The assessment of telemedicine to support outpatient palliative care in advanced cancer
Abstract
Objective: We aimed to examine telemedicine as a form of home and additional support for traditional outpatient care as a way to remotely monitor and manage the symptoms of patients with advanced cancer. Method: In total, 12 patients were monitored through monthly consultations with a multidisciplinary healthcare team and weekly web conferences. To evaluate and treat pain and other symptoms, the Edmonton Symptom Assessment System (ESAS) was applied during all remote or in-person interviews. Results: During monitoring, the team contacted the patients on 305 occasions: there were 89 consultations at the hospital, 19 in-person assistances to the family (without the patient), 77 web conferences, 38 telephone calls, 80 emails, and 2 home visits. The mean monitoring time until death was 195 ± 175.1 days. Eight patients who completed the ESAS in all interviews had lower mean distress symptom scores according to web conferences than in person. Significance of results: Telemedicine allowed greater access to the healthcare system, reduced the need to employ emergency services, improved assessment/control of symptoms, and provided greater orientation and confidence in the care given by family members through early and proactive interventions. Web conferencing proved to be a good adjuvant to home monitoring of symptoms, complementing in-person assistance.
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Cognitive behavioral interventions have shown to be applicable, adaptable, and effective in online format, and adequate therapeutic alliance can be achieved.
“Las intervenciones cognitivo conductuales han mostrado ser aplicables, adaptables y eficaces en formato online (76,85) y puede lograrse una adecuada alianza terapéutica (86) .”
From AVANZACT: protocolo e intervención psicoterapéutica en cáncer avanzado basados en Terapia de Aceptación y Compromiso. (2025) · cites this paper as [85]
Online modality reduces access barriers for people with greater affectation.
“y la modalidad onlinereducelas barreras de acceso a las personas con mayor afectación (84) .”
From AVANZACT: protocolo e intervención psicoterapéutica en cáncer avanzado basados en Terapia de Aceptación y Compromiso. (2025) · cites this paper as [84]
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InfluentialBarriers Associated With Missed Palliative Care Telehealth Visits
Samala, R. V., Farah, P. D., Wei, W., Robbins-Ong, M., & Lagman, R. L. (2023) · American Journal of Hospice and Palliative Medicine® · doi:10.1177/10499091231205539 · Cited by 2 · see citing works
“%] vs 11/335 [3%]; P = .006).”
Telemedicine Experiences of People Living with Amyotrophic Lateral Sclerosis at Home in South Korea
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“34,35 The finding that more than half of the study population discussed acute health issues revealed that pALS experience various health problems in their daily lives that require medical care in addition to symptoms directly related to ALS.”
Tailored treatment strategies for cancer patients during COVID-19 pandemic
Abdelkader, H., & El‐Kassas, M. (2022) · Reports of Practical Oncology & Radiotherapy · doi:10.5603/rpor.a2022.0024 · Cited by 2 · see citing works
“Importantly, these visits allowed personalized care, improved quality of life [106, 107], and instilled greater confidence and support to patients› family members [108].”
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Placer García, L. D., Torrijos Zarcero, M., Rocamora González, C., Muñoz San José, A., & Palao Tarrero, Á. I. (2025) · Psicooncologia · doi:10.5209/psic.102233 · Cited by 1 · see citing works
The use of telemedicine in palliative care in low- and middle-income countries: A scoping review
Goodman, W., Bhattarai, M., Shahzad, H., Chen, S., Burke, S. M., & Allsop, M. J. (2026) · Palliative Medicine · doi:10.1177/02692163261441432 · Cited by 1 · see citing works
“20,24,29,34,36,38 There were no solely web-based interventions.”
ICTs, E-health, and Multidisciplinary Healthcare Teams
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ICT Use and Multidisciplinary Healthcare Teams in the Age of E-Health
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“A previous study suggested that the attention provided by telemedicine to patients with advanced cancer is helpful for maintaining quality home care [39].”
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Palliative Care for Hospitalists
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Peyser, T., Pyke, N. M., & Hoerger, M. P. (2026) · Journal of Palliative Medicine · doi:10.1177/10966218261418980
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- Authors
- Hennemann-Krause, L., Lopes, A. J., Araújo, J. A., Petersen, E. M., & Nunes, R. A.
- Affiliations
- Universidade do Estado do Rio de Janeiro (BR)
- Corresponding author
- Lopes, Agnaldo José
- Venue
- Palliative and Supportive Care
- Publisher
- Cambridge University Press (CUP)
- Published
- 2014-08-27
- Volume
- 13
- Issue
- 4
- Pages
- 1025-1030
- ISSN
- 1478-9515 (ISSN-L)
- 1478-9523
- OpenAlex
- W2161320723
- Cited by
- 79
- References
- 21
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 4 · 2023: 7 · 2022: 16 · 2021: 7 · 2020: 10 · 2019: 5 · 2018: 4 · 2017: 11 · 2016: 3 · 2015: 3
- FWCI
- 5.61
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Palliative & Supportive Care (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Keywords
- telemedicine, outpatient palliative care, advanced cancer, symptom monitoring, web conferencing, home monitoring, pain management, Edmonton Symptom Assessment System, multidisciplinary healthcare teams, family caregiver support, health care access
- MeSH terms
- Aged, Aged, 80 and over, Ambulatory Care, Fatigue, Female, Humans, Longitudinal Studies, Male, Middle Aged, Neoplasms, Pain, Palliative Care, Telemedicine, Qualitative Research
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