Cited by 263Telemedicine and Telehealth ImplementationMobile Health and mHealth ApplicationsCancer survivorship and care

The DOI matches its Crossref record; 155 of the 156 references it cites were found in a registry or an index; 1 of the 20 sources its claims cite were checked for support.

Digital health and telehealth in cancer care: a scoping review of reviews

Open access

Abstract

The COVID-19 pandemic necessitated remote cancer care delivery via the internet and telephone, rapidly accelerating an already growing care delivery model and associated research. This scoping review of reviews characterised the peer-reviewed literature reviews on digital health and telehealth interventions in cancer published from database inception up to May 1, 2022, from PubMed, Cumulated Index to Nursing and Allied Health Literature, PsycINFO, Cochrane Reviews, and Web of Science. Eligible reviews conducted a systematic literature search. Data were extracted in duplicate via a pre-defined online survey. Following screening, 134 reviews met the eligibility criteria. 77 of those reviews were published since 2020. 128 reviews summarised interventions intended for patients, 18 addressed family caregivers, and five addressed health-care providers. 56 reviews did not target a specific phase of the cancer continuum, whereas 48 reviews tended to address the active treatment phase. 29 reviews included a meta-analysis, with results showing positive effects on quality of life, psychological outcomes, and screening behaviours. 83 reviews did not report intervention implementation outcomes but when reported, 36 reported acceptability, 32 feasibility, and 29 fidelity outcomes. Several notable gaps were identified in these literature reviews on digital health and telehealth in cancer care. No reviews specifically addressed older adults, bereavement, or sustainability of interventions and only two reviews focused on comparing telehealth to in-person interventions. Addressing these gaps with rigorous systematic reviews might help guide continued innovation in remote cancer care, particularly for older adults and bereaved families, and integrate and sustain these interventions within oncology.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

This scoping review of reviews characterised 134 peer-reviewed literature reviews on digital health and telehealth interventions in cancer care published from database inception to May 1, 2022. It found a rapidly growing but uneven evidence base, with positive meta-analytic signals for some outcomes and major gaps in older adults, bereavement, provider wellness, implementation sustainability, and comparisons with in-person care.

Key findings

  • 134 reviews met eligibility criteria; 77 were published since 2020, and the median number of studies included per review was 16 (range 0–121).
  • 128 reviews (95·5%) addressed patient-level interventions, 18 (13·4%) included caregiver-level studies, and 5 (3·7%) addressed provider-level interventions; no reviews focused on older adult patients with cancer or caregivers.
  • 29 reviews (21·6%) included a meta-analysis; positive effects were most commonly reported for quality of life (11 positive, 6 null), depression (9 positive, 4 null), anxiety (8 positive, 3 null), self-efficacy (5 positive, no null), physical activity (4 positive, 1 null), and cancer screenings (4 positive, no null).
  • 83 reviews (61·9%) did not report implementation outcomes; when reported, acceptability was extracted in 36 (26·9%), feasibility in 32 (23·9%), and fidelity in 29 (21·6%), with no reviews extracting penetration or sustainability.

Methods

  • Scoping review of reviews registered in INPLASY (protocol 3635) and reported per PRISMA for Scoping Reviews; searches covered PubMed, CINAHL, PsycINFO, Cochrane Reviews, and Web of Science from database inception to May 1, 2022.
  • Eligible records were English or English-translated peer-reviewed literature reviews using a systematic search method, focused on cancer populations and digital health or telehealth interventions as defined by the US Health Resources and Services Administration.
  • Screening and data extraction were done in duplicate with Rayyan and Qualtrics; data were tabled and summarised, and implementation outcomes were categorised post hoc using Proctor and colleagues’ terminology.

Limitations

  • The paper states that as a scoping review of reviews, identified gaps only establish that a review was not identified in a given area and might not generalise to the primary literature; it also notes that restricting to cancer could miss disease-agnostic reviews and that health equity information such as racial/ethnic composition or rurality was not extracted.
  • Evident from the results: no reviews specifically addressed older adults, bereavement, sustainability of interventions, or oncology provider wellbeing, and only two reviews focused on comparing telehealth to in-person interventions.
  • Evident from the results: 44 of 134 reviews (32·8%) did not report a quality or bias assessment, and 83 of 134 (61·9%) did not report implementation-related outcomes.

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Integrity signals

Registry

Crossref · 10.1016/s2589-7500(23)00049-3

Cites

155 of 155 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

66 Own result · 22 Not checked yet · 9 Own method · 3 Own interpretation · 1 Supported

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Show all 64 claims

  • It may state two separate claims as one. 24
  • Probably not a substantial claim. 15
37 of 37
  • The paper relies on this without support.

    The COVID-19 pandemic required remote cancer care delivery and accelerated its growth.

    “The COVID-19 pandemic necessitated remote cancer care delivery via the internet and telephone, rapidly accelerating an already growing care delivery model and associated research.”
  • The paper relies on this without support.

    Digital health and telehealth practices can facilitate collaborative care across disciplines and overcome barriers family caregivers face in accessing their own health care.

    “Digital health and telehealth practices hold promise for facilitating more collaborative care across health-care disciplines, and for overcoming many of the barriers family caregivers face to accessing their own health care.”
  • The paper relies on this without support.

    Digital health practices can scale interventions to be more accessible and cost-effective by reducing reliance on health-care personnel.

    “digital health practices are rapidly evolving and hold considerable promise for scaling interventions to be more accessible and cost-effective by reducing reliance on health-care personnel.”
  • The paper relies on this without support.

    Bereavement care for families is traditionally part of comprehensive palliative care.

    “Although bereavement care for families is traditionally a component of comprehensive palliative care”
  • The paper relies on this without support.

    This review is the first comprehensive scoping review of reviews on digital health and telehealth interventions across the cancer continuum.

    “In this first-of-its-kind comprehensive scoping review of reviews on digital health and telehealth interventions across the cancer continuum, we summarised the existing review literature and identified several gaps.”
5 of 5

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2 of 2

Citations

Cites

Show all 156 references

Research works printed but not linked: 2

  1. Moretto, 2019, Santo FH do E. Telephone follow-up as a nursing intervention for patients receiving outpatient chemotherapy: integrative review, Rev Gaucha Enferm, 40
  2. Son, 2019, Use of health information technologies for cancer survivorship care: a comprehensive review of the literature, J Inform Nurs, 4, 6

Cited by

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Metadata

Authors
Shaffer, K. M., Turner, K. L., Siwik, C., Gonzalez, B. D., Upasani, R., Glazer, J. V., Ferguson, R. J., Joshua, C., & Low, C. A.
Affiliations
  • University of Virginia (US)
  • Moffitt Cancer Center (US)
  • University of California, San Francisco (US)
  • University of Pittsburgh (US)
Corresponding author
Shaffer, Kelly M
Venue
The Lancet Digital Health
Publisher
Elsevier BV
Published
2023-05
Volume
5
Issue
5
Pages
e316-e327
ISSN
2589-7500 (ISSN-L)
OpenAlex
W4366818779
Cited by
263
References
156
Citations by year
2026: 98 · 2025: 87 · 2024: 67 · 2023: 11
FWCI
13.00
Type
journal article
Language
en
Open access
Locations
  • The Lancet Digital Health (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • OSF Preprints (OSF Preprints) (submittedVersion)
Funders
  • National Cancer Institute (P30CA076292, R37CA242545, P30CA047904)
  • National Center for Complementary and Integrative Health (L30 AT011624, T32AT003997)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
  • Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
Keywords
digital health, telemedicine, cancer care, COVID-19 pandemic, family caregivers, quality of life, psychological outcomes, cancer screening, older adults, bereavement, intervention sustainability
MeSH terms
COVID-19, Aged, Delivery of Health Care, Humans, Neoplasms, Quality of Life, Review Literature as Topic, Telemedicine, Pandemics

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