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Updates in Cancer Rehabilitation Telehealth

  • Cancer Rehabilitation (C Kline-Quiroz, Section Editor)
  • Published:
Current Physical Medicine and Rehabilitation Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

To describe the various uses of telehealth as it applies to cancer rehabilitation and to review recent findings since the onset of the COVID-19 pandemic.

Recent Findings

Telehealth has numerous applications in cancer rehabilitation including physiatry services, skilled therapies, exercise interventions, symptom management, and support groups. Numerous studies have shown that regular physician and skilled therapy services can be provided through telehealth platforms, though certain clinical situations may require in-person visits. Telehealth exercise-based interventions are feasible, safe, and can improve quality of life. Telehealth also may be an effective tool in symtom management and as a medium for support groups.

Summary

Telemedicine and telehealth platforms are effective tools in the field of cancer rehabilitation that not only provide increased safety and convenience for a burdened patient population but may also hold the potential to elevate beyond the current standard of care.

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References

  1. What is telehealth? How is telehealth different from telemedicine? | HealthIT.gov. Accessed October 18, 2022. https://www.healthit.gov/faq/what-telehealth-how-telehealth-different-telemedicine.

  2. CDC. People with certain medical conditions. Centers for Disease Control and Prevention. Published May 2, 2022. Accessed May 7, 2022. https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-with-medical-conditions.html.

  3. COVID-19: What people with cancer should know - NCI. Published March 13, 2020. Accessed May 7, 2022. https://www.cancer.gov/about-cancer/coronavirus/coronavirus-cancer-patient-information.

  4. ElGohary GM, Hashmi S, Styczynski J, et al. The risk and prognosis of COVID-19 infection in cancer patients: a systematic review and meta-analysis. Hematol Oncol Stem Cell Ther. 2020;S1658-3876(20):30122–9. https://doi.org/10.1016/j.hemonc.2020.07.005.

    Article  Google Scholar 

  5. Gonella F, Massucco P, Perotti S, et al. Telemedicine prehabilitation as a result of COVID-19: disruptive technological solutions. Bri J Surg. 2021;108(6):e215–6. https://doi.org/10.1093/bjs/znab066.

    Article  CAS  Google Scholar 

  6. Dennett A, Harding KE, Reimert J, Morris R, Parente P, Taylor NF. Telerehabilitation’s safety, feasibility, and exercise uptake in cancer survivors: process evaluation. JMIR Cancer. 2021;7(4):e33130. https://doi.org/10.2196/33130.

    Article  Google Scholar 

  7. Samson LW, Tarazi W, Turrini G, Sheingold S. Medicare beneficiaries’ use of telehealth in 2020: trends by beneficiary characteristics and location. Published online December 3, 2021. Accessed December 27, 2021. https://aspe.hhs.gov/sites/default/files/documents/a1d5d810fe3433e18b192be42dbf2351/medicare-telehealth-report.pdf.

  8. Patel SY, Mehrotra A, Huskamp HA, Uscher-Pines L, Ganguli I, Barnett ML. Trends in outpatient care delivery and telemedicine during the COVID-19 pandemic in the US. JAMA Intern Med. 2021;181(3):388–91. https://doi.org/10.1001/jamainternmed.2020.5928.

    Article  Google Scholar 

  9. Mehrotra A, Bhatia RS, Snoswell CL. Paying for telemedicine after the pandemic. JAMA. 2021;325(5):431–2. https://doi.org/10.1001/jama.2020.25706.

    Article  Google Scholar 

  10. Wosik J, Fudim M, Cameron B, et al. Telehealth transformation: COVID-19 and the rise of virtual care. J Am Med Inform Assoc. 2020;27(6):957–62. https://doi.org/10.1093/jamia/ocaa067.

    Article  Google Scholar 

  11. Rocque GB, Williams CP, Miller HD, et al. Impact of travel time on health care costs and resource use by phase of care for older patients with cancer. J Clin Oncol. 2019;37(22):1935–45. https://doi.org/10.1200/JCO.19.00175.

    Article  Google Scholar 

  12. Huang MH, Blackwood J, Godoshian M, Pfalzer L. Prevalence of self-reported falls, balance or walking problems in older cancer survivors from Surveillance, Epidemiology and End Results-Medicare Health Outcomes Survey. J Geriatr Oncol. 2017;8(4):255–61. https://doi.org/10.1016/j.jgo.2017.05.008.

    Article  Google Scholar 

  13. Cheville AL, Mustian K, Winters-Stone K, Zucker DS, Gamble GL, Alfano CM. Cancer rehabilitation: an overview of current need, delivery models, and levels of care. Phys Med Rehabil Clin N Am. 2017;28(1):1–17. https://doi.org/10.1016/j.pmr.2016.08.001.

    Article  Google Scholar 

  14. Tenforde AS, Iaccarino MA, Borgstrom H, et al. Telemedicine during COVID-19 for outpatient sports and musculoskeletal medicine physicians. PM R. 2020;12(9):926–32. https://doi.org/10.1002/pmrj.12422.

    Article  Google Scholar 

  15. Chang PJ, Jay GM, Kalpakjian C, Andrews C, Smith S. Patient and provider-reported satisfaction of cancer rehabilitation telemedicine visits during the COVID-19 pandemic. PM R. 2021;13(12):1362–8. https://doi.org/10.1002/pmrj.12552.

    Article  Google Scholar 

  16. Verduzco-Gutierrez M, Bean AC, Tenforde AS, Tapia RN, Silver JK. How to conduct an outpatient telemedicine rehabilitation or prehabilitation visit. PM R. 2020;12(7):714–20. https://doi.org/10.1002/pmrj.12380.

    Article  Google Scholar 

  17. Laskowski ER, Johnson SE, Shelerud RA, et al. The telemedicine musculoskeletal examination. Mayo Clin Proc. 2020;95(8):1715–31. https://doi.org/10.1016/j.mayocp.2020.05.026.

    Article  CAS  Google Scholar 

  18. Lopez CJ, Edwards B, Langelier DM, Chang EK, Chafranskaia A, Jones JM. Delivering virtual cancer rehabilitation programming during the first 90 days of the COVID-19 pandemic: a multimethod study. Arch Phys Med Rehabil. 2021;102(7):1283–93. https://doi.org/10.1016/j.apmr.2021.02.002.

    Article  Google Scholar 

  19. Chang P, Asher A. Cancer telerehabilitation. Physical Med Rehabilitation Clin North Am. 2021. https://doi.org/10.1016/j.pmr.2020.12.001.

  20. Butt Z, Kirsten L, Beatty L, Kelly B, Dhillon H, Shaw JM. Barriers and enablers to implementing telehealth consultations in psycho-oncology. Psycho-Oncology. 2022. https://doi.org/10.1002/pon.5939.

  21. Koç Z, Kaplan E, Tanrıverdi D. The effectiveness of telehealth programs on the mental health of women with breast cancer: a systematic review. J Telemed Telecare. 2022:1357633X211069663. https://doi.org/10.1177/1357633X211069663.

  22. Sansom-Daly UM, Wakefield CE, Ellis SJ, et al. Online, group-based psychological support for adolescent and young adult cancer survivors: results from the recapture life randomized trial. Cancers. 2021;13(10):2460. https://doi.org/10.3390/cancers13102460.

    Article  Google Scholar 

  23. Melton L, Brewer B, Kolva E, Joshi T, Bunch M. Increasing access to care for young adults with cancer: results of a quality-improvement project using a novel telemedicine approach to supportive group psychotherapy*. Palliative & Supportive Care. 2017;15(2):176–80. https://doi.org/10.1017/S1478951516000572.

    Article  Google Scholar 

  24. Hwang NK, Jung YJ, Park JS. Information and communications technology-based telehealth approach for occupational therapy interventions for cancer survivors: a systematic review. [Review]. Healthcare. 2020;8(4). https://doi.org/10.3390/healthcare8040355.

  25. Lai LL, Player H, Hite S, et al. Feasibility of remote occupational therapy services via telemedicine in a breast cancer recovery program. AJOT: Am J Occup Ther. 2021;75(2). https://doi.org/10.5014/ajot.2021.042119.

  26. Mella-Abarca W, Barraza-Sánchez V, Ramírez-Parada K. Model of telerehabilitation for people with breast cancer during the COVID-19 pandemic in Chile. https://doi.org/10.3332/ecancer.2020.1085.

  27. Lafaro KJ, Raz DJ, Kim JY, et al. Pilot study of a telehealth perioperative physical activity intervention for older adults with cancer and their caregivers. Support Care Cancer. 2020;28(8):3867–77. https://doi.org/10.1007/s00520-019-05230-0.

    Article  Google Scholar 

  28. Okechukwu CE, Okechukwu CE, Deb AA, Agag A, Naushad N, Abbas S. Precautionary measures before tailoring and commencing a tele-supervised home-based exercise oncology program for older patients with cancer and post-treatment cancer survivors in the COVID-19 era. J Geriatr Oncol. 2022;13(2):241–4. https://doi.org/10.1016/j.jgo.2021.08.001.

    Article  CAS  Google Scholar 

  29. Nilsen ML, Clump DA II, Kubik M, et al. Prevision of multidisciplinary head and neck cancer survivorship care during the 2019 novel coronavirus pandemic. Head Neck. 2020;42(7):1668–73. https://doi.org/10.1002/hed.26256.

    Article  Google Scholar 

  30. Wall LR, Ward EC, Cartmill B, Hill AJ, Porceddu SV. Examining user perceptions of SwallowIT: a pilot study of a new telepractice application for delivering intensive swallowing therapy to head and neck cancer patients. J Telemed Telecare. 2017;23(1):53–9. https://doi.org/10.1177/1357633X15617887.

    Article  Google Scholar 

  31. American Cancer Society Guideline for Diet and Physical Activity. Accessed July 4, 2022. https://www.cancer.org/healthy/eat-healthy-get-active/acs-guidelines-nutrition-physical-activity-cancer-prevention/guidelines.html.

  32. National Comprehensive Cancer Network. NCCN Clinical Practice Guidelines in Oncology: Survivorship. Published online March 30, 2022. Accessed July 4, 2022. https://www.nccn.org/professionals/physician_gls/pdf/survivorship.pdf.

  33. Campbell KL, Winters-Stone KM, Wiskemann J, et al. Exercise guidelines for cancer survivors: consensus statement from international multidisciplinary roundtable. Med Sci Sports Exerc. 2019;51(11):2375–90. https://doi.org/10.1249/MSS.0000000000002116.

    Article  Google Scholar 

  34. Snyder S, Silva RF, Whisenant MS, Milbury K. Videoconferenced yoga interventions for cancer patients and their caregivers during the COVID-19 pandemic: a report from a clinician’s perspective. Integr Cancer Ther. 2021;20:15347354211019112. https://doi.org/10.1177/15347354211019111.

    Article  CAS  Google Scholar 

  35. Lafaro KJ, Raz DJ, Kim JY, et al. Pilot study of a telehealth perioperative physical activity intervention for older adults with cancer and their caregivers. Support Care Cancer. 2020;28(8):3867–77. https://doi.org/10.1007/s00520-019-05230-0.

    Article  Google Scholar 

  36. Mendoza JA, Baker KS, Moreno MA, et al. A Fitbit and Facebook mHealth intervention for promoting physical activity among adolescent and young adult childhood cancer survivors: a pilot study. Pediatric Blood Cancer. 2017;64(12):e26660. https://doi.org/10.1002/pbc.26660.

    Article  Google Scholar 

  37. Morrison KS, Paterson C, Toohey K. The feasibility of exercise interventions delivered via telehealth for people affected by cancer: a rapid review of the literature. Semin Oncol Nurs. 2020;36(6):151092. https://doi.org/10.1016/j.soncn.2020.151092.

    Article  Google Scholar 

  38. Berry D, Blonquist T, Nayak M, Grenon N, Momani T, McCleary N. Self-care support for patients with gastrointestinal cancer: iCancerHealth. Appl Clin Inform. 2018;09(04):833–40. https://doi.org/10.1055/s-0038-1675810.

    Article  Google Scholar 

  39. Myers JS, Cook-Wiens G, Baynes R, et al. Emerging from the haze: a multicenter, controlled pilot study of a multidimensional, psychoeducation-based cognitive rehabilitation intervention for breast cancer survivors delivered with telehealth conferencing. Arch Phys Med Rehabil. 2020;101(6):948–59. https://doi.org/10.1016/j.apmr.2020.01.021.

    Article  Google Scholar 

  40. Basch E, Schrag D, Henson S, et al. Effect of electronic symptom monitoring on patient-reported outcomes among patients with metastatic cancer: a randomized clinical trial. JAMA. 2022;327(24):2413–22. https://doi.org/10.1001/jama.2022.9265.

    Article  Google Scholar 

  41. Kwok C, Degen C, Moradi N, Stacey D. Nurse-led telehealth interventions for symptom management in patients with cancer receiving systemic or radiation therapy: a systematic review and meta-analysis. Support Care Cancer. https://doi.org/10.1007/s00520-022-07052-z.

  42. Li J, Zhu C, Liu C, Su Y, Peng X, Hu X. Effectiveness of eHealth interventions for cancer-related pain, fatigue, and sleep disorders in cancer survivors: a systematic review and meta-analysis of randomized controlled trials. J Nurs Scholarsh. 2022;54(2):184–90. https://doi.org/10.1111/jnu.12729.

    Article  Google Scholar 

  43. Basch E, Deal AM, Kris MG, et al. Symptom monitoring with patient-reported outcomes during routine cancer treatment: a randomized controlled trial. J Clin Oncol. 2016;34(6):557–65. https://doi.org/10.1200/JCO.2015.63.0830.

    Article  CAS  Google Scholar 

  44. Denis F, Basch E, Septans AL, et al. Two-year survival comparing web-based symptom monitoring vs routine surveillance following treatment for lung cancer. JAMA. 2019;321(3):306–7. https://doi.org/10.1001/jama.2018.18085.

    Article  Google Scholar 

  45. Trevino KM, Raghunathan N, Latte-Naor S, et al. Rapid deployment of virtual mind-body interventions during the COVID-19 outbreak: feasibility, acceptability, and implications for future care. Support Care Cancer. 2021;29(2):543–6. https://doi.org/10.1007/s00520-020-05740-2.

    Article  Google Scholar 

  46. Zhu H, Chen X, Yang J, Wu Q, Zhu J, Chan SWC. Mobile breast cancer e-support program for Chinese women with breast cancer undergoing chemotherapy (part 3): secondary data analysis. JMIR Mhealth Uhealth. 2020;8(9):e18896. https://doi.org/10.2196/18896.

    Article  Google Scholar 

  47. Thakkar A, Gonzalez-Lugo JD, Goradia N, et al. Seroconversion rates following COVID-19 vaccination among patients with cancer. Cancer Cell. 2021;39(8):1081-1090.e2. https://doi.org/10.1016/j.ccell.2021.06.002.

    Article  CAS  Google Scholar 

  48. Grivas P, Khaki AR, Wise-Draper TM, et al. Association of clinical factors and recent anticancer therapy with COVID-19 severity among patients with cancer: a report from the COVID-19 and Cancer Consortium. Ann Oncol. 2021;32(6):787–800. https://doi.org/10.1016/j.annonc.2021.02.024.

    Article  CAS  Google Scholar 

  49. Chavez-MacGregor M, Lei X, Zhao H, Scheet P, Giordano SH. Evaluation of COVID-19 mortality and adverse outcomes in US patients with or without cancer. JAMA Oncol. 2022;8(1):69–78. https://doi.org/10.1001/jamaoncol.2021.5148.

    Article  Google Scholar 

  50. Lin Z, Chen J, Han S. Impact of anti-cancer therapy on disease severity and mortality in cancer patients with COVID-19: a systematic review and meta-analysis. Expert Rev Anticancer Ther. 2021;21(9):1055–66. https://doi.org/10.1080/14737140.2021.1927721.

    Article  CAS  Google Scholar 

  51. Várnai C, Palles C, Arnold R, et al. Mortality among adults with cancer undergoing chemotherapy or immunotherapy and infected with COVID-19. JAMA Network Open. 2022;5(2):e220130. https://doi.org/10.1001/jamanetworkopen.2022.0130.

    Article  Google Scholar 

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Authors and Affiliations

  1. Cedars Sinai Medical Center, 250 N. Robertson Blvd, Suite 403, Beverly Hills, Los Angeles, CA, 90211, USA

    Philip Chang

  2. University of Pennsylvania, Philadelphia, PA, USA

    Jasmine Zheng

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Correspondence to Philip Chang.

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Chang, P., Zheng, J. Updates in Cancer Rehabilitation Telehealth. Curr Phys Med Rehabil Rep 10, 332–338 (2022). https://doi.org/10.1007/s40141-022-00372-5

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