{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,9]],"date-time":"2025-04-09T14:10:46Z","timestamp":1744207846405,"version":"3.37.3"},"reference-count":21,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,9,25]],"date-time":"2021-09-25T00:00:00Z","timestamp":1632528000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>This article reports on the effects of an early outbreak during the COVID\u201019 pandemic on visit volume and telehealth use by various specialists at a comprehensive cancer center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>The number of on\u2010site and telehealth visits (THV) for medical and surgical specialties were obtained from scheduling software.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Total visits were most drastically limited in April 2020 to a low point of 3139; THV made up 28% of all visits. For head and neck surgery, THV made up 54% and 30% of visits in April and May, respectively. Other specialties, such as psychiatry and palliative care, had higher levels of THV. For most specialties, the rebound in June through September did not make up for visits lost during the outbreak, and fiscal year\u00a0 (FY) 2020 had a 9% loss from FY 2019 with 5786 fewer total annual visits across all specialties.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>While telemedicine was a helpful part of this cancer center's response to the initial COVID\u201019 surge, it was not able to replace the in\u2010person services offered at the same center. The main strategy of physicians at this cancer center was to defer care, with telemedicine being an auxiliary response.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jso.26681","type":"journal-article","created":{"date-parts":[[2021,9,25]],"date-time":"2021-09-25T13:00:30Z","timestamp":1632574830000},"page":"101-106","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Telemedicine trends at a comprehensive cancer center during the first wave of the COVID\u201019 pandemic"],"prefix":"10.1002","volume":"125","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3088-4850","authenticated-orcid":false,"given":"Michael R.","family":"Moentmann","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Karmanos Cancer Institute &amp; Wayne State University  Detroit Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jared","family":"Johnson","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Karmanos Cancer Institute &amp; Wayne State University  Detroit Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael T.","family":"Chung","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Karmanos Cancer Institute &amp; Wayne State University  Detroit Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olivia E.","family":"Yoo","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Karmanos Cancer Institute &amp; Wayne State University  Detroit Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ho\u2010sheng","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Karmanos Cancer Institute &amp; Wayne State University  Detroit Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George H.","family":"Yoo","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Karmanos Cancer Institute &amp; Wayne State University  Detroit Michigan USA"},{"name":"Department of Oncology Karmanos Cancer Institute &amp; Wayne State University  Detroit Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,9,25]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"Organization WH. WHO Director\u2010General's opening remarks at the media briefing on COVID\u201019 March 11. WHO.int2020."},{"key":"e_1_2_7_3_1","unstructured":"Orginization WH. Pneumonia of unknown cause \u2013 China. WHO.int2020."},{"key":"e_1_2_7_4_1","unstructured":"Services CfMM. CMS Releases Recommendations on Adult Elective Surgeries Non\u2010Essential Medical Surgical and Dental Procedures During COVID\u201019 Response.CMS.gov2020."},{"key":"e_1_2_7_5_1","unstructured":"Coronavirus. State of Michigan. 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