Clinical outcomes in patients with solid tumors living in rural and urban areas followed via telemedicine: experience in a highly complex latin american hospital

BMC Cancer. 2023 Mar 16;23(1):253. doi: 10.1186/s12885-023-10717-5.

Abstract

Background: Difficulties in cancer services access increase the burden of disease and mortality in rural areas, and telehealth can be a useful tool to address these inequalities.

Objective: We aimed to describe the outcomes of patients in rural and urban areas with solid tumors managed by oncologists through telemedicine.

Methods: We conducted a retrospective cohort study of patients with solid tumors from March to December 2020. A total of 1270 subjects with solid tumors were included, 704 living in urban areas and 566 in rural areas.

Results: The most frequent tumors were breast (51.8%) and prostate (12.4%). The trend of telemedicine care was similar for both populations; in-person care was more frequent in the urban population. There were no differences in referral to the emergency room, need for hospitalization, and mortality for both groups.

Conclusion: Telemedicine is a care modality that reduces barriers in the care of patients with solid tumors, evidencing similar outcomes regardless of living in rural or urban areas.

Keywords: Latin America; Oncological patients; Solid tumors; Telehealth; Telemedicine.

MeSH terms

  • Hospitals
  • Humans
  • Latin America
  • Male
  • Neoplasms* / epidemiology
  • Neoplasms* / therapy
  • Retrospective Studies
  • Rural Population
  • Telemedicine*