{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,13]],"date-time":"2026-06-13T06:56:02Z","timestamp":1781333762372,"version":"3.54.1"},"reference-count":45,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T00:00:00Z","timestamp":1780358400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T00:00:00Z","timestamp":1780358400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Telemed Telecare"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Telehealth use expanded rapidly in oncology during the COVID-19 pandemic, but determinants for ongoing use in metropolitan cancer care after the pandemic remain unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A multi-centre retrospective cohort study of 271,889 oncology outpatient consultations (face-to-face, telephone, video) from 1 January 2019 to 30 June 2024 across four cancer centres in Sydney, Australia was conducted. Consultations were divided into pre-COVID, during-COVID restrictions and post-COVID restriction time periods. Multivariable generalised estimating equations modelled the odds of telehealth use in the during and post-restriction periods, testing interactions between time periods and key covariates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Across 271,889 consultations with 21,125 patients the proportion of telehealth consultations was negligible pre-pandemic (0.4%), peaked during restrictions (24.7%) then reduced but was sustained post-restrictions (11.4%). Post-restrictions, telehealth use was more likely for follow-up consultations (vs new,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u2009.001), medical oncology consultations (vs radiation,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u2009.001), patients enrolled on a clinical trial (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u2009.001) and primary tumours including brain and genitourinary (vs breast,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u2009.001). Patients from the most socioeconomically disadvantaged quintiles (vs highest,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u2009.001), those who required an interpreter (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u2009.001), those receiving active treatment in the cancer centre (vs not on treatment,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u2009.001) and with primary tumours including head and neck or skin (vs breast,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u2009.001) were less likely to undergo telehealth consultations.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>There is modest but sustained use of telehealth in oncology post-pandemic restrictions particularly for follow-up consultations, with less utilisation in populations experiencing disadvantage. Strategic, equity-focused policies are needed to ensure that telehealth use enhances, rather than exacerbates, disparities in access to cancer care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1357633x261456154","type":"journal-article","created":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T13:45:07Z","timestamp":1780407907000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Sustained use and determinants of telehealth in metropolitan cancer care: A multi-centre retrospective study beyond the COVID-19 pandemic"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4759-3873","authenticated-orcid":false,"given":"Andrew","family":"Parsonson","sequence":"first","affiliation":[{"name":"Macquarie University"},{"name":"Macquarie University"},{"name":"Department of Medical Oncology, Nepean Cancer Care and Wellness Centre, Kingswood, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-9330-323X","authenticated-orcid":false,"given":"Jiawang","family":"Cao","sequence":"additional","affiliation":[{"name":"Western Sydney University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Descallar","sequence":"additional","affiliation":[{"name":"Ingham Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7010-5818","authenticated-orcid":false,"given":"Gui","family":"Xiong","sequence":"additional","affiliation":[{"name":"Ingham Institute"},{"name":"Department of Radiation Oncology, Liverpool Cancer Therapy Centre, Liverpool, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deme","family":"Karikios","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology, Nepean Cancer Care and Wellness Centre, Kingswood, NSW, Australia"},{"name":"School of Medicine, University of Sydney, Camperdown, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frances","family":"Boyle","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Sydney, Camperdown, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annie YS","family":"Lau","sequence":"additional","affiliation":[{"name":"Macquarie University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mei Ling","family":"Yap","sequence":"additional","affiliation":[{"name":"Western Sydney University"},{"name":"Ingham Institute"},{"name":"Department of Radiation Oncology, Liverpool Cancer Therapy Centre, Liverpool, NSW, Australia"},{"name":"Department of Radiation Oncology, Macarthur Cancer Therapy Centre, Campbelltown, NSW, Australia"},{"name":"School of Clinical Medicine, University of New South Wales, Kensington, NSW, Australia"},{"name":"Cancer Program, The George Institute for Global Health, Barangaroo, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,2]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsr1503323"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1071\/AH09794"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-5994.2011.02537.x"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.5694\/mja15.00190"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/ecc.12309"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X14529237"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1584.2012.01299.x"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/jmrs.609"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1200\/JOP.18.00110"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(20)30096-6"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.6004\/jnccn.2020.7560"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(20)30217-5"},{"key":"e_1_3_2_14_2","volume-title":"COVID-19 recovery: Implications for cancer care","year":"2020","unstructured":"COVID-19 recovery: Implications for cancer care. 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