[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-383876-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-383876-en":130},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","impact-of-cancer-related-virtual-visits-on-travel-distance-travel-time-and-carbon-dioxide-co2-emissions-during-the-covid-19-pandemic-in-manitoba-canada","Impact of Cancer-Related Virtual Visits on Travel Distance, Travel Time, and Carbon Dioxide (CO2) Emissions during the COVID-19 Pandemic in Manitoba, Canada","","CancerCare Manitoba introduced virtual visits at the start of the COVID-19 pandemic to replace many in-person cancer appointments. This study evaluates how virtual visits affect travel distance, travel time, and carbon dioxide (CO2) emissions. Visits to CCMB for invasive and in situ cancers from 1 April 2020 to 31 December 2022 were analyzed using data from the electronic health record. Virtual visit share increased over the pandemic period, with reductions in median travel time and distance that translated into substantial monthly decreases in CO2 emissions.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/impact-of-cancer-related-virtual-visits-on-travel-distance-travel-time-and-carbon-dioxide-co2-emissions-during-the-covid-19-pandemic-in-manitoba-canada/383876/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/impact-of-cancer-related-virtual-visits-on-travel-distance-travel-time-and-carbon-dioxide-co2-emissions-during-the-covid-19-pandemic-in-manitoba-canada/383876.png","ImageObject",300,407,{"name":42,"@type":43},"Riley West","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-25","2026-09-24",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",5,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What was the main purpose of implementing virtual visits in CancerCare Manitoba?","Question",{"text":63,"@type":64},"Virtual visits were introduced to replace many in-person appointments during the COVID-19 pandemic, allowing patients to interact with providers by telephone and videoconferencing.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"Which time period and patient visits were included in the analysis?",{"text":68,"@type":64},"The study included all CCMB visits for invasive and in situ cancers from 1 April 2020 to 31 December 2022 for Manitoba residents.",{"name":70,"@type":61,"acceptedAnswer":71},"How did virtual visits influence travel and environmental outcomes?",{"text":72,"@type":64},"Virtual visits reduced travel distance and travel time and correspondingly prevented measurable amounts of CO2 emissions associated with patient travel each month.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},383876,1790560548,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,100,105,109,114,119,122,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":55,"doc_module":4,"doc_module_name":25,"category_name":97,"show_sort_weight":98,"slug":99},"Comic",60,"comic",{"id":101,"doc_module":4,"doc_module_name":25,"category_name":102,"show_sort_weight":103,"slug":104},6,"Technology",50,"technology",{"id":106,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":107,"slug":108},7,40,"healthcare",{"id":110,"doc_module":4,"doc_module_name":25,"category_name":111,"show_sort_weight":112,"slug":113},8,"Research & Report",30,"research-report",{"id":115,"doc_module":4,"doc_module_name":25,"category_name":116,"show_sort_weight":117,"slug":118},9,"Religion & Spirituality",20,"religion-spirituality",{"id":117,"doc_module":4,"doc_module_name":25,"category_name":120,"show_sort_weight":117,"slug":121},"World Cup","world-cup",{"id":123,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":123,"slug":125},10,"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":55,"slug":129},19,"General","general",{"code":4,"msg":82,"data":131},{"doc_id":79,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":106,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":139,"language":140,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":12,"update_tm":144,"read_time":145},1099523885074,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","Article  \nImpact of Cancer-Related Virtual Visits on Travel Distance, Travel Time, and Carbon Dioxide (CO 2) Emissions during the COVID-19 Pandemic in Manitoba, Canada  \nPascal Lambert 1,2, Grace Musto 2, Maclean Thiessen 3,4, Piotr Czaykowski 3,4 and Kathleen Decker 1,2,5, *  \nCitation: Lambert, P.; Musto, G.; Thiessen, M.; Czaykowski, P.; Decker, K. Impact of Cancer-Related Virtual Visits on Travel Distance, Travel Time, and Carbon Dioxide (CO2) Emissions during the COVID-19 Pandemic in Manitoba, Canada. Curr. Oncol. 2023, 30, 5973–5983. [https://doi.org/](https://doi.org/)[ ](https://doi.org/)[10.3390/curroncol30070446](10.3390/curroncol30070446)  \nReceived: 18 April 2023  \nRevised: 9 June 2023  \nAccepted: 16 June 2023  \nPublished: 21 June 2023  \nCopyright: © 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ([https://](https://)[ ](https://)[creativecommons.org/licenses/by/](creativecommons.org/licenses/by/)[ ](creativecommons.org/licenses/by/)[4.0/](4.0/)) .  \n1 CancerCare Manitoba Research Institute, CancerCare Manitoba, 675 McDermot Avenue, Winnipeg, MB R3E 0V9, Canada; plambert@cancercare.mb.ca  \n2 Department of Epidemiology and Cancer Registry, CancerCare Manitoba, 675 McDermot Avenue, Winnipeg, MB R3E 0V9, Canada; gmusto@cancercare.mb.ca  \n3 Department of Medical Oncology and Hematology, CancerCare Manitoba, 675 McDermot Avenue, Winnipeg, MB R3E 0V9, Canada; [maclean.thiessen@umanitoba.ca](maclean.thiessen@umanitoba.ca) (M.T.);  \npczaykowski@cancercare.mb.ca (P.C.)  \n4 Department of Internal Medicine, Rady Faculty of Health Sciences, Max Rady College of Medicine, University of Manitoba, 820 Sherbrook Street, Winnipeg, MB R3E 0V9, Canada  \n5 Department of Community Health Sciences, Rady Faculty of Health Sciences, Max Rady College of Medicine, University of Manitoba, 750 Bannatyne Avenue, Winnipeg, MB R3E 0V9, Canada  \n* Correspondence: kdecker@cancercare.mb.ca  \nAbstract: CancerCare Manitoba (CCMB) introduced virtual visits at the beginning of the COVID-19 pandemic to replace many in-person visits. This study examines the impact of virtual visits for cancer care on travel distance, travel time, and carbon dioxide (CO 2) emissions. We included all visits to CCMB for invasive and in situ cancers from 1 April 2020 to 31 December 2022 . Data were extracted from CCMB's electronic health record. The percentage of visits done virtually by month was reported by age, gender, cancer diagnosis, and regional health authority of residence. Postal codes for patients'residences and clinic locations were converted into latitude and longitude values. Travel distance, travel time, and CO2 emissions associated with travel were estimated. The percentage of virtual visits was highest during the months when COVID-19 restrictions were present in Manitoba and represent more than 50% of such monthly visits. Virtual visits increased with age, were highest among men with urogenital cancer, and were lowest among northern Manitoba residents. The median travel time per visit ranged from 30 min in Winnipeg to 15 h in the Northern Region. The estimated travel distance saved varied from 420,000 to 750,000 km per month. Estimated travel time saved varied from 5500 to 9600 h per month. Estimated CO2 emissions prevented varied from 87 to 155 metric tons per month. Virtual care is an important tool for better supporting those living with cancer by substantially decreasing travel distance and time. Virtual care also contributes to reducing greenhouse gas emissions.  \nKeywords: cancer; virtual care; greenhouse gas emissions; COVID-19  \n1. Introduction  \nDue to the increased vulnerability of individuals diagnosed with cancer to infections with COVID-19 [1–4], CancerCare Manitoba (CCMB), the provincial agency responsible for cancer treatment, introduced virtual visits midway through March 2020 . For some appointments, i","cbCaik9JneS4Wer1","https://ap.wps.com/l/cbCaik9JneS4Wer1","pdf",2308590,11,"English","# Introduction\n# Materials and Methods\n## Data Sources","[{\"question\":\"What was the main purpose of implementing virtual visits in CancerCare Manitoba?\",\"answer\":\"Virtual visits were introduced to replace many in-person appointments during the COVID-19 pandemic, allowing patients to interact with providers by telephone and videoconferencing.\"},{\"question\":\"Which time period and patient visits were included in the analysis?\",\"answer\":\"The study included all CCMB visits for invasive and in situ cancers from 1 April 2020 to 31 December 2022 for Manitoba residents.\"},{\"question\":\"How did virtual visits influence travel and environmental outcomes?\",\"answer\":\"Virtual visits reduced travel distance and travel time and correspondingly prevented measurable amounts of CO2 emissions associated with patient travel each month.\"}]","Impact of Cancer-Related Virtual Visits on Travel Distance, Travel Time, and Carbon Dioxide (CO2) Emissions during the COVID-19 Pandemic in Manitoba, Canada | PDF",1790260003,28]