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Telemedicine and Palliative Care: an Increasing Role in Supportive Oncology

  • Lung Cancer (JM Johnson, Section Editor)
  • Published:
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Abstract

With the emergence of telemedicine as a routine form of care in various venues, the opportunities to use technology to care for the most vulnerable, most ill cancer patients are extremely appealing. Increasingly, evidence supports early integration of palliative care with standard oncologic care, supported by recent NCCN guidelines to increase and improve access to palliative care. This review looks at the use of telemedicine to expand access to palliative care as well as provide better care for patients and families where travel is difficult, if not impossible. When telemedicine has been used, often in Europe, for palliative care, the results show improvements in symptom management, comfort with care as well as patient and family satisfaction. One barrier to use of telemedicine is the concerns with technology and technology-related complications in population that is often elderly, frail and not always comfortable with non-face-to-face physician care. There remain significant opportunities to explore this intersection of supportive care and telemedicine.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. Kelley AS, Morrison RS. Palliative care for the serously ill. N Engl J Med. 2015;373:747–55.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Bakitas M, Lyons KD, Hegel MT, et al. Effects of a palliative care intervention on clinical outcomes in patients with advanced cancer: the project ENABLE II randomized controlled trial. JAMA. 2009;302(7):741–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Morrison RS, Meier DE. Palliative care. N Engl J Med. 2004;350:2582–259.

    Article  CAS  PubMed  Google Scholar 

  4. Wright AA, Zhang B, Ray A, et al. Associations between end-of-life discussions, patient mental health, medical care near death, and caregiver bereavement adjustment. JAMA. 2008;300:1665–73.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Temel JS, Greer JA, Muzikansky A, et al. Early palliative care for patients with metastatic non-small-cell lung cancer. N Engl J Med. 2010;363:733–42.

    Article  CAS  PubMed  Google Scholar 

  6. Center to Advance Palliative Care. America’s care of serious illness: a state-by-state report card on access to palliative care in our nation’s hospitals. 2011. Available at: http://reportcard.capc.org/pdf/state-by-state-report-card.pdf.

  7. •• Rabow M, Kvale E, Barbour L, et al. Moving upstream: a review of the evidence of the impact of outpatient palliative care. J Palliat Med. 2013;16(12):1540–9. This review looks at the growing body of evidence supporting outpatient palliative care and its role in early intervention for seriously ill patients. As we try to push care outside of the hospital, it is important to examine all facets that make this possible

    Article  PubMed  Google Scholar 

  8. Burge FI, Lawson BJ, Johnston GM, Grunfeld E. A population-based study of age inequalities in access to palliative care among cancer patients. Med Care. 2008;46:1203–11.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Lupu D. Estimate of current hospice and palliative medicine physician workforce shortage. J Pain Symptom Manag. 2010;40(6):899–911.

    Article  Google Scholar 

  10. Kelley AS. Epidemiology of care for patients with serious illness. J Palliat Med. 2013;16:730–3.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Perednia DA, Allen A. Telemedicine technology and clinical applications. JAMA. 1995;273(6):483–8.

    Article  CAS  PubMed  Google Scholar 

  12. Gellis ZD, Kenaley B, McGinty J, et al. Outcomes of a telehealth intervention for homebound older adults with heart or chronic respiratory failure: a randomized controlled trial. Gerontologist. 2012;52(4):541–52.

    Article  PubMed  Google Scholar 

  13. Aoki N, Ohta S, Yamamoto H, et al. Triangulation analysis of tele-palliative care implementation in a rural community area in Japan. Telemed J E Health. 2006;12(6):655–62.

    Article  PubMed  Google Scholar 

  14. Kidd L, Cayless S, Johnson B, Wengstrom Y. Telehealth in palliative care in the UK: a review of the evidence. J Telemed and Telecare. 2010; doi:10.1258/jtt.2010.091108.

    Google Scholar 

  15. Lloyd-Williams M. Out-of-hours palliative care advice line. Br J Gen Pract. 2001;51:677.

    CAS  PubMed  PubMed Central  Google Scholar 

  16. •• Hennemann-Krause L, Lopes AJ, Araujo JA, et al. The assessment of telemedicine to support outpatient palliative care in advanced cancer. Pallaitive and Supportive Care. 2015;13(4):1025–30. This is one of the only interventions to this point that directly assesses the use of telemedicine and palliative care for oncology patients and is helpful to look at both the positive and negative facets of this intervention

    Article  Google Scholar 

  17. Informing Healthcare. Palliative care wales. NHS Wales 2009.

  18. HS Wales. CANISC: Cancer Network Information System Cymru. NHS Wales, 2014.

  19. McCall K, Keen J, Farrer K, et al. Perceptions of the use of a remote monitoring system in patients receiving palliative care at home. Int J Palliat Nurs. 2008;14:426–31.

    Article  PubMed  Google Scholar 

  20. Ong MK, Romano PS, Fonarow GC. Telemedicine in heart failure–ineffective or just ill used? JAMA Intern Med. 2016;176(7):1035–6.

    Article  PubMed  Google Scholar 

  21. • Achey, Meredith A., et al. A randomized controlled trial of telemedicine for Parkinson disease (Connect. Parkinson) in the United States: interim assessment of investigator and participant experiences. Mov Disord 2015. Vol. 30. Although this is a different patient population, it is a well conducted, multi-site intervention looking at how telemedicine care better care for seriously ill patients outside of the hospital. Additionally, it is helpful to get the feedback from the provider side of the telemedicine intervention.

  22. Bensink M, Hailey D, Wootton R. A systematic review of successes and failures in home telehealth: preliminary results. J Telemed Telecare. 2014;12(suppl 3):8–16.

    Google Scholar 

  23. Hartford K, Wong C, Zakaria D. Randomized controlled trial of a telephone intervention by nurses to provide information and support to patients and their partners after elective coronary artery bypass graft surgery: effects of anxiety. Heart Lung. 2002;31:199–206.

    Article  PubMed  Google Scholar 

  24. André B, Ringdal GI, Loge JH, Rannestad T, Kaasa S. Implementation of computerized technology in a palliative care unit. Palliative and Supportive Care. 2009;7(01):57–63.

    Article  PubMed  Google Scholar 

  25. Cox, A., Illsley, M., Knibb, W., Lucas, C., O’Driscoll, M., Potter, C., ... & Faithfull, S. The acceptability of e-technology to monitor and assess patient symptoms following palliative radiotherapy for lung cancer. Palliat Med 2001; 25(7): 675–681.

  26. Katalinic O, Young A, Doolan D. Case study: the interact home telehealth project. J Telemed Telecare. 2013;19(7):418–24.

    Article  PubMed  Google Scholar 

  27. •• Peretz D, Arnaert A, Ponzoni N. Determining the cost of implementing and operative a remote patient monitoring programme for the elderly with chronic conditions: a systematic review of economic evaluations. Journal of Telemeding and Telecare. 2016; doi:10.1177/1357633X16669239. It is helpful to see the financial impact of telemedicine given the push for controlled healthcare costs, more cost transparency as well as a need for physicians to further understand the financial impact of their interventions

    Google Scholar 

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Correspondence to Kristine Swartz.

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Brooke Worster and Kristine Swartz declare they have no conflict of interest.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Lung Cancer

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Worster, B., Swartz, K. Telemedicine and Palliative Care: an Increasing Role in Supportive Oncology. Curr Oncol Rep 19, 37 (2017). https://doi.org/10.1007/s11912-017-0600-y

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  • DOI: https://doi.org/10.1007/s11912-017-0600-y

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