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The safety and acceptability of using telehealth for follow-up of patients following cancer surgery: A systematic review
INTRODUCTION: Although virtual consultations have played an increasing role in delivery of healthcare, the COVID-19 pandemic has hastened their adoption. Furthermore, virtual consultations are now being adopted in areas that were previously considered unsuitable, including post-operative visits for...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and the European Society of Surgical Oncology.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9458545/ https://www.ncbi.nlm.nih.gov/pubmed/36114050 http://dx.doi.org/10.1016/j.ejso.2022.08.037 |
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author | Xiao, Karren Yeung, Jonathan C. Bolger, Jarlath C. |
author_facet | Xiao, Karren Yeung, Jonathan C. Bolger, Jarlath C. |
author_sort | Xiao, Karren |
collection | PubMed |
description | INTRODUCTION: Although virtual consultations have played an increasing role in delivery of healthcare, the COVID-19 pandemic has hastened their adoption. Furthermore, virtual consultations are now being adopted in areas that were previously considered unsuitable, including post-operative visits for patients undergoing major surgical procedures, and surveillance following cancer operations. This review aims to examine the feasibility, safety, and patient satisfaction with virtual follow-up appointments after cancer operations. METHODS: A systematic review was conducted along PRISMA guidelines. Studies where patients underwent surgical resection of a malignancy with at least one study arm describing virtual follow-ups were included. Studies were assessed for quality. Outcomes including adverse events, detection of recurrence and patient and provider satisfaction were assessed and compared for those undergoing virtual or in-person post-operative visits. RESULTS: Eleven studies, with 3369 patients were included. Cancer types included were gynecological, colorectal, esophageal, lung, thyroid, breast, prostate and major HPB resections. Detection of recurrence and readmission rates were similar when comparing virtual consultations with in-person visits. Most studies showed high patient and healthcare provider satisfaction with virtual consultations following cancer resection. Concerns were raised about the integration of virtual consultations into workflows in fee-for-service settings, where reimbursement for virtual care may be an issue. CONCLUSION: Virtual follow-up care can provide timely and safe consultations in surgical oncology. Virtual consultations are as safe as in-person visits for assessing complications and recurrence. Where appropriate, virtual consultations can safely be integrated into the post-operative care pathway for those undergoing resection of malignancy. |
format | Online Article Text |
id | pubmed-9458545 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and the European Society of Surgical Oncology. |
record_format | MEDLINE/PubMed |
spelling | pubmed-94585452022-09-09 The safety and acceptability of using telehealth for follow-up of patients following cancer surgery: A systematic review Xiao, Karren Yeung, Jonathan C. Bolger, Jarlath C. Eur J Surg Oncol Review Article INTRODUCTION: Although virtual consultations have played an increasing role in delivery of healthcare, the COVID-19 pandemic has hastened their adoption. Furthermore, virtual consultations are now being adopted in areas that were previously considered unsuitable, including post-operative visits for patients undergoing major surgical procedures, and surveillance following cancer operations. This review aims to examine the feasibility, safety, and patient satisfaction with virtual follow-up appointments after cancer operations. METHODS: A systematic review was conducted along PRISMA guidelines. Studies where patients underwent surgical resection of a malignancy with at least one study arm describing virtual follow-ups were included. Studies were assessed for quality. Outcomes including adverse events, detection of recurrence and patient and provider satisfaction were assessed and compared for those undergoing virtual or in-person post-operative visits. RESULTS: Eleven studies, with 3369 patients were included. Cancer types included were gynecological, colorectal, esophageal, lung, thyroid, breast, prostate and major HPB resections. Detection of recurrence and readmission rates were similar when comparing virtual consultations with in-person visits. Most studies showed high patient and healthcare provider satisfaction with virtual consultations following cancer resection. Concerns were raised about the integration of virtual consultations into workflows in fee-for-service settings, where reimbursement for virtual care may be an issue. CONCLUSION: Virtual follow-up care can provide timely and safe consultations in surgical oncology. Virtual consultations are as safe as in-person visits for assessing complications and recurrence. Where appropriate, virtual consultations can safely be integrated into the post-operative care pathway for those undergoing resection of malignancy. Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and the European Society of Surgical Oncology. 2023-01 2022-09-09 /pmc/articles/PMC9458545/ /pubmed/36114050 http://dx.doi.org/10.1016/j.ejso.2022.08.037 Text en © 2022 Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
spellingShingle | Review Article Xiao, Karren Yeung, Jonathan C. Bolger, Jarlath C. The safety and acceptability of using telehealth for follow-up of patients following cancer surgery: A systematic review |
title | The safety and acceptability of using telehealth for follow-up of patients following cancer surgery: A systematic review |
title_full | The safety and acceptability of using telehealth for follow-up of patients following cancer surgery: A systematic review |
title_fullStr | The safety and acceptability of using telehealth for follow-up of patients following cancer surgery: A systematic review |
title_full_unstemmed | The safety and acceptability of using telehealth for follow-up of patients following cancer surgery: A systematic review |
title_short | The safety and acceptability of using telehealth for follow-up of patients following cancer surgery: A systematic review |
title_sort | safety and acceptability of using telehealth for follow-up of patients following cancer surgery: a systematic review |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9458545/ https://www.ncbi.nlm.nih.gov/pubmed/36114050 http://dx.doi.org/10.1016/j.ejso.2022.08.037 |
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