OnCo
ideasIdea

Remote consent and tele-screening so the first trial visit is a video call

Much of trial screening is paperwork, questions and reviewing scans that already exist. Doing this by video and electronic consent before any travel would let patients decide without a wasted trip.

Sites adopt electronic consent with teach-back, tele-screening visits reviewing existing imaging and pathology via central read, and remote collection of history and performance status, so in-person attendance is needed only for procedures the protocol genuinely requires. Regulators in the US and EU accept eConsent; adoption in oncology remains low.

Hypothesis
Sites offering remote consent and screening will convert a higher fraction of referred patients into enrolled patients and shorten the interval from referral to cycle 1 day 1.
Rationale
Screen failure after travel is demoralising and expensive; many failures could be identified from existing records. Remote consent lets patients involve family and take time, which improves comprehension.
What would test it
Stepped-wedge rollout across a cooperative group's sites; measure referral-to-enrolment conversion and time to first dose before and after.
Maturity
early clinical
Who has to act
clinic
Cost to try
Small (under $1M)
Years to first evidence
1
Bottlenecks it attacks

Key papers

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Connected

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