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. 2021 Sep;17(9):546-564.
doi: 10.1200/OP.21.00438. Epub 2021 Jul 28.

Telehealth in Oncology: ASCO Standards and Practice Recommendations

Robin T Zon  1 , Erin B Kennedy  2 , Kerin Adelson  3 , Sibel Blau  4 , Natalie Dickson  5 , David Gill  6 , Nicole Laferriere  7 , Ana Maria Lopez  8 , Therese M Mulvey  9 , Debra Patt  10 , Todd A Pickard  11 , Terry Purdom  12 , Trevor J Royce  13   14 , Ashley L Sumrall  15 , Ray D Page  16
Affiliations

Telehealth in Oncology: ASCO Standards and Practice Recommendations

Robin T Zon et al. JCO Oncol Pract. 2021 Sep.

Abstract

Purpose: To provide standards and practice recommendations specific to telehealth in oncology.

Methods: A systematic review of the literature on telehealth in oncology was performed, including the use of technologies and telecommunications systems, and other electronic methods of care delivery and sharing of information with patients. The evidence base was combined with the opinion of the ASCO Telehealth Expert Panel to develop telehealth standards and guidance. Public comments were solicited and considered in preparation of the final manuscript.

Results: The Expert Panel determined that general guidance on implementing telehealth across general and specialty settings has been published previously and these resources are endorsed. A systematic search for studies on topics specific to oncology resulted in the inclusion of two clinical practice guidelines, 12 systematic reviews, and six primary studies.

Standards and guidance: Standards and guidance are provided for which patients in oncology can be seen via telehealth, establishment of the doctor-physician relationship, role of allied health professionals, role of advanced practice providers, multidisciplinary cancer conferences, and teletrials in oncology. Additional information is available at www.asco.org/standards.

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Conflict of interest statement

Robin T. ZonStock and Other Ownership Interests: AC3, Cytosorbents, Moderna Therapeutics, Oncolytics Biotech, TG Therapeutics, Select Sector SPDR Health CareConsulting or Advisory Role: New Century Health, Xentigen Kerin AdelsonEmployment: Emilio Health/Brightline HealthLeadership: Emilio Health/Brightline HealthStock and Other Ownership Interests: Lyra Health, MindNest Health, Carrum Health, Emilio Health/Brightline HealthHonoraria: GenentechConsulting or Advisory Role: Heron, Celgene, Roche, AbbVieResearch Funding: Genentech/RochePatents, Royalties, Other Intellectual Property: GenentechTravel, Accommodations, Expenses: Genentech, Heron, Celgene, RocheOther Relationship: Genentech/Roche Sibel BlauEmployment: Northwest Medical SpecialtiesLeadership: Northwest Medical Specialties, QCCA Network LLCStock and Other Ownership Interests: Northwest Medical Specialties, All4CureHonoraria: Adaptive Health Focus Group—Cardinal, Novartis Ribo Advisory Board, Puma Biotechnology, AJMC Institute of Value Based OncologyResearch Funding: Northwest Medical SpecialtiesExpert Testimony: Northwest Medical SpecialtiesTravel, Accommodations, Expenses: Northwest Medical Specialties, Quality Cancer Care AllianceOther Relationship: Northwest Medical Specialties, All4Cure, Quality Cancer Care Alliance Natalie DicksonEmployment: Tennessee OncologyConsulting or Advisory Role: Via Oncology, AbbVie, CignaResearch Funding: Bristol Myers SquibbTravel, Accommodations, Expenses: Flatiron Health Nicole LaferriereHonoraria: Amgen, Celgene, Janssen-Ortho, Pfizer, Bristol Myers Squibb, Teva, Astellas Pharma, TakedaSpeakers' Bureau: Janssen-Ortho Therese M. MulveyConsulting or Advisory Role: Outcmes4me Debra PattEmployment: Texas Oncology, McKesson, MedNaxLeadership: McKesson, Mednax, Texas OncologyStock and Other Ownership Interests: MednaxConsulting or Advisory Role: Pfizer, Roche, AstraZenecaResearch Funding: Merck, Eisai, Seattle Genetics, LillyTravel, Accommodations, Expenses: McKesson Trevor J. RoyceEmployment: Flatiron Health Ashley L. SumrallStock and Other Ownership Interests: NovocureHonoraria: Gerson Lehrman Group, Cardinal Health, Curio ScienceConsulting or Advisory Role: Novocure, Amgen, AbbVie, Merck, Bayer, Athenex, ExelixisSpeakers' Bureau: Bristol Myers Squibb, Novocure, Prime Oncology, AbbVie, BayerResearch Funding: Bristol Myers Squibb, Novocure, Exelixis, Oncoceutics, Kura OncologyTravel, Accommodations, Expenses: Novocure, Bristol Myers Squibb, Xcenda, American Association of Neurological Surgeons Ray D. PageEmployment: The Center for Cancer and Blood DisordersHonoraria: Cardinal HealthConsulting or Advisory Role: AstraZeneca, Tesaro, Amgen, Roche, Quality Cancer Care AllianceResearch Funding: E.R. Squibb Sons LLC, Gilead Sciences, Takeda, AstraZeneca, Genentech, Roche, Janssen, Celgene, LillyTravel, Accommodations, Expenses: Amgen, Taiho Pharmaceutical, TakedaOpen Payments Link: https://openpaymentsdata.cms.gov/physician/166358/summaryNo other potential conflicts of interest were reported.

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