Multicenter evaluation of breast cancer patients' satisfaction and experience with oncology telemedicine visits during the COVID-19 pandemic

Br J Cancer. 2021 Nov;125(11):1486-1493. doi: 10.1038/s41416-021-01555-y. Epub 2021 Sep 29.

Abstract

Introduction: During the COVID-19 pandemic, teleconsultation was implemented in clinical practice to limit patient exposure to COVID-19 while monitoring their treatment and follow-up. We sought to examine the satisfaction of patients with breast cancer (BC) who underwent teleconsultations during this period.

Methods: Eighteen centres in France and Italy invited patients with BC who had at least one teleconsultation during the first wave of the COVID-19 pandemic to participate in a web-based survey that evaluated their satisfaction (EORTC OUT-PATSAT 35 and Telemedicine Satisfaction Questionnaire [TSQ] scores) with teleconsultation.

Results: Among the 1299 participants eligible for this analysis, 53% of participants were undergoing standard post-treatment follow-up while 22 and 17% were currently receiving active anticancer therapy for metastatic and localised cancers, respectively. The mean satisfaction scores were 77.4 and 73.3 for the EORTC OUT-PATSAT 35 and TSQ scores, respectively. In all, 52.6% of participants had low/no anxiety. Multivariable analysis showed that the EORTC OUT-PATSAT 35 score correlated to age, anxiety score and teleconsultation modality. The TSQ score correlated to disease status and anxiety score.

Conclusion: Patients with BC were satisfied with oncology teleconsultations during the COVID-19 pandemic. Teleconsultation may be an acceptable alternative follow-up modality in specific circumstances.

Publication types

  • Multicenter Study
  • Observational Study

MeSH terms

  • Adult
  • Aged
  • Breast Neoplasms / epidemiology
  • Breast Neoplasms / psychology
  • Breast Neoplasms / therapy*
  • COVID-19 / epidemiology*
  • Female
  • France / epidemiology
  • Humans
  • Italy / epidemiology
  • Medical Oncology / organization & administration*
  • Medical Oncology / statistics & numerical data
  • Middle Aged
  • Pandemics
  • Patient Satisfaction / statistics & numerical data*
  • Remote Consultation / organization & administration
  • Remote Consultation / statistics & numerical data
  • Surveys and Questionnaires
  • Telemedicine* / organization & administration
  • Telemedicine* / statistics & numerical data