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Telehealth Utilization Among Surgical Oncology Patients at a Large Academic Cancer Center
BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic increased the use of telehealth within medicine. Data on sociodemographic and clinical characteristics associated with telehealth utilization among cancer surgical patients have not been well-defined. METHODS: Cancer patients who had a sur...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9331038/ https://www.ncbi.nlm.nih.gov/pubmed/35896926 http://dx.doi.org/10.1245/s10434-022-12259-9 |
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author | Paro, Alessandro Rice, Daniel R. Hyer, J. Madison Palmer, Elizabeth Ejaz, Aslam Shaikh, Chanza Fahim Pawlik, Timothy M. |
author_facet | Paro, Alessandro Rice, Daniel R. Hyer, J. Madison Palmer, Elizabeth Ejaz, Aslam Shaikh, Chanza Fahim Pawlik, Timothy M. |
author_sort | Paro, Alessandro |
collection | PubMed |
description | BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic increased the use of telehealth within medicine. Data on sociodemographic and clinical characteristics associated with telehealth utilization among cancer surgical patients have not been well-defined. METHODS: Cancer patients who had a surgical oncology visit at the James Cancer Hospital in March 2020–May 2021 were included. Patient demographic and clinical characteristics were recorded; access to modern information technology was measured using the Digital Divide Index (DDI). A logistic regression model was used to assess odds of receiving a telehealth. RESULTS: Among 2942 patients, median DDI was 18.2 (interquartile range 17.4–22.1). Patients were most often insured through managed care (n = 1459, 49.6%), followed by Medicare (n = 1109, 37.7%) and Medicaid (n = 267, 9.1%). Overall, 722 patients (24.5%) received at least one telehealth visit over the study period. On multivariable analysis, age (odds ratio [OR] 0.89, 95% confidence interval [CI] 0.80–0.98 per 10-year increase), sex (male vs. female: OR 1.83, 95% CI 1.45–2.32), cancer type (pancreatic vs. breast: OR 9.19, 95% CI 6.38–13.23; colorectal vs. breast: OR 5.31, 95% CI 3.71–7.58), insurance type (Medicare vs. Medicaid: OR 1.58, 95% CI 1.04–2.41) and county of residence (distant vs. neighboring: OR 1.33, 95% CI 1.06–1.66) were associated with increased odds of receiving a telehealth visit. Patients from high DDI counties were not less likely to receive telehealth visits versus patients from low DDI counties (OR 1.15, 95% CI 0.85–1.57). CONCLUSIONS: Several patient sociodemographic and clinical characteristics had an impact on the likelihood of receiving a telehealth visit versus an in-person visit, suggesting that telehealth may not be equally accessible to all surgical oncology patients. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1245/s10434-022-12259-9. |
format | Online Article Text |
id | pubmed-9331038 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-93310382022-07-28 Telehealth Utilization Among Surgical Oncology Patients at a Large Academic Cancer Center Paro, Alessandro Rice, Daniel R. Hyer, J. Madison Palmer, Elizabeth Ejaz, Aslam Shaikh, Chanza Fahim Pawlik, Timothy M. Ann Surg Oncol Global Health Services Research BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic increased the use of telehealth within medicine. Data on sociodemographic and clinical characteristics associated with telehealth utilization among cancer surgical patients have not been well-defined. METHODS: Cancer patients who had a surgical oncology visit at the James Cancer Hospital in March 2020–May 2021 were included. Patient demographic and clinical characteristics were recorded; access to modern information technology was measured using the Digital Divide Index (DDI). A logistic regression model was used to assess odds of receiving a telehealth. RESULTS: Among 2942 patients, median DDI was 18.2 (interquartile range 17.4–22.1). Patients were most often insured through managed care (n = 1459, 49.6%), followed by Medicare (n = 1109, 37.7%) and Medicaid (n = 267, 9.1%). Overall, 722 patients (24.5%) received at least one telehealth visit over the study period. On multivariable analysis, age (odds ratio [OR] 0.89, 95% confidence interval [CI] 0.80–0.98 per 10-year increase), sex (male vs. female: OR 1.83, 95% CI 1.45–2.32), cancer type (pancreatic vs. breast: OR 9.19, 95% CI 6.38–13.23; colorectal vs. breast: OR 5.31, 95% CI 3.71–7.58), insurance type (Medicare vs. Medicaid: OR 1.58, 95% CI 1.04–2.41) and county of residence (distant vs. neighboring: OR 1.33, 95% CI 1.06–1.66) were associated with increased odds of receiving a telehealth visit. Patients from high DDI counties were not less likely to receive telehealth visits versus patients from low DDI counties (OR 1.15, 95% CI 0.85–1.57). CONCLUSIONS: Several patient sociodemographic and clinical characteristics had an impact on the likelihood of receiving a telehealth visit versus an in-person visit, suggesting that telehealth may not be equally accessible to all surgical oncology patients. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1245/s10434-022-12259-9. Springer International Publishing 2022-07-27 2022 /pmc/articles/PMC9331038/ /pubmed/35896926 http://dx.doi.org/10.1245/s10434-022-12259-9 Text en © Society of Surgical Oncology 2022, Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
spellingShingle | Global Health Services Research Paro, Alessandro Rice, Daniel R. Hyer, J. Madison Palmer, Elizabeth Ejaz, Aslam Shaikh, Chanza Fahim Pawlik, Timothy M. Telehealth Utilization Among Surgical Oncology Patients at a Large Academic Cancer Center |
title | Telehealth Utilization Among Surgical Oncology Patients at a Large Academic Cancer Center |
title_full | Telehealth Utilization Among Surgical Oncology Patients at a Large Academic Cancer Center |
title_fullStr | Telehealth Utilization Among Surgical Oncology Patients at a Large Academic Cancer Center |
title_full_unstemmed | Telehealth Utilization Among Surgical Oncology Patients at a Large Academic Cancer Center |
title_short | Telehealth Utilization Among Surgical Oncology Patients at a Large Academic Cancer Center |
title_sort | telehealth utilization among surgical oncology patients at a large academic cancer center |
topic | Global Health Services Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9331038/ https://www.ncbi.nlm.nih.gov/pubmed/35896926 http://dx.doi.org/10.1245/s10434-022-12259-9 |
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