The Impact of Prospective Telemedicine Implementation in the Management of Childhood Acute Lymphoblastic Leukemia in Recife, Brazil

Pedrosa, Francisco; Shaikh, Faisal; Rivera, Gaston K.; Ribeiro, Raul C.; Qaddoumi, Ibrahim

doi:10.1089/tmj.2016.0273

Cited by 19 publications

(21 citation statements)

References 20 publications

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“…3 Telemedicine may offer a model by which to defray these expenditures for diseases related to aging, including dementia and other neurodegenerative disorders. 2 Specifically, video-based telehealth visits may mitigate burdensome and costly transportation needs and also reduce waiting times for all stakeholders. The latter benefit may then aid in longitudinal, continuous monitoring, while potentially increasing the ecological validity of the clinical picture.…”

Section: Management Of Diseases With High Social Impactmentioning

confidence: 99%

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Telemedicine in Neurological Disorders: Opportunities and Challenges

Chirra

Marsili

Wattley

et al. 2019

Telemedicine and e-Health

118

103

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Section: Management Of Diseases With High Social Impactmentioning

confidence: 99%

“…1 These benefits ultimately stand to redesign the clinical workflow, which may streamline the management of complex medical conditions between tertiary referral centers and primary care physicians. 2…”

Section: Introductionmentioning

confidence: 99%

Telemedicine in Neurological Disorders: Opportunities and Challenges

Chirra

Marsili

Wattley

et al. 2019

Telemedicine and e-Health

118

103

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“…A total of 32 articles were included in this systematic review. Most (25/32, 78%) studies were conducted with adults [42,, while the remaining (7/32, 22%) were conducted in the pediatric population [75][76][77][78][79][80][81]. The studies addressed whether a telemedical intervention for patients with malignant and/or nonmalignant hematological conditions is a safe, feasible, and efficacious method of health care provision.…”

Section: Literature Searchmentioning

confidence: 99%

“…The sample size ranged from 1 [74] to 217,014 [62], with a median of 157 and a mean of 7977 participants per study. Overall, 21 studies enrolled ≥100 participants [51,[53][54][55][56][57][58][59][60]62,63,[65][66][67][68][69][70]72,73,76,80] and 11 had <100 participants [42,52,61,64,71,74,75,[77][78][79]81].…”

Section: Description Of the Included Studiesmentioning

confidence: 99%

“…Of the 32 included studies, 12 (34%) studied malignant hematological conditions [42,53,[58][59][60][61]64,67,69,77,80,81], 18 (59%) studied nonmalignant conditions with percentages [51,52,[54][55][56][57]62,63,65,66,68,[70][71][72][73][74]76,78], and 2 (6%) studied both malignant and nonmalignant conditions [75,79]. [68,79], 1 (3%) was a case study [74], 1 (3%) was a pre-post study [54], 1 (3%) was a noncomparative prospective study [59], and 1 (3%) was a prospective cohort study [66].…”

Section: Description Of the Included Studiesmentioning

confidence: 99%

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Telemedicine in Malignant and Nonmalignant Hematology: Systematic Review of Pediatric and Adult Studies

Shah

O’Dwyer

Badawy

2021

JMIR Mhealth Uhealth

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Background Telemedicine, including video-, web-, and telephone-based interventions, is used in adult and pediatric populations to deliver health care and communicate with patients. In the realm of hematology, telemedicine has recently been used to safely and efficiently monitor treatment side-effects, perform consultations, and broaden the reach of subspecialty care. Objective We aimed to synthesize and analyze information regarding the feasibility, acceptability, and potential benefits of telemedicine interventions in malignant and nonmalignant hematology, as well as assess the recognized limitations of these interventions. Methods Studies were identified through a comprehensive Medical Subject Headings (MeSH) search on the PubMed MEDLINE, Controlled Register of Clinical Trials (Cochrane CENTRAL from Wiley), Embase, and CINAHL (EBSCO) databases on February 7, 2018. A second search, utilizing the same search strategy, was performed on October 1, 2020. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines in the reporting of included evidence. Included studies were original articles researching the feasibility, acceptability, and clinical outcomes of telemedicine or telehealth interventions in pediatric or adult populations with malignant or nonmalignant hematological conditions. Data items in the extraction form included first author name, publication year, country, malignant or nonmalignant hematological condition or disease focus of the study, participant age, participant age subgroup (pediatric or adult), study design and setting, telemedicine intervention type and description, study purpose, and main study outcomes. Results A total of 32 articles met the preset criteria and were included in this study. Most (25/32) studies were conducted in adults, and the remaining (7/32) were conducted in the pediatric population. Of the 32 studies, 12 studied malignant hematological conditions, 18 studied nonmalignant conditions, and two studied both malignant and nonmalignant conditions. Study types included pilot study (11/32), retrospective study (9/32), randomized controlled trial (6/32), cross-sectional study (2/32), case study (1/32), pre-post study (1/32), noncomparative prospective study (1/32), and prospective cohort study (1/32). The three main types of telemedicine interventions utilized across all studies were video-based (9/32), telephone-based (9/32), and web-based interventions (14/32). Study results showed comparable outcomes between telemedicine and traditional patient encounter groups across both pediatric and adult populations for malignant and nonmalignant hematological conditions. Conclusions Evidence from this review suggests that telemedicine use in nonmalignant and malignant hematology provides similar or improved health care compared to face-to-face encounters in both pediatric and adult populations. Telemedicine interventions utilized in the included studies were well received in both pediatric and adult settings. However, more research is needed to determine the efficacy of implementing more widespread use of telemedicine for hematological conditions.

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Comprehensive global collaboration in the care of 1182 pediatric oncology patients over 12 years: The Iraqi–Italian experience

et al. 2022

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Background Iraq's health care system has gradually declined after several decades of wars, terrorism, and UN economic sanctions. The Oncology Unit at Children's Welfare Teaching Hospital (CWTH) in Baghdad was lacking basic facilities and support. To address this shortcoming, a humanitarian and educational partnership was established between CWTH and Sapienza University of Rome (SUR). Methods We investigated the outcomes of 80 online and 16 onsite educational sessions and 142 teleconsultation sessions from 2006 to 2014. We also determined the outcomes of pathology reviews by SUR of 1216 tissue specimens submitted by CWTH from 2007 until 2019 for second opinions. The primary outcomes were discordance, concordance, and changes among clinical diagnoses and pathology review findings. The measures included the frequency of teleconsultation and tele‐education sessions, the topics discussed in these sessions, and the number of pathology samples requiring second opinions. Findings A total of 500 cases were discussed via teleconsultations during the study period. The median patient age was 7 years (range, 24 days to 16·4 years), and the cases comprised 79 benign tumors, 299 leukemias, 120 lymphomas, and 97 solid tumors. The teleconsultation sessions yielded 27 diagnostic changes, 123 confirmed diagnoses, and 13 equivocal impacts. The pathology reviews by SUR were concordant for 996 (81·9%) cases, discordant for 186 (15·3%), and inconclusive for 34 (2·8%). The major cause of discordance was inadequate immunohistochemical staining. The percentage of discordance markedly decreased over time (from 40% to 10%). The cause of the improvement is multifactorial: training of two CWTH pathologists at SUR, better immunohistochemical staining, and the ongoing clinical and pathologic telemedicine activities. The partnership yielded 12 publications, six posters, and three oral presentations by CWTH investigators. Interpretation The exchange of knowledge and expertise across continental boundaries meaningfully improved the diagnoses and management of pediatric cancer at CWTH.

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The Impact of Prospective Telemedicine Implementation in the Management of Childhood Acute Lymphoblastic Leukemia in Recife, Brazil

Abstract: Integration of telemedicine into twinning programs facilitates communication about interventions, leading to improved outcomes of pediatric patients with cancer.

Cited by 19 publications

References 20 publications

Telemedicine in Neurological Disorders: Opportunities and Challenges

Telemedicine in Neurological Disorders: Opportunities and Challenges

Telemedicine in Malignant and Nonmalignant Hematology: Systematic Review of Pediatric and Adult Studies

Comprehensive global collaboration in the care of 1182 pediatric oncology patients over 12 years: The Iraqi–Italian experience

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