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Satisfaction with Telemedicine for Cancer Pain Management: A Model of Care and Cross-Sectional Patient Satisfaction Study

Background: Since cancer pain requires complex modalities of care, the proper strategy for addressing its telemedicine-based management should be better defined. This study aimed to trace a pathway for a progressive implementation of the telemedicine process for the treatment of pain in the setting...

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Autores principales: Cascella, Marco, Coluccia, Sergio, Grizzuti, Mariacinzia, Romano, Maria Cristina, Esposito, Gennaro, Crispo, Anna, Cuomo, Arturo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9406413/
https://www.ncbi.nlm.nih.gov/pubmed/36005177
http://dx.doi.org/10.3390/curroncol29080439
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author Cascella, Marco
Coluccia, Sergio
Grizzuti, Mariacinzia
Romano, Maria Cristina
Esposito, Gennaro
Crispo, Anna
Cuomo, Arturo
author_facet Cascella, Marco
Coluccia, Sergio
Grizzuti, Mariacinzia
Romano, Maria Cristina
Esposito, Gennaro
Crispo, Anna
Cuomo, Arturo
author_sort Cascella, Marco
collection PubMed
description Background: Since cancer pain requires complex modalities of care, the proper strategy for addressing its telemedicine-based management should be better defined. This study aimed to trace a pathway for a progressive implementation of the telemedicine process for the treatment of pain in the setting of cancer patients. Methods: The features of the model were investigated to dissect the dropout from the telemedicine pathway. A cross-sectional patient satisfaction study was conducted. The degree of satisfaction was evaluated through a developed 22-item questionnaire (Likert scale 0–7). Results: A total of 375 video consultations for 164 patients (mean age 62.9 years) were performed through remote consultations for cancer pain management between March 2021 and February 2022. After the exclusion of 72 patients, 92 (56.1%) were included in the analysis. The dropout ratio was 8.7%. The number of visits and pharmacological therapies for neuropathic pain correlated with the risk for readmission (p < 0.05). Overall, the satisfaction was very high (mean > 5.5 for all items). Conclusion: Feedback from patients reflected high satisfaction rates with the care provided. A methodological approach based on the degree of satisfaction combined with the analysis of the pathways can help to implement the quality of a service provided through telemedicine. While not without limitations, our hybrid protocol can be useful for addressing cancer pain through a patient-centered approach.
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spelling pubmed-94064132022-08-26 Satisfaction with Telemedicine for Cancer Pain Management: A Model of Care and Cross-Sectional Patient Satisfaction Study Cascella, Marco Coluccia, Sergio Grizzuti, Mariacinzia Romano, Maria Cristina Esposito, Gennaro Crispo, Anna Cuomo, Arturo Curr Oncol Article Background: Since cancer pain requires complex modalities of care, the proper strategy for addressing its telemedicine-based management should be better defined. This study aimed to trace a pathway for a progressive implementation of the telemedicine process for the treatment of pain in the setting of cancer patients. Methods: The features of the model were investigated to dissect the dropout from the telemedicine pathway. A cross-sectional patient satisfaction study was conducted. The degree of satisfaction was evaluated through a developed 22-item questionnaire (Likert scale 0–7). Results: A total of 375 video consultations for 164 patients (mean age 62.9 years) were performed through remote consultations for cancer pain management between March 2021 and February 2022. After the exclusion of 72 patients, 92 (56.1%) were included in the analysis. The dropout ratio was 8.7%. The number of visits and pharmacological therapies for neuropathic pain correlated with the risk for readmission (p < 0.05). Overall, the satisfaction was very high (mean > 5.5 for all items). Conclusion: Feedback from patients reflected high satisfaction rates with the care provided. A methodological approach based on the degree of satisfaction combined with the analysis of the pathways can help to implement the quality of a service provided through telemedicine. While not without limitations, our hybrid protocol can be useful for addressing cancer pain through a patient-centered approach. MDPI 2022-08-04 /pmc/articles/PMC9406413/ /pubmed/36005177 http://dx.doi.org/10.3390/curroncol29080439 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Cascella, Marco
Coluccia, Sergio
Grizzuti, Mariacinzia
Romano, Maria Cristina
Esposito, Gennaro
Crispo, Anna
Cuomo, Arturo
Satisfaction with Telemedicine for Cancer Pain Management: A Model of Care and Cross-Sectional Patient Satisfaction Study
title Satisfaction with Telemedicine for Cancer Pain Management: A Model of Care and Cross-Sectional Patient Satisfaction Study
title_full Satisfaction with Telemedicine for Cancer Pain Management: A Model of Care and Cross-Sectional Patient Satisfaction Study
title_fullStr Satisfaction with Telemedicine for Cancer Pain Management: A Model of Care and Cross-Sectional Patient Satisfaction Study
title_full_unstemmed Satisfaction with Telemedicine for Cancer Pain Management: A Model of Care and Cross-Sectional Patient Satisfaction Study
title_short Satisfaction with Telemedicine for Cancer Pain Management: A Model of Care and Cross-Sectional Patient Satisfaction Study
title_sort satisfaction with telemedicine for cancer pain management: a model of care and cross-sectional patient satisfaction study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9406413/
https://www.ncbi.nlm.nih.gov/pubmed/36005177
http://dx.doi.org/10.3390/curroncol29080439
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