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RecruitingObservational

Patient Perceptions Around Quality of Care Through Telemedicine in Neuro-Oncology

NCT ID: NCT04988009Sponsor: M.D. Anderson Cancer CenterLast updated: 2026-03-05

Summary

This study evaluates patient perceptions around quality of care through telemedicine in neuro-oncology. Studying questionnaires related to perceptions quality of care through telemedicine in patients with brain cancer may help doctors to improve the delivery of care through this modality.

Detailed description

PRIMARY OBJECTIVE: I. To evaluate the patient-perceived quality of care by group (telemedicine versus in-person visits) in patients with central nervous system (CNS) cancer. SECONDARY OBJECTIVES: I. To characterize the visits provided by telemedicine compared to those in-person. II. To contrast the average time spent on telemedicine visits compared to in-person visits, and the delay between visit order placement and visit occurring. III. To evaluate the domains of patient care addressed on a telemedicine visit versus in-person visit per documentation, including (1) treatment planning, (2) symptom burden, (3) goals of care. IV. To evaluate frequency of acute care sought (through emergency room or urgent care clinic) within 30 days of encounter in telemedicine visit versus (vs) in-person visit. V. The impact of patient and clinical characteristics on perceived quality of care in the context of covariate-adjusted modeling. OUTLINE: Patients complete a survey related to their perceived quality of care via telephone and have their medical chart reviewed prospectively.

Arms & interventions

  • OtherElectronic Health Record Review

    Review of medical chart

  • OtherSurvey Administration

    Complete survey

Outcome measures

Primary

  • Survey response to question 6 of the quality of care survey ("I felt I received good medical care during this encounter")

    Survey responses will be summarized by ordinal category as counts with percentages, separately by group. Will separately estimate the proportion of each ordinal level of each group with 95% confidence interval.

    Time frame: through study completion, an average of 1 year

Secondary

  • Quality of Care Survey

    Time frame: through study completion, an average of 1 year

  • Patients and clinical characteristics

    Time frame: Baseline

  • Interactive time spent during visit

    Time frame: through study completion, an average of 1 year

  • Time from visit order placement to visit occurring

    Time frame: through study completion, an average of 1 year

  • Domains of patient care addressed during a visit, including treatment planning, symptom burden, and goals of care

    Time frame: through study completion, an average of 1 year

  • Incidence of acute care sought (through emergency room or urgent care clinic)

    Time frame: Within 30 days of encounter

Eligibility criteria

Sex: AllAge: 18 Years and olderHealthy volunteers: No
Inclusion Criteria: * Patients with a CNS tumors: this includes patients with primary brain tumors, brain metastases, and leptomeningeal disease * Established patients with a follow up encounter with Neuro-Oncology at the Brain and Spine Center at the University of Texas MD Anderson Cancer Center; this encounter can be * An in-person visit * A telemedicine appointment Exclusion Criteria: * Encounter occurred with the assistance of official language translation support * Patients with telephone encounters (without interactive video) * New patient or consult visits * Neither patient nor caregiver present during the visit are available or able to answer survey questions

Study locations (1)

M D Anderson Cancer Center

Houston, Texas, 77030

Recruiting
Barbara J O'Brien, MD · Contact
Barbara J O'Brien, MD · Principal Investigator
Patient Perceptions Around Quality of Care Through Telemedicine in Neuro-Oncology | Cancerify