Future-Proofing Cancer Care Against Pandemics: Flexibility and Adaptation Are Keys

January 2022 Vol 13, No 1

Enhanced flexibility in delivery, increased investment in digital capability, and quick adaptation to events were some of the positive impacts of the COVID-19 pandemic on cancer care.

“Radical events lead to radical change,” said Ira Klein, MD, vice president, Medical Affairs and Payer Relations at Tempus Labs, New York City, who moderated a panel on future-proofing cancer against pandemics. “Radical change is not a bad thing when we need to fix broken elements of a system.”

The need for flexibility in cancer care during the COVID-19 pandemic was variable across the country as hot spots emerged, said Stephen Grubbs, MD, vice president of Clinical Affairs at the American Society of Clinical Oncology. The pandemic necessitated quick adaptation with regard to infection control and to digital technology, which was exported across the entire industry. The resiliency among staff was apparent during this time, he said.

The delay in cancer diagnoses during the pandemic has been a real concern, but it also spurred the speed of innovation, he believes. How best to overcome this barrier in the event of another pandemic must be addressed.

Practice visits dropped by about 25% during the first quarter of the pandemic, he said, compensated for by a 25% uptick in telemedicine visits. “We went back to normal levels by the third quarter of the pandemic,” said Dr Grubbs. “Telemedicine has leveled off at about 5% of all visits.”

Telemedicine will continue to have an important role in the future of cancer care delivery, with the challenge to determine its niche in the level of use that patients and providers prefer.

The pandemic forced “10 years of innovation into 6 weeks,” said Dr Klein, such as forcing providers to interact differently. Although telemedicine was a revolution, the importance of in-office visits will remain. “There’s a tangible aspect of touch and feel that you can’t get with telemedicine,” he said.

Although routine follow-up visits were made easier and permitted rural access to expertise, not every patient has access to “good” telemedicine, said Dr Grubbs, noting broadband issues in rural areas, which may actually act to worsen disparities in cancer care, he warned.

Continued reimbursement for telemedicine services will determine the degree to which telemedicine will be used in the future, said Dr Grubbs. The impact of telemedicine on care delivery at the local level must be assessed so as not to remove local care, he said.

Increased investment in omnichannel capability, leading to enhanced patient support services, resulted from the pandemic, said Deanna Angello, head of Oncology Franchise Strategy, The Janssen Pharmaceutical Companies of Johnson & Johnson, who offered that this investment could bring more personalized care to patients and engage them in a more personal way.

When asked how advance warning of the pandemic would have better prepared oncology, Dr Grubbs responded that infection control and availability of personal protective equipment would have been much better. Ms Angello said that the investment in building different digital capabilities would have occurred much sooner, as well as the breakdown of silos involved in cancer care delivery, including data providers, academia, and industry. She noted that “collaboration has been a highlight of the past 18 months,” as these partners addressed the need for sharing data.

Staff burnout worsened because of COVID-19, said Dr Grubbs, and it will be a continuing challenge as shortages of staff in the oncology space are expected. To this end, continued shifting of resources and investment into digital technology is expected, in the hope of delivering the right expertise to the customer, said Ms Angello.

A pause in clinical research was an adverse consequence of the pandemic, but the breakdown of barriers to collaboration, such as data sharing, may act to reinvigorate research, believes Ms Angello. “Will we make up everything we lost? I can’t answer that,” she said.

“We learned how to make clinical trials much more flexible,” said Dr Grubbs, as more testing and consent was performed at remote centers. A lot of clinical trial enrollment starts in the community, commented one member in the audience.

The ability to learn how to deliver drugs at alternate sites of care, and initiation of home infusions, were 2 positives from the pandemic, said Ms Angello. “We need to continue to work on that,” she said.

Last modified: August 10, 2023

Subscribe Today!

To sign up for our print publication or e-newsletter, please enter your contact information below.

I'd like to receive:

  • First Name *
    Last Name *
    Profession or Role
    Primary Specialty or Disease State