Center, Nagoya University Hospital, Japan.ORCID 0000-0002-3522-1845
Akiko UnesokoDepartment of Nursing, Konan Kosei Hospital, Aichi, Japan.ORCID 0000-0002-2540-148X
Shintaro TogashiNational Institute of Public Health, Wako-shi, Japan.
Kazuki SatoDivision of Integrated Health Sciences, Nagoya University Graduate School of Medicine, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTelehealth is being integrated with palliative care for patients with advanced cancer to improve access to specialized palliative care. However, its effectiveness and implementation requirements in palliative care remain unclear.

aimThis study evaluates the effectiveness of and implementation requirements for telehealth in palliative care patients with advanced cancer.

designThis was designed as a systematic review and meta-analysis with narrative synthesis (registered; CRD42024581786). The effects on patients' quality of life, symptom burden, and depression were analyzed using a random-effects meta-analysis of randomized controlled trials. A narrative synthesis was conducted for all included studies. DATA SOURCES: MEDLINE, Embase, and Cochrane Library databases were searched in September 2025. Eligible studies comprised controlled trials, observational studies, and qualitative studies involving adults with advanced cancer who received telehealth in palliative care.

resultsOf the 4232 records screened, 42 met the inclusion criteria, and six were eligible for meta-analysis. Telehealth interventions primarily involved videoconferencing, telephone, or text-based communication. Telehealth in palliative care demonstrated significant improvement in quality of life (standardized mean difference: 0.81; 95% CI: 0.09-1.53) and reduction in symptom burden (standardized mean difference: -1.44; 95% CI: -2.24 to -0.65) but had no significant effects on depression. Implementation requirements included trained multiprofessional teams, accessible digital infrastructure, sustainable reimbursement mechanisms, and standardized outcome measurements.

conclusionsTelehealth in palliative care may help improve quality of life and alleviate symptom burden among patients with advanced cancer. Future research should identify optimal delivery models and examine equity-related barriers to support wider implementation and policy development.

Indexed as

NeoplasmsPalliative CareTelemedicineAdultAgedFemaleHumansMaleMiddle AgedQuality of Lifedelivery of health careneoplasmspalliative caretelemedicine

Identifiers

PMID41467572
PMCPMC13136543

What OpenQuestion holds

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LicenceCC BY-NC
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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.