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Systematic Review

Virtual Care in Patients with Cancer: A Systematic Review

1
Person-Centred Care, Ontario Health (Cancer Care Ontario), Sunnybrook Health Sciences Centre, Toronto, ON M4N 3M5, Canada
2
Program in Evidence-Based Care, Ontario Health (Cancer Care Ontario), Department of Oncology, McMaster University, Hamilton, ON L8S 4L8, Canada
3
Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON L8S 4L8, Canada
*
Author to whom correspondence should be addressed.
Curr. Oncol. 2021, 28(5), 3488-3506; https://doi.org/10.3390/curroncol28050301
Received: 6 August 2021 / Revised: 26 August 2021 / Accepted: 3 September 2021 / Published: 8 September 2021
Virtual care in cancer care existed in a limited fashion globally before the COVID-19 pandemic, mostly driven by geographic constraints. The pandemic has required dramatic shifts in health care delivery, including cancer care. We conducted a systematic review of comparative studies evaluating virtual versus in-person care in patients with cancer. Embase, APA PsycInfo, Ovid MEDLINE, and the Cochrane Library were searched for literature from January 2015 to 6 August 2020. We adhered to PRISMA guidelines and used the modified GRADE approach to evaluate the data. We included 34 full-text publications of 10 randomized controlled trials, 13 non-randomized comparative studies, and 5 ongoing randomized controlled trials. Evidence was divided into studies that provide psychosocial or genetic counselling and those that provide or assess medical and supportive care. The limited data in this review support that in the general field of psychological counselling, virtual or remote counselling can be equivalent to in-person counselling. In the area of genetic counselling, telephone counselling was more convenient and noninferior to usual care for all outcomes (knowledge, decision conflict, cancer distress, perceived stress, genetic counseling satisfaction). There are few data for clinical outcomes and supportive care. Future research should assess the role of virtual care in these areas. Protocol registration: PROSPERO CRD42020202871. View Full-Text
Keywords: cancer; phone; systematic review; telehealth; telemedicine; teleoncology; videoconferencing; virtual care cancer; phone; systematic review; telehealth; telemedicine; teleoncology; videoconferencing; virtual care
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MDPI and ACS Style

Singh, S.; Fletcher, G.G.; Yao, X.; Sussman, J. Virtual Care in Patients with Cancer: A Systematic Review. Curr. Oncol. 2021, 28, 3488-3506. https://doi.org/10.3390/curroncol28050301

AMA Style

Singh S, Fletcher GG, Yao X, Sussman J. Virtual Care in Patients with Cancer: A Systematic Review. Current Oncology. 2021; 28(5):3488-3506. https://doi.org/10.3390/curroncol28050301

Chicago/Turabian Style

Singh, Simron, Glenn G. Fletcher, Xiaomei Yao, and Jonathan Sussman. 2021. "Virtual Care in Patients with Cancer: A Systematic Review" Current Oncology 28, no. 5: 3488-3506. https://doi.org/10.3390/curroncol28050301

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