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Feasibility Study: Early Experiences With a Cancer Center's Virtual Expert Medical Opinion Program.

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Virtual second opinions improve cancer care access for patients nationwide. Subspecialists recommended treatment changes in 32% of cases, impacting prognosis and quality of life.

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Area of Science:

  • Oncology
  • Health Services Research
  • Digital Health

Background:

  • Geographic barriers limit access to specialized cancer care.
  • Virtual second opinion programs offer a solution to extend high-level care to patients remotely.
  • This study assesses the feasibility and impact of a national virtual second opinion program.

Purpose of the Study:

  • To examine changes in recommended cancer treatment through a national virtual second opinion program.
  • To evaluate the feasibility of delivering specialized cancer care to patients regardless of location.
  • To understand the potential impact of virtual second opinions on patient outcomes.

Main Methods:

  • A national virtual second opinion program was established through an employer benefits solution.
  • Memorial Sloan Kettering Cancer Center (MSK) subspecialists conducted reviews using a digital platform.
  • Subspecialists completed questionnaires on the perceived impact of recommended treatment changes.

Main Results:

  • 231 cases were reviewed from December 2023 to November 2024, with most patients from the Southern US.
  • Subspecialists recommended meaningful treatment changes in 32% of cases (75/231).
  • Recommended changes aimed to improve prognosis/survival (65%) and quality of life (48-65%), with higher rates for liquid vs. solid tumors.

Conclusions:

  • Virtual second opinion programs can help overcome geographic barriers in cancer care.
  • These programs have the potential to significantly impact patient outcomes and quality of life.
  • Findings support strategies to reach underserved populations with expert cancer care.