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. 2025 Jan 7;4(1):e000432. doi: 10.1136/bmjonc-2024-000432

Table 1. Summary of portal adoption trends and disparities in use among patients with cancer.

Theme Description Key points
Increased access to portals by patients with cancer Characterising the uptake of portals and the changes in how patients are being offered the portal by clinicians
  • Portal use continues to rise, with 13% more patients using the portal in 2020 from 2014 and another 46% more from 2020 to 20226 21 22

  • Portal functionality has expanded to support care partners23,29

Disparities in portal access for patients with cancer Cataloguing the barriers to portal access for patients and care partners
  • Disparities in portal use among patients with cancer reflect broader portal disparities, including non-white, male, uninsured, older, unmarried patients with cancer, have limited English proficiency, reside in rural areas and have lower broadband access are less likely to use the portal30,43

  • Sociodemographic disparities exist in care partners as well, as Hispanic care partners and care partners with lower than a college education are less likely to use the portal3334 36,41 44