. 2018 Sep; 38:540-545.
doi: 10.1200/EDBK_200141.

Telemedicine in Cancer Care

S Joseph Sirintrapun 1 Ana Maria Lopez 1 
  • PMID: 30231354
  •     67 citations


Telemedicine uses telecommunications technology as a tool to deliver health care to populations with limited access to care. Telemedicine has been tested in multiple clinical settings, demonstrating at least equivalency to in-person care and high levels of patient and health professional satisfaction. Teleoncology has been demonstrated to improve access to care and decrease health care costs. Teleconsultations may take place in a synchronous, asynchronous, or blended format. Examples of successful teleoncology applications include cancer telegenetics, bundling of cancer-related teleapplications, remote chemotherapy supervision, symptom management, survivorship care, palliative care, and approaches to increase access to cancer clinical trials. Telepathology is critical to cancer care and may be accomplished synchronously and asynchronously for both cytology and tissue diagnoses. Mobile applications support symptom management, lifestyle modification, and medication adherence as a tool for home-based care. Telemedicine can support the oncologist with access to interactive tele-education. Teleoncology practice should maintain in-person professional standards, including documentation integrated into the patient's electronic health record. Telemedicine training is essential to facilitate rapport, maximize engagement, and conduct an accurate virtual exam. With the appropriate attachments, the only limitation to the virtual exam is palpation. The national telehealth resource centers can provide interested clinicians with the latest information on telemedicine reimbursement, parity, and practice. To experience the gains of teleoncology, appropriate training, education, as well as paying close attention to gaps, such as those inherent in the digital divide, are essential.

Home Virtual Visits for Outpatient Follow-Up Stroke Care: Cross-Sectional Study.
Ramana Appireddy, Sana Khan, +4 authors, Stephen L Archer.
J Med Internet Res, 2019 Oct 09; 21(10). PMID: 31593536    Free PMC article.
The use of mobile technology and peer navigation to promote adolescent and young adult (AYA) cancer survivorship care: results of a randomized controlled trial.
Jacqueline N Casillas, Lindsay F Schwartz, +6 authors, Deborah L Estrin.
J Cancer Surviv, 2019 Jul 28; 13(4). PMID: 31350681    Free PMC article.
Telemedicine for cancer patients during COVID-19 pandemic: between threats and opportunities.
Ronaldo Elkaddoum, Fady Gh Haddad, Roland Eid, Hampig Raphael Kourie.
Future Oncol, 2020 May 02; 16(18). PMID: 32356460    Free PMC article.
Cancer Patient Care during COVID-19.
Amer Harky, Chun Ming Chiu, Thomas Ho Lai Yau, Sheung Heng Daniel Lai.
Cancer Cell, 2020 May 16; 37(6). PMID: 32410898    Free PMC article.
A Practical Approach to the Management of Cancer Patients During the Novel Coronavirus Disease 2019 (COVID-19) Pandemic: An International Collaborative Group.
Humaid O Al-Shamsi, Waleed Alhazzani, +13 authors, Conghua Xie.
Oncologist, 2020 Apr 04; 25(6). PMID: 32243668    Free PMC article.
Highly Cited. Review.
Oncology during the COVID-19 pandemic: challenges, dilemmas and the psychosocial impact on cancer patients.
Konstantinos Tsamakis, Maria Gavriatopoulou, +15 authors, Emmanouil Rizos.
Oncol Lett, 2020 Jun 23; 20(1). PMID: 32565968    Free PMC article.
Virtual Management of Patients With Cancer During the COVID-19 Pandemic: Web-Based Questionnaire Study.
Emad Tashkandi, Ahmed Zeeneldin, +7 authors, Humaid O Al-Shamsi.
J Med Internet Res, 2020 Jun 06; 22(6). PMID: 32501807    Free PMC article.
Adapting to a Pandemic - Conducting Oncology Trials during the SARS-CoV-2 Pandemic.
Aaron C Tan, David M Ashley, Mustafa Khasraw.
Clin Cancer Res, 2020 Apr 22; 26(13). PMID: 32312892    Free PMC article.
The psychological challenges for oncological patients in times of COVID-19 pandemic: telemedicine, a solution?
Estelle Caroline Schade, Ronaldo Elkaddoum, Hampig Raphael Kourie.
Future Oncol, 2020 Jul 14; 16(29). PMID: 32659118    Free PMC article.
Treating Hematologic Malignancies During a Pandemic: Utilizing Telehealth and Digital Technology to Optimize Care.
Adam F Binder, Nathan R Handley, +2 authors, Ana Maria Lopez.
Front Oncol, 2020 Jul 18; 10. PMID: 32676459    Free PMC article.
Dual Challenge of Cancer and COVID-19: Impact on Health Care and Socioeconomic Systems in Asia Pacific.
Roselle De Guzman, Monica Malik.
JCO Glob Oncol, 2020 Jun 27; 6. PMID: 32589462    Free PMC article.
Telemedicine During the COVID-19 Pandemic: Impact on Care for Rare Cancers.
Alannah Smrke, Eugenie Younger, +11 authors, Robin L Jones.
JCO Glob Oncol, 2020 Jul 09; 6. PMID: 32639877    Free PMC article.
Driving Distance and Patient-Reported Outcomes in Hematopoietic Cell Transplantation Survivors.
Rahul Banerjee, Jean C Yi, +5 authors, Karen L Syrjala.
Biol Blood Marrow Transplant, 2020 Aug 12; 26(11). PMID: 32781287    Free PMC article.
The Day after Tomorrow: How Should We Address Health System Organization to Treat Cancer Patients after the Peak of the COVID-19 Epidemic?
Jean-Jacques Tuech, Alice Gangloff, +3 authors, Lilian Schwarz.
Oncology, 2020 Jul 20; 98(12). PMID: 32683373    Free PMC article.
Telerehabilitation for people with breast cancer through the COVID-19 pandemic in Chile.
Williams Mella-Abarca, Valentina Barraza-Sánchez, Karol Ramírez-Parada.
Ecancermedicalscience, 2020 Aug 31; 14. PMID: 32863879    Free PMC article.
Practical strategies to manage cancer patients during the COVID-19 pandemic: Saudi Oncology Pharmacy Assembly Experts recommendations.
Majed Alshamrani, Atika AlHarbi, +9 authors, Mohammed AlNahedh.
J Oncol Pharm Pract, 2020 Jun 26; 26(6). PMID: 32580641    Free PMC article.
Radiation Oncologist Perceptions of Telemedicine from Consultation to Treatment Planning: A Mixed-Methods Study.
Helen Zhang, Elaine E Cha, +4 authors, Erin F Gillespie.
Int J Radiat Oncol Biol Phys, 2020 Sep 06; 108(2). PMID: 32890525    Free PMC article.
"Connection Failed": A Word of Caution on Telemedicine in Radiation Oncology.
Tobias Finazzi, Alexandros Papachristofilou, Frank Zimmermann.
Int J Radiat Oncol Biol Phys, 2020 Sep 06; 108(2). PMID: 32890527    Free PMC article.
Rethinking palliative care in a public health context: addressing the needs of persons with non-communicable chronic diseases.
Chariklia Tziraki, Corrina Grimes, +22 authors, Maddalena Illario.
Prim Health Care Res Dev, 2020 Sep 16; 21. PMID: 32928334    Free PMC article.
Strategies to Maximize Available Resources With Minimum Cost Escalation for Improving Radiation Therapy Accessibility in the Post-Coronavirus Disease 2019 Era: An Analysis for Asia.
Niloy R Datta, Sneha Datta, Massoud Samiei.
Adv Radiat Oncol, 2020 Oct 01; 6(1). PMID: 32995668    Free PMC article.
Addressing Disparities in Lung Cancer Screening Eligibility and Healthcare Access. An Official American Thoracic Society Statement.
M Patricia Rivera, Hormuzd A Katki, +13 authors, Melinda C Aldrich.
Am J Respir Crit Care Med, 2020 Oct 02; 202(7). PMID: 33000953    Free PMC article.
Reimagining Global Oncology Clinical Trials for the Postpandemic Era: A Call to Arms.
Kamal S Saini, Begoña de Las Heras, +24 authors, Ahmad Awada.
JCO Glob Oncol, 2020 Sep 09; 6. PMID: 32897732    Free PMC article.
Delivering Cancer Care During the COVID-19 Pandemic: Recommendations and Lessons Learned From ASCO Global Webinars.
Abdul Rahman Jazieh, Stephen L Chan, +15 authors, Kazuhiro Yoshida.
JCO Glob Oncol, 2020 Oct 01; 6. PMID: 32997537    Free PMC article.
Telemedicine as the New Outpatient Clinic Gone Digital: Position Paper From the Pandemic Health System REsilience PROGRAM (REPROGRAM) International Consortium (Part 2).
Sonu Bhaskar, Sian Bradley, +9 authors, Daniel Ray.
Front Public Health, 2020 Oct 06; 8. PMID: 33014958    Free PMC article.
Healthcare delivery interventions to reduce cancer disparities worldwide.
James C Dickerson, Meera V Ragavan, Divya A Parikh, Manali I Patel.
World J Clin Oncol, 2020 Oct 10; 11(9). PMID: 33033693    Free PMC article.
A Regulatory Science Initiative to Harmonize and Standardize Digital Pathology and Machine Learning Processes to Speed up Clinical Innovation to Patients.
Hetal Desai Marble, Richard Huang, +14 authors, Jochen K Lennerz.
J Pathol Inform, 2020 Oct 13; 11. PMID: 33042601    Free PMC article.
Palliative Care Delivery in Cancer Patients in the Era of Covid-19 Outbreak: Unique Needs, Barriers, and Tools for Solutions.
Seema Mishra, Swagata Biswas, Sushma Bhatnagar.
Indian J Palliat Care, 2020 Oct 23; 26(Suppl 1). PMID: 33088103    Free PMC article.
The Impact of COVID-19 on Cancer Screening: Challenges and Opportunities.
Ramon S Cancino, Zhaohui Su, +2 authors, Jing Wang.
JMIR Cancer, 2020 Oct 08; 6(2). PMID: 33027039    Free PMC article.
The increasing value of eHealth in the delivery of patient-centred cancer care.
Frank J Penedo, Laura B Oswald, +3 authors, Betina Yanez.
Lancet Oncol, 2020 May 04; 21(5). PMID: 32359500    Free PMC article.
Pediatric Teleneuropsychology: Feasibility and Recommendations.
Danielle M Ransom, Sakina M Butt, +5 authors, Jennifer M Katzenstein.
Arch Clin Neuropsychol, 2020 Oct 27; 35(8). PMID: 33103715    Free PMC article.
Urban-Rural Disparities in Access to Low-Dose Computed Tomography Lung Cancer Screening in Missouri and Illinois.
Karthik W Rohatgi, Christine M Marx, +3 authors, Aimee S James.
Prev Chronic Dis, 2020 Nov 07; 17. PMID: 33155970    Free PMC article.
Evaluation of medical practices in oncology in the context of the COVID-19 pandemic in France: Physicians' point of view: the PRATICOVID study.
Carole Helissey, Anatole Cessot, +14 authors, Laurent Brureau.
Cancer Med, 2020 Oct 07; 9(23). PMID: 33022134    Free PMC article.
Completion rate and impact on physician-patient relationship of video consultations in medical oncology: a randomised controlled open-label trial.
Thomas Walle, Erkin Erdal, +20 authors, Eva C Winkler.
ESMO Open, 2020 Nov 19; 5(6). PMID: 33203685    Free PMC article.
Implications of Telemedicine in Oncology during the COVID-19 Pandemic.
Manasi Mahesh Shirke, Safwan Ahmed Shaikh, Amer Harky.
Acta Biomed, 2020 Sep 15; 91(3). PMID: 32921719    Free PMC article.
Impact of Telemedicine Use by Oncology Physicians on the Patient and Informal Caregiver Experience of Receiving Care: Protocol for a Scoping Review in the Context of COVID-19.
Maclean Thiessen, Andrea Michelle Soriano, Hal John Loewen, Kathleen Margaret Decker.
JMIR Res Protoc, 2020 Dec 09; 9(12). PMID: 33290243    Free PMC article.
Frequency and outcome of SARS-CoV-2 infection in patients with adrenocortical carcinoma followed at a reference center in Italy.
Deborah Cosentini, Salvatore Grisanti, +5 authors, Alfredo Berruti.
Endocrine, 2021 Jan 06; 72(1). PMID: 33400171    Free PMC article.
Qualitative Methods for Refining a Web-Based Educational Tool for Patients Focused on Inherited Cancer Predisposition.
Ann Louise Tezak, Brenda Zuniga, +2 authors, Tuya Pal.
J Cancer Educ, 2021 Jan 06;. PMID: 33400205
Telemedicine and the current opportunities for the management of oncological patients in Peru in the context of COVID-19 pandemic.
Paola Montenegro, Luis Pinillos, +4 authors, Carlos Vallejos.
Crit Rev Oncol Hematol, 2020 Nov 24; 157. PMID: 33227573    Free PMC article.
Virtual oncology clinics during the COVID-19 pandemic.
David O'Reilly, Hailey Carroll, +14 authors, Michaela J Higgins.
Ir J Med Sci, 2021 Jan 16; 190(4). PMID: 33449331    Free PMC article.
"Swords and Shields" against COVID-19 for patients with cancer at "clean" and "pandemic" hospitals: are we ready for the second wave?
Cengiz Karacin, Ramazan Acar, +7 authors, Mutlu Dogan.
Support Care Cancer, 2021 Jan 23; 29(8). PMID: 33479795    Free PMC article.
Tele-health and cancer care in the era of COVID-19: New opportunities in low and middle income countries (LMICs).
Udhayvir Singh Grewal, Abhishek Shankar, +5 authors, Pritanjali Singh.
Cancer Treat Res Commun, 2021 Jan 20; 27. PMID: 33465561    Free PMC article.
Communicating Effectively via Tele-oncology (Comskil TeleOnc): a Guide for Best Practices for Communication Skills in Virtual Cancer Care.
Smita C Banerjee, Jessica M Staley, +5 authors, Patricia A Parker.
J Cancer Educ, 2021 Feb 06;. PMID: 33544315    Free PMC article.
Cancer patient experience of telephone clinics implemented in light of COVID-19.
Melanie Dalby, Alison Hill, Shereen Nabhani-Gebara.
J Oncol Pharm Pract, 2021 Jan 29; 27(3). PMID: 33504269    Free PMC article.
Optimizing the Use of Telemedicine in Oncology Care: Postpandemic Opportunities.
Karen E Knudsen, Cheryl Willman, Robert Winn.
Clin Cancer Res, 2020 Nov 25; 27(4). PMID: 33229457    Free PMC article.
Effectively Conducting Oncology Clinical Trials During the COVID-19 Pandemic.
Debra Nana Yeboa, Chidinma Anakwenze Akinfenwa, +11 authors, Zhongxing Liao.
Adv Radiat Oncol, 2021 Mar 10; 6(3). PMID: 33686374    Free PMC article.
Epidemiology and genomics of prostate cancer in Asian men.
Yao Zhu, Miao Mo, +5 authors, Dingwei Ye.
Nat Rev Urol, 2021 Mar 12; 18(5). PMID: 33692499
Decreased public pursuit of cancer-related information during the COVID-19 pandemic in the United States.
Siegfried Adelhoefer, Philipp Berning, +4 authors, Omar Dzaye.
Cancer Causes Control, 2021 Mar 09; 32(6). PMID: 33683506    Free PMC article.
The Out-of-Pocket Cost Burden of Cancer Care-A Systematic Literature Review.
Nicolas Iragorri, Claire de Oliveira, Natalie Fitzgerald, Beverley Essue.
Curr Oncol, 2021 Apr 04; 28(2). PMID: 33804288    Free PMC article.
Systematic Review.
Harnessing COVID-Driven Technical Innovations for Improved Multi-Disciplinary Cancer Care in the Post-COVID Era: The Virtual Patient Room.
Austin J Sim, Gage Redler, +7 authors, Stephen A Rosenberg.
Cancer Control, 2020 Oct 08; 27(1). PMID: 33023342    Free PMC article.
Optimizing e-learning in oncology during the COVID-19 pandemic and beyond.
Monica Malik, Deepthi Valiyaveettil, Deepa Joseph.
Radiat Oncol J, 2021 Apr 02; 39(1). PMID: 33794568    Free PMC article.
Lessons Learned: Patient Communication During the Pandemic.
Ehm Wang, I Real, +5 authors, E Dacanay.
Malays Orthop J, 2021 Apr 22; 15(1). PMID: 33880142    Free PMC article.
Virtual Multidisciplinary Tumor Boards: A Narrative Review Focused on Lung Cancer.
Vittorio Gebbia, Aurelia Guarini, +23 authors, Alberto Firenze.
Pulm Ther, 2021 Jun 06;. PMID: 34089169    Free PMC article.
Analysis of the Implementation of Telehealth Visits for Care of Patients With Cancer in Houston During the COVID-19 Pandemic.
Jorge G Darcourt, Kalia Aparicio, +10 authors, Jenny C Chang.
JCO Oncol Pract, 2020 Oct 08; 17(1). PMID: 33026951    Free PMC article.
Psycho-oncology service provisions for hospitalised cancer patients before and during the COVID-19 pandemic in an oncology centre in eastern India.
Arnab Mukherjee, Meheli Chatterjee, +5 authors, Soumitra Shankar Datta.
Ecancermedicalscience, 2021 Jun 24; 15. PMID: 34158830    Free PMC article.
Cancer in the Shadow of COVID: Early-Stage Breast and Prostate Cancer Patient Perspectives on Surgical Delays Due to COVID-19.
Claire Sokas, Masami Kelly, +5 authors, Quoc-Dien Trinh.
Ann Surg Oncol, 2021 Jun 26;. PMID: 34170430    Free PMC article.
Learning from Crisis: a Multicentre Study of Oncology Telemedicine Clinics Introduced During COVID-19.
Michael Grant, Helen Hockings, +10 authors, Thomas B Powles.
J Cancer Educ, 2021 Jul 03;. PMID: 34213751    Free PMC article.
Models of care for chronic myeloid leukemia patients during the COVID-19 pandemic in the United Kingdom: Changes in patient attitudes to remote consultations and future implications.
Nicholas Duncan, Nigel Deekes, +2 authors, Manoj Raghavan.
EJHaem, 2021 Jul 07;. PMID: 34226902    Free PMC article.
The Impact of COVID-19 on Cancer Care in the Post Pandemic World: Five Major Lessons Learnt from Challenges and Countermeasures of Major Asian Cancer Centres.
Laureline Gatellier, Abhishek Shankar, +30 authors, William Hwang.
Asian Pac J Cancer Prev, 2021 Mar 29; 22(3). PMID: 33773529    Free PMC article.
Economic Distress of Breast Cancer Patients Seeking Treatment at a Tertiary Cancer Center in Mumbai during COVID-19 Pandemic: A Cohort Study.
Tabassum Wadasadawala, Soumendu Sen, +6 authors, Sanjay K Mohanty.
Asian Pac J Cancer Prev, 2021 Mar 29; 22(3). PMID: 33773543    Free PMC article.
The Delivery of Orthopaedic Care midst COVID-19 and Social Distancing.
Alec S Kellish, Abraham Hakim, +2 authors, Matthew T Kleiner.
Arch Bone Jt Surg, 2021 Aug 24; 9(4). PMID: 34423083    Free PMC article.
The emotional impact of the COVID-19 outbreak on cancer outpatients and their caregivers: results of a survey conducted in the midst of the Italian pandemic.
Maria Silvia Cona, Eliana Rulli, +8 authors, Nicla La Verde.
Support Care Cancer, 2021 Aug 26;. PMID: 34432171    Free PMC article.
Cancer Treatment During COVID-19: A Qualitative Analysis of Patient-Perceived Risks and Experiences with Virtual Care.
Gotlib Conn Lesley, Houman Tahmasebi, +4 authors, Simron Singh.
J Patient Exp, 2021 Sep 07; 8. PMID: 34485693    Free PMC article.
Sequential Multiple Assignment Randomized Trial (SMART) to identify optimal sequences of telemedicine interventions for improving initiation of insulin therapy: A simulation study.
Xiaoxi Yan, David B Matchar, +3 authors, Bibhas Chakraborty.
BMC Med Res Methodol, 2021 Oct 02; 21(1). PMID: 34592951    Free PMC article.
Internet-Based Health Care Communication Among Cancer Survivors, 2011-2018 National Health Interview Survey.
Bian Liu, K Robin Yabroff, +2 authors, Xuesong Han.
Prev Chronic Dis, 2021 Sep 10; 18. PMID: 34499600    Free PMC article.
Impact of telemedicine adoption on accessibility and time to treatment in patients with thoracic malignancies during the COVID-19 pandemic.
Vivek Nimgaonkar, Charu Aggarwal, +9 authors, Melina E Marmarelis.
BMC Cancer, 2021 Oct 13; 21(1). PMID: 34635061    Free PMC article.
The Utilization and Benefits of Telehealth Services by Health Care Professionals Managing Breast Cancer Patients during the COVID-19 Pandemic.
Donovan A McGrowder, Fabian G Miller, +8 authors, Lowell Dilworth.
Healthcare (Basel), 2021 Oct 24; 9(10). PMID: 34683081    Free PMC article.
Identifying key barriers to effective breast cancer control in rural settings.
Brian L Sprague, Thomas P Ahern, +3 authors, Marie E Wood.
Prev Med, 2021 Jul 25; 152(Pt 2). PMID: 34302837    Free PMC article.