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Updated: Sep 19, 2025
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Quality of Informed Consent via Telemedicine Compared With In-Person for Clinical Cancer Research
Michal Sternschuss1,2, Michael Lattanzi1,3, Emily Vertosick4
1Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
JCO Oncology Practice
|June 16, 2025
Summary
Telemedicine is effective for informed consent in cancer research. Patients using telemedicine for therapeutic trials showed higher subjective understanding compared to in-person discussions.
Area of Science:
- Oncology
- Clinical Trials
- Health Informatics
Background:
- Telemedicine is increasingly adopted in oncology research for critical processes like informed consent.
- However, limited data exist on telemedicine's impact on the quality of informed consent.
Purpose of the Study:
- To evaluate the impact of telemedicine versus in-person discussions on the quality of informed consent in oncology clinical research.
- To compare objective and subjective understanding of clinical trial protocols between telemedicine and in-person informed consent.
Main Methods:
- A modified Quality of Informed Consent (QuIC) questionnaire assessed objective (QuIC A) and subjective (QuIC B) understanding.
- Patients undergoing informed consent for biomarker or therapeutic clinical studies were analyzed.
- QuIC scores were compared between telemedicine and in-person cohorts using regression models.
Main Results:
- No significant differences in objective understanding (QuIC A) were found between telemedicine and in-person consent.
- Subjective understanding (QuIC B) was significantly higher in the telemedicine group for therapeutic trials (P=0.049).
- Heterogeneity analyses showed no significant differences between biomarker and therapeutic studies for either QuIC A or B.
Conclusions:
- Telemedicine is a viable option for informed consent discussions in clinical cancer research.
- The findings support the use of telemedicine for both biomarker and therapeutic clinical trials.
- Telemedicine may enhance subjective patient understanding in therapeutic oncology trials.
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