Remote patient monitoring (RPM) is rapidly transforming cancer care, with electronic patient-reported outcomes showing clear benefits for symptom management, quality of life, and even survival in some settings. Despite these benefits, implementation in routine care remains challenging. But as digital health expands, are we unintentionally leaving some patients behind?

In this episode, Eléna Prospero joins Deputy Editor Charlotte Rowbottom to talk about her recent mixed-methods study exploring how healthcare providers’ perceptions of patients’ digital capacity may influence access to these technologies—and what this means for equity in cancer care. Drawing on survey data from clinicians across France and Belgium, real-world observations of prescribing decisions in a large cancer centre, and a patient cohort of over 4,700 patients, this conversation challenges common assumptions about digital literacy—particularly the idea that older or vulnerable patients are less able to engage with digital tools. Their hypothesis-generating findings reveal a striking paradox: patients perceived as least suitable for RPM often have the greatest clinical need and, when enrolled, they demonstrate comparable engagement and outcomes. This conversation explore the role of implicit bias, the need for inclusive implementation of digital tools, the limitations of current evidence, and what the next steps are for more inclusive digital oncology pathways. This is a must-listen for anyone interested in digital health, health equity, and the future of patient-centred cancer care.

Click here to read the full article: https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(26)00113-6/fulltext

Gita Mishra joins Senior Editor Owen Stretton to talk about her team’s work on the simplified adolescence risk factors for endometriosis (SAFE) score for early prediction of endometriosis risk.

Click here to read the full article: https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(26)00053-2/fulltext

Medical imaging and theranostics are revolutionising how we diagnose, treat, and understand disease. To meet this moment, The Lancet group is happy to announce the launch of, The Lancet Medical Imaging and Theranostics.

You can visit https://www.thelancet.com/medical-imaging-theranostics to learn more.

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Professor Emmanuel Stamatakis joins Sundus Ahmad, Senior Editor for eClinicalMedicine to discuss how Sleep, physical activity, and nutrition (SPAN) are key determinants of both life expectancy (lifespan) and disease-free life expectancy (healthspan), yet are often studied in isolation and how their team aimed to determine the minimum combined SPAN improvements needed for a longer lifespan and healthspan.

Click here to read the full article:

https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(25)00676-5/fulltext

Medical imaging and theranostics are revolutionising how we diagnose, treat, and understand disease. To meet this moment, The Lancet group is happy to announce the launch of, The Lancet Medical Imaging and Theranostics.

You can visit https://www.thelancet.com/medical-imaging-theranostics to learn more.

Continue this conversation on social! Follow us today at... https://thelancet.bsky.social/ https://instagram.com/thelancetgroup https://facebook.com/thelancetmedicaljournal https://linkedIn.com/company/the-lancet https://youtube.com/thelancettv