Patient perspectives on perioperative telemedicine in female malignancies: the role of age, digital experience, and privacy concerns.

BACKGROUND

Telemedicine offers new opportunities in perioperative care, particularly for patients with female malignancies. This study investigated factors influencing patient acceptance of telemedical services during the preoperative phase.

METHODS

Between May and November 2022, 145 patients with breast or gynecologic malignancies completed a structured questionnaire in a cross-sectional study during preoperative consultation. Sociodemographic factors, digital experience, and privacy concerns were assessed. Data were analyzed using descriptive statistics, t-tests, Chi-square, Mann-Whitney U-tests, and binary logistic regression.

RESULTS

Overall, 69% of patients expressed agreement with perioperative telemedicine. Younger age (mean 50.6 vs. 59.3 years; p = 0.001) and greater digital experience, especially video call usage (p = 0.005), significantly predicted approval. The most preferred modality was browser-based video consultation (47%; p = 0.007). No significant associations were found for distance to clinic (p = 0.672), EQ-VAS score (p = 0.597), or number of prior clinic visits (p = 0.331). Barriers included data protection concerns (p < 0.001) and discomfort with receiving sensitive information via telemedicine (p < 0.001).

CONCLUSION

Most patients view telemedicine as a valuable supplement to traditional care. Acceptance depends on age, digital literacy, and the perceived sensitivity of clinical communication. Tailored implementation respecting patient preferences is essential.