Establishing telepathology in Africa: Lessons from Botswana

Fischer, Max; Kayembe, Mukendi; Scheer, Arnold J; Introcaso, Camille E.; Binder, Scott W.; Kovarik, Carrie L.

doi:10.1016/j.jaad.2010.05.032

Cited by 27 publications

(19 citation statements)

References 3 publications

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“…There are many ways of using telepathology, ranging from complicated, remotely driven microscopes4 to simple e-mails of photographic images. It is important that the provision of telepathology services is driven by the need of the local centre, that appropriate clinical information is provided and that the results are interpreted for clinical use by the local clinician who understands the limitation of the diagnosis that such a system imposes.…”

Section: Introductionmentioning

confidence: 99%

Remote and rapid pathological diagnosis in a resource challenged unit

et al. 2014

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Malawi is one of the world's poorest countries, but despite this, has a dedicated paediatric oncology service. The service has been hampered by the inability to make a timely cytological diagnosis in the majority of patients. A telemedicine programme was commenced to help overcome this problem, and the results for the first 197 consecutive patients are described. The results are compared with the local reports where available. Most samples were fine needle aspirates (104/197-53%), but others included bone marrow aspirates, peripheral blood films and other fluid collections. A diagnosis was arrived at in 52% of the samples; there were 46 discordant results, 38 were when one or other of the local or distant teams were unable to make a diagnosis, and only 8 where the diagnoses of the 2 teams differed. Diagnoses were made and reports were compiled by the 'distant' team within 24 h and sent to the centre in Malawi. This simple telepathology initiative has had a positive impact on clinical management, and could be used in other less resourced centres twinned with better resourced ones.

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Section: Introductionmentioning

confidence: 99%

Remote and rapid pathological diagnosis in a resource challenged unit

et al. 2014

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“…Full implementation of telepathology services, which were initiated on a limited basis in January 2013, should dramatically shorten the time to receive a diagnosis for many cancers, where definitive diagnosis can be made without special staining. [12][13][14] Assessment of the accuracy and timeliness of telepathology services at Butaro CCOE will be performed in the near future as these services are scaled up.…”

Section: Discussionmentioning

confidence: 99%

Diagnosis of Cancer in Rural Rwanda

Mpunga

Tapela

Hedt‐Gauthier

et al. 2014

American Journal of Clinical Pathology

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“…The National Laboratory in Gaborone prepared the biopsy slides, which were reviewed (CLK) through live telepathology (Fig. ) . The findings were reassuring and consistent with a proliferative nodule.…”

Section: Case Reportmentioning

confidence: 99%

Teledermatology as a Means to Provide Multispecialty Care: A Case of Global Specialty Collaboration

Madu

Chang

Kayembe

et al. 2017

Pediatric Dermatology

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Telemedicine can serve as a platform for specialty collaboration and potentially address the lack of specialized and subspecialized care globally. In this article we present a case in which the use of teledermatology facilitated global collaboration between multiple specialists and subspecialists, resulting in high-quality care of a child from a remote area of Botswana. We present the lessons learned and factors that should be considered when engaging in global specialty collaboration, especially between developed and developing countries. We also discuss the potential limitations of telemedicine when used within a global context. With these considerations in mind, global specialty collaboration facilitated by telemedicine can provide a potential solution to the lack of access to specialized and subspecialized care.

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Establishing telepathology in Africa: Lessons from Botswana

Cited by 27 publications

References 3 publications

Remote and rapid pathological diagnosis in a resource challenged unit

Remote and rapid pathological diagnosis in a resource challenged unit

Diagnosis of Cancer in Rural Rwanda

Teledermatology as a Means to Provide Multispecialty Care: A Case of Global Specialty Collaboration

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