A population-based survey of patients’ experiences with teleconsultations in cancer care in Denmark during the COVID-19 pandemic

Research output: Contribution to journalJournal articleResearchpeer-review

Standard

A population-based survey of patients’ experiences with teleconsultations in cancer care in Denmark during the COVID-19 pandemic. / Kjeldsted, Eva; Lindblad, Katrine Vammen; Bødtcher, Hanne; Sørensen, Dina Melanie; Rosted, Elizabeth; Christensen, Helle Gert; Svendsen, Mads Nordahl; Thomsen, Linda Aagaard; Dalton, Susanne Oksbjerg.

In: Acta Oncologica, Vol. 60, No. 10, 2021.

Research output: Contribution to journalJournal articleResearchpeer-review

Harvard

Kjeldsted, E, Lindblad, KV, Bødtcher, H, Sørensen, DM, Rosted, E, Christensen, HG, Svendsen, MN, Thomsen, LA & Dalton, SO 2021, 'A population-based survey of patients’ experiences with teleconsultations in cancer care in Denmark during the COVID-19 pandemic', Acta Oncologica, vol. 60, no. 10. https://doi.org/10.1080/0284186X.2021.1956688

APA

Kjeldsted, E., Lindblad, K. V., Bødtcher, H., Sørensen, D. M., Rosted, E., Christensen, H. G., Svendsen, M. N., Thomsen, L. A., & Dalton, S. O. (2021). A population-based survey of patients’ experiences with teleconsultations in cancer care in Denmark during the COVID-19 pandemic. Acta Oncologica, 60(10). https://doi.org/10.1080/0284186X.2021.1956688

Vancouver

Kjeldsted E, Lindblad KV, Bødtcher H, Sørensen DM, Rosted E, Christensen HG et al. A population-based survey of patients’ experiences with teleconsultations in cancer care in Denmark during the COVID-19 pandemic. Acta Oncologica. 2021;60(10). https://doi.org/10.1080/0284186X.2021.1956688

Author

Kjeldsted, Eva ; Lindblad, Katrine Vammen ; Bødtcher, Hanne ; Sørensen, Dina Melanie ; Rosted, Elizabeth ; Christensen, Helle Gert ; Svendsen, Mads Nordahl ; Thomsen, Linda Aagaard ; Dalton, Susanne Oksbjerg. / A population-based survey of patients’ experiences with teleconsultations in cancer care in Denmark during the COVID-19 pandemic. In: Acta Oncologica. 2021 ; Vol. 60, No. 10.

Bibtex

@article{d1acbe9878ec47e79e98de5e80ca61d8,
title = "A population-based survey of patients{\textquoteright} experiences with teleconsultations in cancer care in Denmark during the COVID-19 pandemic",
abstract = "Background: During the COVID-19 pandemic, teleconsultations (TC) have been increasingly used in cancer care as an alternative to outpatient visits. We aimed to examine patient-related and cancer-specific characteristics associated with experiences with TC among patients with cancer during the COVID-19 pandemic. Material and methods: This population-based survey included patients with breast, lung, gastrointestinal, urological, and gynaecological cancers with appointments in the outpatient clinics, Department of Clinical Oncology and Palliative Care, Zealand University Hospital, Denmark in March and April 2020. Age- and sex-adjusted logistic regression analyses were used to study associations of sociodemographics, cancer and general health, anxiety, and health literacy with patients{\textquoteright} experiences of TC in regards to being comfortable with TC, confident that the doctor could provide information or assess symptoms/side effects and the perceived outcome of TC. Results: Of the 2119 patients with cancer receiving the electronic survey, 1160 (55%) participated. Two thirds of patients (68%) had consultations with a doctor changed to TC. Being male, aged 65–79 years, and having TC for test results were statistically significantly associated with more comfort, confidence, and perceived better outcome of TC. Having breast cancer, anxiety, low health literacy, or TC for a follow-up consultation were statistically significantly associated with less positive experiences with TC. Living alone, short education, disability pension, and comorbidity were statistically significantly associated with anxiety and low health literacy. Conclusions: Most patients reported positive experiences with TC, but in particular patients with anxiety and low health literacy, who were also the patients with fewest socioeconomic and health resources, felt less comfortable and confident with and were more likely to perceive the outcome negatively from this form of consultation. TC may be suitable for increasing integration into standard cancer care but it should be carefully planned to meet patients{\textquoteright} different information needs in order not to increase social inequality in cancer.",
keywords = "COVID-19; coronavirus; cancer care; telehealth; teleconsultation",
author = "Eva Kjeldsted and Lindblad, {Katrine Vammen} and Hanne B{\o}dtcher and S{\o}rensen, {Dina Melanie} and Elizabeth Rosted and Christensen, {Helle Gert} and Svendsen, {Mads Nordahl} and Thomsen, {Linda Aagaard} and Dalton, {Susanne Oksbjerg}",
note = "Publisher Copyright: {\textcopyright} 2021 Acta Oncologica Foundation.",
year = "2021",
doi = "10.1080/0284186X.2021.1956688",
language = "English",
volume = "60",
journal = "Acta Oncologica",
issn = "1100-1704",
publisher = "Taylor & Francis",
number = "10",

}

RIS

TY - JOUR

T1 - A population-based survey of patients’ experiences with teleconsultations in cancer care in Denmark during the COVID-19 pandemic

AU - Kjeldsted, Eva

AU - Lindblad, Katrine Vammen

AU - Bødtcher, Hanne

AU - Sørensen, Dina Melanie

AU - Rosted, Elizabeth

AU - Christensen, Helle Gert

AU - Svendsen, Mads Nordahl

AU - Thomsen, Linda Aagaard

AU - Dalton, Susanne Oksbjerg

N1 - Publisher Copyright: © 2021 Acta Oncologica Foundation.

PY - 2021

Y1 - 2021

N2 - Background: During the COVID-19 pandemic, teleconsultations (TC) have been increasingly used in cancer care as an alternative to outpatient visits. We aimed to examine patient-related and cancer-specific characteristics associated with experiences with TC among patients with cancer during the COVID-19 pandemic. Material and methods: This population-based survey included patients with breast, lung, gastrointestinal, urological, and gynaecological cancers with appointments in the outpatient clinics, Department of Clinical Oncology and Palliative Care, Zealand University Hospital, Denmark in March and April 2020. Age- and sex-adjusted logistic regression analyses were used to study associations of sociodemographics, cancer and general health, anxiety, and health literacy with patients’ experiences of TC in regards to being comfortable with TC, confident that the doctor could provide information or assess symptoms/side effects and the perceived outcome of TC. Results: Of the 2119 patients with cancer receiving the electronic survey, 1160 (55%) participated. Two thirds of patients (68%) had consultations with a doctor changed to TC. Being male, aged 65–79 years, and having TC for test results were statistically significantly associated with more comfort, confidence, and perceived better outcome of TC. Having breast cancer, anxiety, low health literacy, or TC for a follow-up consultation were statistically significantly associated with less positive experiences with TC. Living alone, short education, disability pension, and comorbidity were statistically significantly associated with anxiety and low health literacy. Conclusions: Most patients reported positive experiences with TC, but in particular patients with anxiety and low health literacy, who were also the patients with fewest socioeconomic and health resources, felt less comfortable and confident with and were more likely to perceive the outcome negatively from this form of consultation. TC may be suitable for increasing integration into standard cancer care but it should be carefully planned to meet patients’ different information needs in order not to increase social inequality in cancer.

AB - Background: During the COVID-19 pandemic, teleconsultations (TC) have been increasingly used in cancer care as an alternative to outpatient visits. We aimed to examine patient-related and cancer-specific characteristics associated with experiences with TC among patients with cancer during the COVID-19 pandemic. Material and methods: This population-based survey included patients with breast, lung, gastrointestinal, urological, and gynaecological cancers with appointments in the outpatient clinics, Department of Clinical Oncology and Palliative Care, Zealand University Hospital, Denmark in March and April 2020. Age- and sex-adjusted logistic regression analyses were used to study associations of sociodemographics, cancer and general health, anxiety, and health literacy with patients’ experiences of TC in regards to being comfortable with TC, confident that the doctor could provide information or assess symptoms/side effects and the perceived outcome of TC. Results: Of the 2119 patients with cancer receiving the electronic survey, 1160 (55%) participated. Two thirds of patients (68%) had consultations with a doctor changed to TC. Being male, aged 65–79 years, and having TC for test results were statistically significantly associated with more comfort, confidence, and perceived better outcome of TC. Having breast cancer, anxiety, low health literacy, or TC for a follow-up consultation were statistically significantly associated with less positive experiences with TC. Living alone, short education, disability pension, and comorbidity were statistically significantly associated with anxiety and low health literacy. Conclusions: Most patients reported positive experiences with TC, but in particular patients with anxiety and low health literacy, who were also the patients with fewest socioeconomic and health resources, felt less comfortable and confident with and were more likely to perceive the outcome negatively from this form of consultation. TC may be suitable for increasing integration into standard cancer care but it should be carefully planned to meet patients’ different information needs in order not to increase social inequality in cancer.

KW - COVID-19; coronavirus; cancer care; telehealth; teleconsultation

U2 - 10.1080/0284186X.2021.1956688

DO - 10.1080/0284186X.2021.1956688

M3 - Journal article

C2 - 34338113

AN - SCOPUS:85111931194

VL - 60

JO - Acta Oncologica

JF - Acta Oncologica

SN - 1100-1704

IS - 10

ER -

ID: 304514896