Factors Associated With Cancer Patients’ Preferences for Telemedicine or In-Person Palliative Care
Prior studies demonstrate sociodemographic factors as barriers to telemedicine. Greater understanding of telemedicine preferences in cancer patients receiving palliative care and factors associated with their preferences could inform future care delivery in this vulnerable population. This study aim...
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| Published in: | Journal of pain and symptom management Vol. 70; no. 2; pp. e159 - e166 |
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| Main Authors: | , , , , , , , |
| Format: | Journal Article |
| Language: | English |
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Elsevier Inc
01.08.2025
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| ISSN: | 0885-3924, 1873-6513, 1873-6513 |
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| Abstract | Prior studies demonstrate sociodemographic factors as barriers to telemedicine. Greater understanding of telemedicine preferences in cancer patients receiving palliative care and factors associated with their preferences could inform future care delivery in this vulnerable population. This study aimed to identify cancer patients’ preferences for in-person vs. telemedicine palliative care visits in real-world clinical practice and associated patient-centric factors.
This was a retrospective study involving chart review of in-person or telemedicine palliative care visits between September 2021 and October 2021, during which patients’ preferences for telemedicine or in-person visits and perceived difficulty coming in-person were routinely asked. Their answers were collected from the electronic chart. Associations between visit preference and sociodemographic and clinical factors were identified.
Of 400 patients, mean age was 59 years. 217 (54%) were female. 285 (71%) were White. Most had advanced cancer (344; 86%). 83% (n = 333) preferred telemedicine. 72% (n = 288) cited difficulty coming in-person. On univariate analysis, female gender (P = 0.03), college completion (P < 0.01), and perceived difficulty coming in-person (P < 0.01) were associated with preferring telemedicine. Positive Cut-Down, Annoyed, Guilty, Eye-Opener-Adapted to Include Drugs (CAGE-AID) score (P = 0.02) was associated with in-person preference. On multivariate analyses, perceived difficulty coming in-person was associated with telemedicine preference (OR: 16.81; 95% CI: 7.91–35.28; P < 0.01). A positive CAGE-AID score was associated with in-person preference (OR: 0.17; 95% CI: 0.05–0.59; P = 0.01).
Most patients having outpatient palliative care visits preferred telemedicine. Perceived difficulty coming in-person was associated with telemedicine preference. Patients with positive CAGE-AID scores were less likely to prefer telemedicine. |
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| AbstractList | Prior studies demonstrate sociodemographic factors as barriers to telemedicine. Greater understanding of telemedicine preferences in cancer patients receiving palliative care and factors associated with their preferences could inform future care delivery in this vulnerable population. This study aimed to identify cancer patients’ preferences for in-person vs. telemedicine palliative care visits in real-world clinical practice and associated patient-centric factors.
This was a retrospective study involving chart review of in-person or telemedicine palliative care visits between September 2021 and October 2021, during which patients’ preferences for telemedicine or in-person visits and perceived difficulty coming in-person were routinely asked. Their answers were collected from the electronic chart. Associations between visit preference and sociodemographic and clinical factors were identified.
Of 400 patients, mean age was 59 years. 217 (54%) were female. 285 (71%) were White. Most had advanced cancer (344; 86%). 83% (n = 333) preferred telemedicine. 72% (n = 288) cited difficulty coming in-person. On univariate analysis, female gender (P = 0.03), college completion (P < 0.01), and perceived difficulty coming in-person (P < 0.01) were associated with preferring telemedicine. Positive Cut-Down, Annoyed, Guilty, Eye-Opener-Adapted to Include Drugs (CAGE-AID) score (P = 0.02) was associated with in-person preference. On multivariate analyses, perceived difficulty coming in-person was associated with telemedicine preference (OR: 16.81; 95% CI: 7.91–35.28; P < 0.01). A positive CAGE-AID score was associated with in-person preference (OR: 0.17; 95% CI: 0.05–0.59; P = 0.01).
Most patients having outpatient palliative care visits preferred telemedicine. Perceived difficulty coming in-person was associated with telemedicine preference. Patients with positive CAGE-AID scores were less likely to prefer telemedicine. Prior studies demonstrate sociodemographic factors as barriers to telemedicine. Greater understanding of telemedicine preferences in cancer patients receiving palliative care and factors associated with their preferences could inform future care delivery in this vulnerable population.CONTEXTPrior studies demonstrate sociodemographic factors as barriers to telemedicine. Greater understanding of telemedicine preferences in cancer patients receiving palliative care and factors associated with their preferences could inform future care delivery in this vulnerable population.This study aimed to identify cancer patients' preferences for in-person versus telemedicine palliative care visits in real-world clinical practice and associated patient-centric factors.OBJECTIVESThis study aimed to identify cancer patients' preferences for in-person versus telemedicine palliative care visits in real-world clinical practice and associated patient-centric factors.This was a retrospective study involving chart review of in-person or telemedicine palliative care visits between September 2021 and October 2021, during which patients' preferences for telemedicine or in-person visits and perceived difficulty coming in-person were routinely asked. Their answers were collected from the electronic chart. Associations between visit preference and sociodemographic and clinical factors were identified.METHODSThis was a retrospective study involving chart review of in-person or telemedicine palliative care visits between September 2021 and October 2021, during which patients' preferences for telemedicine or in-person visits and perceived difficulty coming in-person were routinely asked. Their answers were collected from the electronic chart. Associations between visit preference and sociodemographic and clinical factors were identified.Of 400 patients, mean age was 59 years. 217 (54%) were female. 285 (71%) were White. Most had advanced cancer (344; 86%). 83% (n=333) preferred telemedicine. 72% (n=288) cited difficulty coming in-person. On univariate analysis, female gender (p=0.03), college completion (p<0.01), and perceived difficulty coming in-person (p<0.01) were associated with preferring telemedicine. Positive Cut-Down, Annoyed, Guilty, Eye-Opener-Adapted to Include Drugs (CAGE-AID) score (p=0.02) was associated with in-person preference. On multivariate analyses, perceived difficulty coming in-person was associated with telemedicine preference (OR: 16.81; 95% CI: 7.91-35.28; p<0.01). A positive CAGE-AID score was associated with in-person preference (OR: 0.17; 95% CI: 0.05-0.59; p=0.01).RESULTSOf 400 patients, mean age was 59 years. 217 (54%) were female. 285 (71%) were White. Most had advanced cancer (344; 86%). 83% (n=333) preferred telemedicine. 72% (n=288) cited difficulty coming in-person. On univariate analysis, female gender (p=0.03), college completion (p<0.01), and perceived difficulty coming in-person (p<0.01) were associated with preferring telemedicine. Positive Cut-Down, Annoyed, Guilty, Eye-Opener-Adapted to Include Drugs (CAGE-AID) score (p=0.02) was associated with in-person preference. On multivariate analyses, perceived difficulty coming in-person was associated with telemedicine preference (OR: 16.81; 95% CI: 7.91-35.28; p<0.01). A positive CAGE-AID score was associated with in-person preference (OR: 0.17; 95% CI: 0.05-0.59; p=0.01).Most patients having outpatient palliative care visits preferred telemedicine. Perceived difficulty coming in-person was associated with telemedicine preference. Patients with positive CAGE-AID scores were less likely to prefer telemedicine.CONCLUSIONMost patients having outpatient palliative care visits preferred telemedicine. Perceived difficulty coming in-person was associated with telemedicine preference. Patients with positive CAGE-AID scores were less likely to prefer telemedicine. AbstractBackgroundPrior studies demonstrate sociodemographic factors as barriers to telemedicine. Greater understanding of telemedicine preferences in cancer patients receiving palliative care and factors associated with their preferences could inform future care delivery in this vulnerable population. This study aimed to identify cancer patients’ preferences for in-person vs. telemedicine palliative care visits in real-world clinical practice and associated patient-centric factors. MeasuresThis was a retrospective study involving chart review of in-person or telemedicine palliative care visits between September 2021 and October 2021, during which patients’ preferences for telemedicine or in-person visits and perceived difficulty coming in-person were routinely asked. Their answers were collected from the electronic chart. Associations between visit preference and sociodemographic and clinical factors were identified. OutcomesOf 400 patients, mean age was 59 years. 217 (54%) were female. 285 (71%) were White. Most had advanced cancer (344; 86%). 83% ( n = 333) preferred telemedicine. 72% ( n = 288) cited difficulty coming in-person. On univariate analysis, female gender ( P = 0.03), college completion ( P < 0.01), and perceived difficulty coming in-person ( P < 0.01) were associated with preferring telemedicine. Positive Cut-Down, Annoyed, Guilty, Eye-Opener-Adapted to Include Drugs (CAGE-AID) score ( P = 0.02) was associated with in-person preference. On multivariate analyses, perceived difficulty coming in-person was associated with telemedicine preference (OR: 16.81; 95% CI: 7.91–35.28; P < 0.01). A positive CAGE-AID score was associated with in-person preference (OR: 0.17; 95% CI: 0.05–0.59; P = 0.01). ConclusionsMost patients having outpatient palliative care visits preferred telemedicine. Perceived difficulty coming in-person was associated with telemedicine preference. Patients with positive CAGE-AID scores were less likely to prefer telemedicine. |
| Author | Chen, Minxing Taylor, Terry Tang, Michael Hui, David Narayanan, Santhosshi Kim, Min Ji Reddy, Akhila Bruera, Eduardo |
| Author_xml | – sequence: 1 givenname: Min Ji orcidid: 0000-0001-9797-8926 surname: Kim fullname: Kim, Min Ji email: mkim4@mdanderson.org organization: Department of Palliative (M.J.K., M.T., D.H., A.R., S.N., E.B.), Rehabilitation and Integrative Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA – sequence: 2 givenname: Michael orcidid: 0000-0003-1936-6136 surname: Tang fullname: Tang, Michael organization: Department of Palliative (M.J.K., M.T., D.H., A.R., S.N., E.B.), Rehabilitation and Integrative Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA – sequence: 3 givenname: Terry orcidid: 0000-0002-9034-3351 surname: Taylor fullname: Taylor, Terry organization: Department of Hospital Medicine (T.T.), The University of Texas MD Anderson Cancer Center, Houston, Texas, USA – sequence: 4 givenname: Minxing surname: Chen fullname: Chen, Minxing organization: Department of Biostatistics (M.C.), The University of Texas MD Anderson Cancer Center, Houston, Texas, USA – sequence: 5 givenname: David surname: Hui fullname: Hui, David organization: Department of Palliative (M.J.K., M.T., D.H., A.R., S.N., E.B.), Rehabilitation and Integrative Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA – sequence: 6 givenname: Akhila orcidid: 0000-0002-7628-8675 surname: Reddy fullname: Reddy, Akhila organization: Department of Palliative (M.J.K., M.T., D.H., A.R., S.N., E.B.), Rehabilitation and Integrative Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA – sequence: 7 givenname: Santhosshi orcidid: 0000-0003-0591-1500 surname: Narayanan fullname: Narayanan, Santhosshi organization: Department of Palliative (M.J.K., M.T., D.H., A.R., S.N., E.B.), Rehabilitation and Integrative Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA – sequence: 8 givenname: Eduardo orcidid: 0000-0002-8745-0412 surname: Bruera fullname: Bruera, Eduardo organization: Department of Palliative (M.J.K., M.T., D.H., A.R., S.N., E.B.), Rehabilitation and Integrative Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA |
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| Keywords | Patient preferences Palliative care Cancer patients Healthcare access Telemedicine |
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| SubjectTerms | Adult Aged Aged, 80 and over Anesthesia Cancer patients Female Healthcare access Humans Male Middle Aged Neoplasms - psychology Neoplasms - therapy Pain Medicine Palliative care Palliative Care - methods Palliative Care - psychology Patient Preference Patient preferences Retrospective Studies Telemedicine |
| Title | Factors Associated With Cancer Patients’ Preferences for Telemedicine or In-Person Palliative Care |
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