A comprehensive approach for evaluating telemedicine-delivered multidisciplinary breast cancer meetings in southern Scotland

Kunkler, Ian; Fielding, Richard; Brebner, J A; Prescott, R. J.; Maclean, J. Ross; Cairns, John; Chetty, U.; Neades, Glyn; Walls, Andrew; Bowman, A.; Dixon, JM; Gardner, Thomas W.; Smith, Melanie E.; MacCoubrey, J; Lee, A J; Swann, S; McNab, Michelle; Wilson, Jo; Nawroz, Ibrahim

doi:10.1258/1357633054461804

Cited by 29 publications

(24 citation statements)

References 15 publications

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“…Kunkler et al proposed a comprehensive methodology to assess the clinical and economic effectiveness of VC in MDTs [ 27 ]. This methodology was later tested in a randomized breast cancer trial [ 28 ], where 473 MDT patient discussions in two district general hospitals were cluster randomized to the intervention of telemedicine linkage to breast specialists in a cancer center or to the control group of “in-person” meetings.…”

Section: Resultsmentioning

confidence: 99%

Overcoming Distance: Video‐Conferencing as a Clinical and Educational Tool Among Surgeons

2009

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Background Since the 1960s, there has been substantial development in the uses of video-conferencing (VC) among medical personnel, including surgeons who have adopted the technology. Methods A report on our own experience with VC was combined with a comprehensive PubMed search with the key words telepresence, video-conferencing, video-teleconferencing, telementoring and surgery, trauma, followup, education, and multidisciplinary teams. A search through two peer-reviewed telemedicine journals-Journal of Telemedicine and Telecare and Telemedicine and eHealth Journal-and references of all included papers and identified additional reports was conducted. Results A total of 517 articles were identified with 51 relevant manuscripts, which included the key phrases. VC is widely used among surgeons for telementoring surgical procedures and in trauma and emergency medicine. Furthermore, VC is widely used by multidisciplinary teams and for the follow-up of patients after surgery. Conclusions VC is a common clinical tool for surgeons and provides a great opportunity to alter surgical practice and to offer patients the best expertise in surgical treatment despite long distances, especially in rural areas.

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Section: Resultsmentioning

confidence: 99%

Overcoming Distance: Video‐Conferencing as a Clinical and Educational Tool Among Surgeons

2009

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“…This is an issue here in the United States and internationally. 8 The Duke Cancer Network , committed to providing clinical care, education, and research for patients through affiliations with hospitals in relatively rural locations throughout North Carolina, created an Internet-based platform for a multidisciplinary lung cancer tumor conference. The purpose was to enhance the care of patients lung cancer in the community.…”

Section: Introductionmentioning

confidence: 99%

“…[8][9][10][11][12] Traditional face-to-face meetings are the most common but may be difficult in the community setting, especially in rural areas, where subspecialized providers may not participate in the same practices and the demands of a busy clinical practice limit physician engagement at centralized locations. Telemedicine, with video or Web conferencing, can provide a necessary service for these rural areas.…”

Section: Introductionmentioning

confidence: 99%

Development of a virtual multidisciplinary lung cancer tumor board in a community setting.

Stevenson

Irwin

Lowry

et al. 2012

JCO

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Purpose: Creating an effective platform for multidisciplinary tumor conferences can be challenging in the rural community setting. The Duke Cancer Network created an Internet-based platform for a multidisciplinary conference to enhance the care of patients with lung cancer. This conference incorporates providers from different physical locations within a rural community and affiliated providers from a university-based cancer center 2 hours away. An electronic Web conferencing tool connects providers aurally and visually.Methods: Conferences were set up using a commercially available Web conferencing platform. The video platform provides a secure Web site coupled with a secure teleconference platform to ensure patient confidentiality. Multiple disciplines are invited to participate, including radiology, radiation oncology, thoracic surgery, pathology, and medical oncology. Participants only need telephone access and Internet connection to participate. Results: Patient histories and physicals are presented, and theWeb conferencing platform allows radiologic and histologic images to be reviewed. Treatment plans for patients are discussed, allowing providers to coordinate care among the different subspecialties. Patients who need referral to the affiliated universitybased cancer center for specialized services are identified. Pertinent treatment guidelines and journal articles are reviewed. On average, there are 10 participants with one to two cases presented per session. Conclusion:The use of a Web conferencing platform allows subspecialty providers throughout the community and hours away to discuss lung cancer patient cases. This platform increases convenience for providers, eliminating travel to a central location. Coordination of care for patients requiring multidisciplinary care is facilitated, shortening evaluation time before definitive treatment plan.

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“…Multidisciplinary case discussion can thus be facilitated by VC (Augestad & Lindsetmo, 2009). Kunkler et al proposed a comprehensive methodology to assess the clinical and economical effectiveness of VC in IDTs (Kunkler et al, 2005). This methodology was later tested in a randomized breast cancer trial (Kunkler et al, 2007), where 473 IDT patient discussions in two district general hospitals were cluster randomized to the intervention of telemedicine linkage to breast specialists in a cancer center, or to the control group of "in-person" meetings.…”

Section: Interdisciplinary Team Communicationmentioning

confidence: 99%

Video Communication for Using of Telemedicine in Traffic Accidents

Hamidi¹

2018

IJBSE

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Since the emergence of telegraph and telephone technologies in the 19th Century, doctors have been communicating and consulting with each other over long distances. Telemedicine, as distance healing was first highlighted in 1970, when Thomas Bird wrote about patient care in which physicians were able to examine their patients by using telecommunication technologies. In short, telemedicine can simply involve two health professionals discussing a case over the telephone, or be as sophisticated as using the satellite technology to broadcast a consultation between providers at facilities in two countries, using video conferencing equip men. Telemedicine has the potential to reduce differences in the lives of people, especially those living in remote areas, away from hospitals and thus deprived of quality and timely medical care. The main role of telemedicine is to provide rapid access to experienced health care professionals at a distance using telecommunications and information technologies, no matter where the patient is located. The spectrum of technology used in telemedicine is broad, ranging from simple phone, faxes and emails, to satellite-based relay transfers and state-of-the-art computer and videoconferencing facilities. We divide video communication in telemedicine into videoconferencing and telepresence. Videoconferencing (VC) is defined as a real-time, live, interactive program in which one set of participants are at one or more locations and the other set of participants are at another location. VC permits interaction, including audio and/or video, and possibly other modalities, between at least two sites. Using VC, technical requirements regarding quality are not usually very demanding. Telepresence, on the other hand, widens the purpose of practice beyond pure communication and has clear requirements, mainly concerning the quality and control of the picture as well as time latency. Surgery has entered the computer age with the advent of video laparoscopy. Magnified and computer-enhanced video image provided surgeons with better exposure and visualization of the abdomen. However, a decade after the launch of the new technology it is still poorly accepted. Most laparoscopic procedures are difficult to teach and learn, in addition, the learning curve is very flat. Obvious weaknesses of new technology are: unstable camera platforms, limited motion of straight laparoscopic instruments, twodimensional imaging and poor ergonomics for the surgeon. Since the introduction of video laparoscopic cholecystectomy, surgeons have speculated that computers, 3-D imaging, and robotics could overcome these pitfalls of laparoscopy.

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A comprehensive approach for evaluating telemedicine-delivered multidisciplinary breast cancer meetings in southern Scotland

Cited by 29 publications

References 15 publications

Overcoming Distance: Video‐Conferencing as a Clinical and Educational Tool Among Surgeons

Overcoming Distance: Video‐Conferencing as a Clinical and Educational Tool Among Surgeons

Development of a virtual multidisciplinary lung cancer tumor board in a community setting.

Video Communication for Using of Telemedicine in Traffic Accidents

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