This study adds to the sparse evidence that telemedicine may be beneficial for the quality of life of cancer patients.

Groenen PÀP, Makhdouni M, van den Brink JL, Stoll man MHP, Snik AFM, vtin den Broek P, The relation between electric auditory brain stem and cognitive responses and speech perception in cochlear implant users. Acta Otolaryngol (Stockh) 1996; 116: 785-790. Electrically evoked brainstem responses (EABR) and event-related cortical potentials were recorded in seven postlingually deaf adults who were experienced users of a Nuclcus multichannel cochlear implant. The patients were divided into two subgroups: good performers and moderate performers, Poor EABR were found in two of the moderate performers. The latencies and amplitudes of the cortical N1-P2 complex in the good performers were within the same range as those of subjects with normal hearing, but were deviant in the group of moderate performers. This may indicate disturbed cochleotopical organization of the auditory cortex in the latter group. P300 measurements in the good performers showed normal latencies, whereas in the moderate performers they were prolonged. The results suggest that the outcomes of electrophysiological measurements to assess the integrity of a patient's auditory neural system on a brainstem and. a cortical level, are related to the patient's performance with the cochlear implant.

The electronic health information support system was used intensively and highly appreciated by H&N cancer patients. The system enabled the early detection of occurring health problems that required direct intervention. ICT can play an additional role in the management of patients, also in a relatively elderly and computer illiterate patient population.