Kathryn E Post, Chardria S Trotter, Amy M Munankarmi, Phalaen Chang, Toby C Campbell, Michael W Rabow, Laura C Hanson, Lori Spoozak, Carl Grey, Leslie Blackhall, Elaine Chen, Ramona Rhodes, Amelia Cullinan, Nora K Horick, Dustin J Rabideau, Areej El-Jawahri, Jennifer S Temel, Joseph A Greer
{"title":"Subgroup variations in benefit from telehealth palliative care for advanced lung cancer","authors":"Kathryn E Post, Chardria S Trotter, Amy M Munankarmi, Phalaen Chang, Toby C Campbell, Michael W Rabow, Laura C Hanson, Lori Spoozak, Carl Grey, Leslie Blackhall, Elaine Chen, Ramona Rhodes, Amelia Cullinan, Nora K Horick, Dustin J Rabideau, Areej El-Jawahri, Jennifer S Temel, Joseph A Greer","doi":"10.1093/jnci/djag408","DOIUrl":null,"url":null,"abstract":"We examined whether the impact on quality of life (QOL) of early palliative care delivered via video versus in-person visits varied across patients with advanced non-small cell lung cancer (NSCLC). Between 6/2018 and 5/2023, 1250 patients with advanced NSCLC enrolled in a randomized trial comparing early palliative care delivered via video or in-person visits at 22 cancer centers. Using the Functional Assessment of Cancer Therapy-Lung scale, we examined whether the effect of palliative care delivery modality on patient-reported QOL at 24 weeks post-enrollment varied by baseline sociodemographic and other factors. Black patients, Hispanic/Latino patients, and those with incomes <$50,000 reported better QOL in the video visit group versus the in-person group. However, Asian patients in the video visit group reported worse QOL than the in-person group. Early palliative care delivered via video may provide greater QOL benefits for Black and Hispanic/Latino patients with advanced NSCLC and those with lower incomes. Trial Registration: NCT03375489","PeriodicalId":501635,"journal":{"name":"Journal of the National Cancer Institute","volume":"17 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2026-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the National Cancer Institute","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1093/jnci/djag408","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
We examined whether the impact on quality of life (QOL) of early palliative care delivered via video versus in-person visits varied across patients with advanced non-small cell lung cancer (NSCLC). Between 6/2018 and 5/2023, 1250 patients with advanced NSCLC enrolled in a randomized trial comparing early palliative care delivered via video or in-person visits at 22 cancer centers. Using the Functional Assessment of Cancer Therapy-Lung scale, we examined whether the effect of palliative care delivery modality on patient-reported QOL at 24 weeks post-enrollment varied by baseline sociodemographic and other factors. Black patients, Hispanic/Latino patients, and those with incomes <$50,000 reported better QOL in the video visit group versus the in-person group. However, Asian patients in the video visit group reported worse QOL than the in-person group. Early palliative care delivered via video may provide greater QOL benefits for Black and Hispanic/Latino patients with advanced NSCLC and those with lower incomes. Trial Registration: NCT03375489
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