Abstract
Introduction
Although virtual consultations have played an increasing role in delivery of healthcare,
the COVID-19 pandemic has hastened their adoption. Furthermore, virtual consultations
are now being adopted in areas that were previously considered unsuitable, including
post-operative visits for patients undergoing major surgical procedures, and surveillance
following cancer operations. This review aims to examine the feasibility, safety,
and patient satisfaction with virtual follow-up appointments after cancer operations.
Methods
A systematic review was conducted along PRISMA guidelines. Studies where patients
underwent surgical resection of a malignancy with at least one study arm describing
virtual follow-ups were included. Studies were assessed for quality. Outcomes including
adverse events, detection of recurrence and patient and provider satisfaction were
assessed and compared for those undergoing virtual or in-person post-operative visits.
Results
Eleven studies, with 3369 patients were included. Cancer types included were gynecological,
colorectal, esophageal, lung, thyroid, breast, prostate and major HPB resections.
Detection of recurrence and readmission rates were similar when comparing virtual
consultations with in-person visits. Most studies showed high patient and healthcare
provider satisfaction with virtual consultations following cancer resection. Concerns
were raised about the integration of virtual consultations into workflows in fee-for-service
settings, where reimbursement for virtual care may be an issue.
Conclusion
Virtual follow-up care can provide timely and safe consultations in surgical oncology.
Virtual consultations are as safe as in-person visits for assessing complications
and recurrence. Where appropriate, virtual consultations can safely be integrated
into the post-operative care pathway for those undergoing resection of malignancy.
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Article info
Publication history
Published online: September 08, 2022
Accepted:
August 31,
2022
Received:
August 5,
2022
Identification
Copyright
© 2022 Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved.
