{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T05:50:45Z","timestamp":1791265845880,"version":"4.1.0"},"reference-count":17,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"vor","delay-in-days":15,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Medicine"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>While the time burden of cancer care is increasingly recognized in oncology, existing research lacks the granularity needed to identify intervention targets. This study characterized time spent on cancer care at home and in\u2010clinic, including travel, waiting, and clinical tasks, assessing variations by treatment modality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We conducted a secondary analysis of two longitudinal cohorts. Cohort 1 included patients with metastatic breast or advanced ovarian cancer (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200955) and Cohort 2 included patients with any cancer (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200955) receiving systemic anti\u2010cancer therapy. Participants used a mobile application for 28\u2009days that collected GPS and motion sensor data to infer locations. Daily surveys characterized activities and captured time spent on home\u2010based tasks.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The study population (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u2009110) was predominantly female and White, receiving a mix of infusion and oral treatments. Participants recorded 597 out\u2010of\u2010home healthcare episodes. While median time receiving care per episode for lab\u2010only visits was short (10\u2009min), visits combining labs and treatment had a median duration of 162\u2009min (compared to treatment alone, median duration of 68\u2009min). Patients on infusion therapies experienced higher time burdens per episode both in\u2010facility (median 125\u2009min vs. 50\u2009min for oral therapy) and at home for scheduling and symptom management (median 188\u2009min vs. 102\u2009min).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patients face substantial time burdens that extend beyond the clinical encounter. Waiting between stages, such as labs and treatment, makes combined out\u2010of\u2010home healthcare episodes disproportionately time\u2010consuming. These data facilitate a deeper understanding of the trade\u2010offs between different treatment modalities and care delivery models.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cam4.72277","type":"journal-article","created":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T16:41:19Z","timestamp":1789576879000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Characterizing the Objective Time Spent on Health Care Activities in Clinic and at Home for Patients With Cancer"],"prefix":"10.1002","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4188-9785","authenticated-orcid":false,"given":"Gabrielle B.","family":"Rocque","sequence":"first","affiliation":[{"name":"Division of Hematology and Oncology University of Alabama at Birmingham  Birmingham Alabama USA"},{"name":"O'Neal Comprehensive Cancer Center University of Alabama at Birmingham  Birmingham Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2101-3065","authenticated-orcid":false,"given":"Nicole Lynne","family":"Henderson","sequence":"additional","affiliation":[{"name":"Division of Hematology and Oncology University of Alabama at Birmingham  Birmingham Alabama USA"},{"name":"O'Neal Comprehensive Cancer Center University of Alabama at Birmingham  Birmingham Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3822-9858","authenticated-orcid":false,"given":"Helen M.","family":"Parsons","sequence":"additional","affiliation":[{"name":"Division of Health Policy and Management University of Minnesota  Minneapolis Minnesota USA"},{"name":"Masonic Cancer Center University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-7019-1633","authenticated-orcid":false,"given":"Katherine","family":"Brown","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology and Women's Health University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zuofu","family":"Huang","sequence":"additional","affiliation":[{"name":"Division of Biostatistics and Health Data Science University of Minnesota  Minneapolis Minnesota USA"},{"name":"Department of Statistics Grinnell College  Grinnell Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0875-4731","authenticated-orcid":false,"given":"Arjun","family":"Gupta","sequence":"additional","affiliation":[{"name":"City of Hope Cancer Center  Phoenix Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deanna","family":"Teoh","sequence":"additional","affiliation":[{"name":"Masonic Cancer Center University of Minnesota  Minneapolis Minnesota USA"},{"name":"Department of Obstetrics, Gynecology and Women's Health University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0500-4804","authenticated-orcid":false,"given":"Yingling","family":"Fan","sequence":"additional","affiliation":[{"name":"Daynamica, Inc.  Chanhassen Minnesota USA"},{"name":"Humphrey School of Public Affairs University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5433-4810","authenticated-orcid":false,"given":"Anne","family":"Blaes","sequence":"additional","affiliation":[{"name":"Masonic Cancer Center University of Minnesota  Minneapolis Minnesota USA"},{"name":"Division of Hematology, Oncology and Transplantation University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6764-0254","authenticated-orcid":false,"given":"J. Nicholas","family":"Odom","sequence":"additional","affiliation":[{"name":"O'Neal Comprehensive Cancer Center University of Alabama at Birmingham  Birmingham Alabama USA"},{"name":"School of Nursing University of Alabama at Birmingham  Birmingham Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2108-3426","authenticated-orcid":false,"given":"Rebecca","family":"Arend","sequence":"additional","affiliation":[{"name":"O'Neal Comprehensive Cancer Center University of Alabama at Birmingham  Birmingham Alabama USA"},{"name":"Division of Gynecologic Oncology O'Neal Comprehensive Cancer Center, University of Alabama at Birmingham  Birmingham Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2032-0875","authenticated-orcid":false,"given":"Julian","family":"Wolfson","sequence":"additional","affiliation":[{"name":"Division of Biostatistics and Health Data Science University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0149-8464","authenticated-orcid":false,"given":"Rachel I.","family":"Vogel","sequence":"additional","affiliation":[{"name":"Masonic Cancer Center University of Minnesota  Minneapolis Minnesota USA"},{"name":"Department of Obstetrics, Gynecology and Women's Health University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,16]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djae252"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.21.02810"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/oncolo\/oyae187"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.3461"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/oncolo\/oyae016"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1200\/OP.23.00232"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10549\u2010024\u201007379\u20107"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2025.47924"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905\u2010025\u201003826\u20109"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/NCC.0000000000001399"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13063\u2010025\u201008769\u2010y"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1634\/theoncologist.2015\u20100110"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.19.00175"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.32594"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2025.49957"},{"key":"e_1_2_12_17_1","unstructured":"Telehealth FAQ(2026) (accessed 13 March 2026) https:\/\/www.cms.gov\/files\/document\/telehealth\u2010faq\u2010updated\u201002\u201026\u20102026.pdf."},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520\u2010024\u201009132\u20108"}],"container-title":["Cancer Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cam4.72277","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/cam4.72277","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cam4.72277","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T04:51:35Z","timestamp":1791262295000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/cam4.72277"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":17,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1002\/cam4.72277"],"URL":"https:\/\/doi.org\/10.1002\/cam4.72277","archive":["Portico"],"relation":{},"ISSN":["2045-7634","2045-7634"],"issn-type":[{"value":"2045-7634","type":"print"},{"value":"2045-7634","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"2026-06-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-04","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-16","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e72277"}}