{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T10:01:31Z","timestamp":1780740091816,"version":"3.54.1"},"reference-count":19,"publisher":"American Society of Clinical Oncology (ASCO)","issue":"7","content-domain":{"domain":["ascopubs.org"],"crossmark-restriction":true},"short-container-title":["JCO Clinical Cancer Informatics"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:sec><jats:title>PURPOSE<\/jats:title><jats:p> We aimed to define clinical variables that could predict changes in physical examination (PE) findings and consequently lead to significant differences in clinical management. This knowledge is important because of the growing popularity of teleoncology consultations, in which there is no possibility of PE, aside from inspection. <\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p> This prospective study was conducted in two public hospitals in Brazil. Clinical variables and findings of PE, as well as the management plan determined at the end of the medical appointment, were systematically recorded. <\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p> A total of 368 in-person clinical evaluations of patients with cancer were included. PE was normal or had alterations already seen in previous consultations in 87% of the cases. Among patients with new changes in PE (n = 49), cancer treatment was maintained in 59%, complementary examinations and specialist appointments were requested in 31%, and oncological therapy was modified directly after PE in 10%. Of the total 368 visits, only 12 (3%) had a change in oncological management, five directly after PE abnormalities and 7 after complementary assessment. The presence of symptoms and reasons for consultation other than follow-up showed a positive association with alterations in PE and consequent changes in clinical management by univariate and multivariate analysis ( P &lt; .05). <\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSION<\/jats:title><jats:p> Considering changes in clinical management, PE on every encounter for medical oncology surveillance visits may not be necessary. We envision that teleoncology will be a safe modality in most cases, given the large percentage of asymptomatic patients with no changes in PE during face-to-face care. However, for patients with advanced disease and symptoms, however, we suggest priority for in-person care. <\/jats:p><\/jats:sec>","DOI":"10.1200\/cci.22.00152","type":"journal-article","created":{"date-parts":[[2023,5,15]],"date-time":"2023-05-15T19:59:41Z","timestamp":1684180781000},"update-policy":"https:\/\/doi.org\/10.1200\/crossmark","source":"Crossref","is-referenced-by-count":4,"title":["Physical Examination in Medical Oncology Guiding the Development of a Protocol for Teleoncology Care in a Public Health Care Oncology Service"],"prefix":"10.1200","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2049-598X","authenticated-orcid":false,"suffix":"Jr","given":"Pedro","family":"Nazareth Aguiar","sequence":"first","affiliation":[{"name":"Centro Universit\u00e1rio Sa\u00fade ABC, Faculdade de Medicina do ABC, Santo Andr\u00e9, SP, Brazil"},{"name":"Grupo Oncocl\u00ednicas, S\u00e3o Paulo, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mirella","family":"Stival","sequence":"additional","affiliation":[{"name":"Centro Universit\u00e1rio Sa\u00fade ABC, Faculdade de Medicina do ABC, Santo Andr\u00e9, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2467-315X","authenticated-orcid":false,"given":"Marcos Aurelio Fonseca","family":"Magalh\u00e3es Filho","sequence":"additional","affiliation":[{"name":"Benefic\u00eancia Portuguesa de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2009-824X","authenticated-orcid":false,"given":"Auro","family":"del Giglio","sequence":"additional","affiliation":[{"name":"Centro Universit\u00e1rio Sa\u00fade ABC, Faculdade de Medicina do ABC, Santo Andr\u00e9, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"233","reference":[{"key":"b1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(20)30096-6"},{"key":"b2","doi-asserted-by":"publisher","DOI":"10.1590\/0102-311x00088920"},{"key":"b3","first-page":"e2020022","volume":"91","author":"Shirke MM","year":"2020","journal-title":"Acta Biomed"},{"key":"b4","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)31187-9"},{"key":"b5","doi-asserted-by":"publisher","DOI":"10.1016\/j.trecan.2020.05.013"},{"key":"b6","doi-asserted-by":"publisher","DOI":"10.1200\/GO.20.00220"},{"key":"b7","doi-asserted-by":"publisher","DOI":"10.1200\/GO.20.00295"},{"key":"b8","doi-asserted-by":"publisher","DOI":"10.1188\/16.CJON.27-28"},{"key":"b9","doi-asserted-by":"publisher","DOI":"10.1111\/ajr.12170"},{"key":"b10","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.3384"},{"key":"b11","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/cmab077"},{"key":"b12","doi-asserted-by":"publisher","DOI":"10.1016\/j.annonc.2021.09.001"},{"key":"b13","doi-asserted-by":"publisher","DOI":"10.1158\/1078-0432.CCR-20-3758"},{"key":"b14","doi-asserted-by":"publisher","DOI":"10.1177\/0003134820945196"},{"key":"b15","doi-asserted-by":"publisher","DOI":"10.1258\/1357633011936976"},{"key":"b16","doi-asserted-by":"publisher","DOI":"10.1188\/20.CJON.S1.16-23"},{"key":"b17","doi-asserted-by":"publisher","DOI":"10.1200\/JOP.19.00764"},{"key":"b18","volume-title":"Thummi Global. Porto Alegre, Brazil, Thummi Website","author":"Thummi","year":"2022"},{"key":"b19","doi-asserted-by":"publisher","DOI":"10.1200\/OP.21.00438"}],"container-title":["JCO Clinical Cancer Informatics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/ascopubs.org\/doi\/pdfdirect\/10.1200\/CCI.22.00152","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,20]],"date-time":"2023-05-20T19:59:47Z","timestamp":1684612787000},"score":1,"resource":{"primary":{"URL":"https:\/\/ascopubs.org\/doi\/10.1200\/CCI.22.00152"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5]]},"references-count":19,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2023,5]]}},"alternative-id":["10.1200\/CCI.22.00152"],"URL":"https:\/\/doi.org\/10.1200\/cci.22.00152","relation":{},"ISSN":["2473-4276"],"issn-type":[{"value":"2473-4276","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5]]},"assertion":[{"value":"2022-09-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-02-16","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-05-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e2200152"}}