Video visits, remote monitoring and home delivery of some cancer treatments expanded massively during COVID-19 and have stayed; they reduce travel burden, especially for rural patients, without evidence of worse outcomes.
Telehealth use in oncology rose from ~1% to ~50% of visits at the 2020 peak and settled around 10-20%. Evidence: REACH PC (JAMA 2024) showed video palliative care equal to in-person; teleoncology models (Australia's Townsville, US rural networks) deliver chemotherapy supervision remotely; home infusion of some agents (subcutaneous daratumumab, pembrolizumab, trastuzumab-pertuzumab) and oral therapies with remote monitoring are growing; 'hospital-at-home' for febrile neutropenia and CAR-T monitoring is being piloted. Decentralised clinical trials use telehealth to broaden enrolment. Limits: broadband and digital literacy (the digital divide widens disparities), licensure across state lines, reimbursement parity, and the need for physical examination and imaging.
Substitute synchronous video or asynchronous digital contact and remote monitoring for in-person visits where physical assessment is not required, and move low-risk treatment and monitoring into the home.
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Shares PROMIS: the item banks that let a short questionnaire be precise, Asking people how they are, every week, as a treatment in its own right, Electronic patient-reported outcome (ePRO) symptom monitoring.
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