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Currently, there are over 18.1 million cancer survivors in the United States, and it is estimated that rates of cancer survivorship will increase by an additional 44% by 2040 [2]. While survivorship rates are encouraging, cancer survivors continue to face unique health challenges (eg, limitations in daily activities, anxiety, depression, fear of recurrence, and persistent fatigue [3-7]) which can persist well beyond the end of cancer treatment and reduce physical and mental health-related quality of life.
JMIR Cancer 2025;11:e79610
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In summary, we thank Bhatti and Bhatti [1] for their timely recommendations on strengthening equity-centered implementation of telehealth in survivorship care. This constructive feedback will be incorporated into a joint Multinational Association of Supportive Care in Cancer (MASCC)/American Society of Clinical Oncology (ASCO) update of the ASCO Telehealth in Oncology Standards, which will include considerations for resource-constrained settings [7].
J Med Internet Res 2025;27:e79461
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Equity-Centered Optimization of Virtual Cancer Survivorship Care
However, we offer critical reflections to strengthen equity-centered implementation of telehealth in survivorship care.
Although Scruton et al [1] acknowledge limitations in demographic diversity (eg, high-income, educated participants), their discussion of structural inequities remains underdeveloped.
J Med Internet Res 2025;27:e73663
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Qualitative results yielded three domains: (1) difficult-to-manage RAI symptoms: short, medium, and late treatment effects; (2) key intervention structure and content feedback on mockups; and (3) intervention content to promote RAI symptom management and survivorship care. Tables 3 and 4 display exemplar quotes with patient identifiers to depict domains and subthemes from focus group participant and stakeholder interviews.
JMIR Form Res 2025;9:e60588
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CRC ranks as the third most frequently diagnosed cancer worldwide, with its prevalence steadily rising due to prolonged survivorship [33]. The prevalence and characteristics of FCR experienced by individuals affected by CRC have been described in detail [34-40]. However, no intervention customized to address FCR in survivors of CRC has been developed [7,41].
In summary, this paper describes the process of adapting i Conquer Fear into TG-i Conquer Fear targeting survivors of CRC.
JMIR Cancer 2025;11:e63486
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Reference 41: Recruitment rates and strategies in exercise trials in cancer survivorship: a systematic Reference 42: Survivorship: healthy lifestyles, version 2.2014survivorshipCancer Survivorship
JMIR Cancer 2025;11:e59478
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technology fails and provide technical support
Ensure that virtual visit booking and scheduling processes are flexible enough to cater to patient’s changing needs and expectations and reduce wait times where possible
Make time to listen to patient concerns and provide emotional support during virtual visits
Demonstrate empathy and provide your full attention using active listening skills during virtual visits
Demonstrate competency with virtual care technology
Ensure patients are provided resources and referrals to survivorship
J Med Internet Res 2025;27:e65148
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engagement: hearing directly from young adults with cancer on their attitudes and perceptions of cancer survivorship and cancer survivorship researchsurvivorshipCancer Survivorship
JMIR Cancer 2024;10:e58014
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To increase knowledge among HCPs and childhood cancer survivors and optimize long-term survivorship care, the Survivorship Passport (Sur Pass) was developed by the Pan-European Network for Care of Survivors after Childhood and Adolescent Cancer (Pan Care), a multidisciplinary and international association of professionals, childhood cancer survivors, and their families, aiming to reduce the impact of late health effects for childhood cancer survivors [24-26].
J Med Internet Res 2024;26:e49910
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