The New Normal? Patient Satisfaction and Usability of Telemedicine in Breast Cancer Care

Background Telemedicine was adopted to minimize exposure risks for patients and staff during the coronavirus disease 2019 pandemic. This study measured patient satisfaction and telemedicine usability in breast cancer care. Methods Adult breast cancer patients who had a telemedicine visit at a single...

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Veröffentlicht in:Annals of surgical oncology 2021-10, Vol.28 (10), p.5668-5676
Hauptverfasser: Johnson, Bryan A., Lindgren, Bruce R., Blaes, Anne H., Parsons, Helen M., LaRocca, Christopher J., Farah, Ronda, Hui, Jane Yuet Ching
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container_end_page 5676
container_issue 10
container_start_page 5668
container_title Annals of surgical oncology
container_volume 28
creator Johnson, Bryan A.
Lindgren, Bruce R.
Blaes, Anne H.
Parsons, Helen M.
LaRocca, Christopher J.
Farah, Ronda
Hui, Jane Yuet Ching
description Background Telemedicine was adopted to minimize exposure risks for patients and staff during the coronavirus disease 2019 pandemic. This study measured patient satisfaction and telemedicine usability in breast cancer care. Methods Adult breast cancer patients who had a telemedicine visit at a single academic institution (with surgical, radiation, or medical oncology) from 15 June 2020 to 4 September 2020 were surveyed anonymously. Patient and cancer characteristics were collected, and patient satisfaction and telemedicine usability were assessed using a modified Telehealth Usability Questionnaire with a 7-point Likert scale. Associations of satisfaction and usability with patient characteristics were analyzed using Wilcoxon rank-sum and Kruskal–Wallis tests. Results Of 203 patients who agreed to be contacted, 78 responded, yielding a response rate of 38%. The median age of the respondents was 63 years (range 25–83 years). The majority lived in an urban area (61%), were white (92%), and saw a medical oncologist (62%). The median patient satisfaction score was 5.5 (interquartile range [IQR] 4.25–6.25). The median telemedicine usability score was 5.6 (IQR 4.4–6.2). A strong positive correlation was seen between satisfaction and usability, with a Spearman correlation coefficient ( ρ ) of 0.80 ( p  
doi_str_mv 10.1245/s10434-021-10448-6
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Patient Satisfaction and Usability of Telemedicine in Breast Cancer Care</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Johnson, Bryan A. ; Lindgren, Bruce R. ; Blaes, Anne H. ; Parsons, Helen M. ; LaRocca, Christopher J. ; Farah, Ronda ; Hui, Jane Yuet Ching</creator><creatorcontrib>Johnson, Bryan A. ; Lindgren, Bruce R. ; Blaes, Anne H. ; Parsons, Helen M. ; LaRocca, Christopher J. ; Farah, Ronda ; Hui, Jane Yuet Ching</creatorcontrib><description>Background Telemedicine was adopted to minimize exposure risks for patients and staff during the coronavirus disease 2019 pandemic. This study measured patient satisfaction and telemedicine usability in breast cancer care. Methods Adult breast cancer patients who had a telemedicine visit at a single academic institution (with surgical, radiation, or medical oncology) from 15 June 2020 to 4 September 2020 were surveyed anonymously. Patient and cancer characteristics were collected, and patient satisfaction and telemedicine usability were assessed using a modified Telehealth Usability Questionnaire with a 7-point Likert scale. Associations of satisfaction and usability with patient characteristics were analyzed using Wilcoxon rank-sum and Kruskal–Wallis tests. Results Of 203 patients who agreed to be contacted, 78 responded, yielding a response rate of 38%. The median age of the respondents was 63 years (range 25–83 years). The majority lived in an urban area (61%), were white (92%), and saw a medical oncologist (62%). The median patient satisfaction score was 5.5 (interquartile range [IQR] 4.25–6.25). The median telemedicine usability score was 5.6 (IQR 4.4–6.2). A strong positive correlation was seen between satisfaction and usability, with a Spearman correlation coefficient ( ρ ) of 0.80 ( p  &lt; 0.001). Satisfaction and usability scores did not vary significantly according to patient age, race, location of residence, insurance status, previous visit commute time, oncology specialty seen, prior telemedicine visits, or whether patients were actively receiving cancer treatment. Conclusions Breast cancer patients were satisfied with telemedicine and found it usable. Patient satisfaction and telemedicine usability should not limit the use of telemedicine in future post-pandemic breast cancer care.</description><identifier>ISSN: 1068-9265</identifier><identifier>EISSN: 1534-4681</identifier><identifier>DOI: 10.1245/s10434-021-10448-6</identifier><identifier>PMID: 34275045</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Breast cancer ; Breast Neoplasms - therapy ; Breast Oncology ; Coronaviruses ; COVID-19 ; Female ; Humans ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Oncology ; Pandemics ; Patient Satisfaction ; Patients ; Surgery ; Surgical Oncology ; Telemedicine ; Usability</subject><ispartof>Annals of surgical oncology, 2021-10, Vol.28 (10), p.5668-5676</ispartof><rights>Society of Surgical Oncology 2021</rights><rights>2021. Society of Surgical Oncology.</rights><rights>Society of Surgical Oncology 2021.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-343d7e8b18e9decb6314597b4b9484ca9378c7eb11a9db0df1b572f5e574267e3</citedby><cites>FETCH-LOGICAL-c474t-343d7e8b18e9decb6314597b4b9484ca9378c7eb11a9db0df1b572f5e574267e3</cites><orcidid>0000-0002-2628-0720</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1245/s10434-021-10448-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1245/s10434-021-10448-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,780,784,885,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34275045$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Johnson, Bryan A.</creatorcontrib><creatorcontrib>Lindgren, Bruce R.</creatorcontrib><creatorcontrib>Blaes, Anne H.</creatorcontrib><creatorcontrib>Parsons, Helen M.</creatorcontrib><creatorcontrib>LaRocca, Christopher J.</creatorcontrib><creatorcontrib>Farah, Ronda</creatorcontrib><creatorcontrib>Hui, Jane Yuet Ching</creatorcontrib><title>The New Normal? Patient Satisfaction and Usability of Telemedicine in Breast Cancer Care</title><title>Annals of surgical oncology</title><addtitle>Ann Surg Oncol</addtitle><addtitle>Ann Surg Oncol</addtitle><description>Background Telemedicine was adopted to minimize exposure risks for patients and staff during the coronavirus disease 2019 pandemic. This study measured patient satisfaction and telemedicine usability in breast cancer care. Methods Adult breast cancer patients who had a telemedicine visit at a single academic institution (with surgical, radiation, or medical oncology) from 15 June 2020 to 4 September 2020 were surveyed anonymously. Patient and cancer characteristics were collected, and patient satisfaction and telemedicine usability were assessed using a modified Telehealth Usability Questionnaire with a 7-point Likert scale. Associations of satisfaction and usability with patient characteristics were analyzed using Wilcoxon rank-sum and Kruskal–Wallis tests. Results Of 203 patients who agreed to be contacted, 78 responded, yielding a response rate of 38%. The median age of the respondents was 63 years (range 25–83 years). The majority lived in an urban area (61%), were white (92%), and saw a medical oncologist (62%). The median patient satisfaction score was 5.5 (interquartile range [IQR] 4.25–6.25). The median telemedicine usability score was 5.6 (IQR 4.4–6.2). A strong positive correlation was seen between satisfaction and usability, with a Spearman correlation coefficient ( ρ ) of 0.80 ( p  &lt; 0.001). Satisfaction and usability scores did not vary significantly according to patient age, race, location of residence, insurance status, previous visit commute time, oncology specialty seen, prior telemedicine visits, or whether patients were actively receiving cancer treatment. Conclusions Breast cancer patients were satisfied with telemedicine and found it usable. 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Patient Satisfaction and Usability of Telemedicine in Breast Cancer Care</title><author>Johnson, Bryan A. ; Lindgren, Bruce R. ; Blaes, Anne H. ; Parsons, Helen M. ; LaRocca, Christopher J. ; Farah, Ronda ; Hui, Jane Yuet Ching</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-343d7e8b18e9decb6314597b4b9484ca9378c7eb11a9db0df1b572f5e574267e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Breast cancer</topic><topic>Breast Neoplasms - therapy</topic><topic>Breast Oncology</topic><topic>Coronaviruses</topic><topic>COVID-19</topic><topic>Female</topic><topic>Humans</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Middle Aged</topic><topic>Oncology</topic><topic>Pandemics</topic><topic>Patient Satisfaction</topic><topic>Patients</topic><topic>Surgery</topic><topic>Surgical Oncology</topic><topic>Telemedicine</topic><topic>Usability</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Johnson, Bryan A.</creatorcontrib><creatorcontrib>Lindgren, Bruce R.</creatorcontrib><creatorcontrib>Blaes, Anne H.</creatorcontrib><creatorcontrib>Parsons, Helen M.</creatorcontrib><creatorcontrib>LaRocca, Christopher J.</creatorcontrib><creatorcontrib>Farah, Ronda</creatorcontrib><creatorcontrib>Hui, Jane Yuet Ching</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Annals of surgical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Johnson, Bryan A.</au><au>Lindgren, Bruce R.</au><au>Blaes, Anne H.</au><au>Parsons, Helen M.</au><au>LaRocca, Christopher J.</au><au>Farah, Ronda</au><au>Hui, Jane Yuet Ching</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The New Normal? Patient Satisfaction and Usability of Telemedicine in Breast Cancer Care</atitle><jtitle>Annals of surgical oncology</jtitle><stitle>Ann Surg Oncol</stitle><addtitle>Ann Surg Oncol</addtitle><date>2021-10-01</date><risdate>2021</risdate><volume>28</volume><issue>10</issue><spage>5668</spage><epage>5676</epage><pages>5668-5676</pages><issn>1068-9265</issn><eissn>1534-4681</eissn><abstract>Background Telemedicine was adopted to minimize exposure risks for patients and staff during the coronavirus disease 2019 pandemic. This study measured patient satisfaction and telemedicine usability in breast cancer care. Methods Adult breast cancer patients who had a telemedicine visit at a single academic institution (with surgical, radiation, or medical oncology) from 15 June 2020 to 4 September 2020 were surveyed anonymously. Patient and cancer characteristics were collected, and patient satisfaction and telemedicine usability were assessed using a modified Telehealth Usability Questionnaire with a 7-point Likert scale. Associations of satisfaction and usability with patient characteristics were analyzed using Wilcoxon rank-sum and Kruskal–Wallis tests. Results Of 203 patients who agreed to be contacted, 78 responded, yielding a response rate of 38%. The median age of the respondents was 63 years (range 25–83 years). The majority lived in an urban area (61%), were white (92%), and saw a medical oncologist (62%). The median patient satisfaction score was 5.5 (interquartile range [IQR] 4.25–6.25). The median telemedicine usability score was 5.6 (IQR 4.4–6.2). A strong positive correlation was seen between satisfaction and usability, with a Spearman correlation coefficient ( ρ ) of 0.80 ( p  &lt; 0.001). Satisfaction and usability scores did not vary significantly according to patient age, race, location of residence, insurance status, previous visit commute time, oncology specialty seen, prior telemedicine visits, or whether patients were actively receiving cancer treatment. Conclusions Breast cancer patients were satisfied with telemedicine and found it usable. Patient satisfaction and telemedicine usability should not limit the use of telemedicine in future post-pandemic breast cancer care.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>34275045</pmid><doi>10.1245/s10434-021-10448-6</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-2628-0720</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
Aged, 80 and over
Breast cancer
Breast Neoplasms - therapy
Breast Oncology
Coronaviruses
COVID-19
Female
Humans
Medicine
Medicine & Public Health
Middle Aged
Oncology
Pandemics
Patient Satisfaction
Patients
Surgery
Surgical Oncology
Telemedicine
Usability
title The New Normal? Patient Satisfaction and Usability of Telemedicine in Breast Cancer Care
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