Effectiveness of and implementation requirements for telehealth in palliative care patients with advanced cancer: A systematic review and meta-analysis.
Background: Telehealth is being integrated with palliative care for patients with advanced cancer to improve access to specialized palliative care. However, its effectiveness and implementation requirements in palliative care remain unclear. Aim: This study evaluates the effectiveness of and impleme...
| Publicado en: | Palliative Medicine Vol. 40; no. 5; pp. 588 - 608 |
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| Autores principales: | , , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
May2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=193401849&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 193401849 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02692163 31I jtl: Palliative Medicine issn: 02692163 maglogo: Y pubinfo: dt: May2026 vid: 40 iid: 5 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 193401849 190564668 193401849 193401849 10.1177/02692163251403395 193401849 ppf: 588 ppct: 20 formats: tig: atl: Effectiveness of and implementation requirements for telehealth in palliative care patients with advanced cancer: A systematic review and meta-analysis. aug: au: Kawashima, Arisa Noguchi, Taiji Furukawa, Taiki Unesoko, Akiko Togashi, Shintaro Sato, Kazuki affil: Division of Integrated Health Sciences, Nagoya University Graduate School of Medicine, Japan sug: subj: Telehealth Palliative Care Cancer Patients Psychosocial Factors Implementation Science Outcomes (Health Care) Quality of Life Symptom Burden Depression Funding Source Human Systematic Review Meta Analysis Medline Embase Cochrane Library Checklists Descriptive Statistics Confidence Intervals Health Services Accessibility Multidisciplinary Care Team Digital Health Reimbursement Mechanisms Outcome Assessment Data Analysis Software Holistic Care Lung Neoplasms Breast Neoplasms Colorectal Neoplasms Functional Status ab: Background: Telehealth is being integrated with palliative care for patients with advanced cancer to improve access to specialized palliative care. However, its effectiveness and implementation requirements in palliative care remain unclear. Aim: This study evaluates the effectiveness of and implementation requirements for telehealth in palliative care patients with advanced cancer. Design: This was designed as a systematic review and meta-analysis with narrative synthesis (registered; CRD42024581786). The effects on patients' quality of life, symptom burden, and depression were analyzed using a random-effects meta-analysis of randomized controlled trials. A narrative synthesis was conducted for all included studies. Data sources: MEDLINE, Embase, and Cochrane Library databases were searched in September 2025. Eligible studies comprised controlled trials, observational studies, and qualitative studies involving adults with advanced cancer who received telehealth in palliative care. Results: Of the 4232 records screened, 42 met the inclusion criteria, and six were eligible for meta-analysis. Telehealth interventions primarily involved videoconferencing, telephone, or text-based communication. Telehealth in palliative care demonstrated significant improvement in quality of life (standardized mean difference: 0.81; 95% CI: 0.09-1.53) and reduction in symptom burden (standardized mean difference: −1.44; 95% CI: −2.24 to −0.65) but had no significant effects on depression. Implementation requirements included trained multiprofessional teams, accessible digital infrastructure, sustainable reimbursement mechanisms, and standardized outcome measurements. Conclusions: Telehealth in palliative care may help improve quality of life and alleviate symptom burden among patients with advanced cancer. Future research should identify optimal delivery models and examine equity-related barriers to support wider implementation and policy development. pubtype: Academic Journal doctype: meta analysis research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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