Impact of telemedicine on pediatric neuro‐oncology in a developing country: The Jordanian‐Canadian experience

Pediatric Blood and Cancer - Tập 48 Số 1 - Trang 39-43 - 2007
Ibrahim Qaddoumi1, Asem Mansour2, Awni Musharbash3, James M. Drake4, Maisa Swaidan2, Tarık Tihan5, Éric Bouffet6
1Department of Pediatrics, King Hussein Cancer Center (KHCC), Amman, Jordan
2Department of Radiology, King Hussein Cancer Center (KHCC), Amman, Jordan
3Department of Surgery, King Hussein Cancer Center-KHCC, Amman, Jordan
4Division of Neurosurgery, The Hospital for Sick Children, Toronto, Canada
5Department of Pathology, University of California, San Francisco (UCSF), San Francisco
6Division of Hematology/Oncology, The Hospital for Sick Children, Toronto, Canada

Tóm tắt

AbstractBackgroundTelemedicine is widely used in industrialized countries for educational purposes. Twinning experiences using telemedicine between institutions in industrialized and developing countries (DC) have been limited. Pediatric neuro‐oncology is a complex multidisciplinary discipline that is underserved in most of DC and provides a model to test the feasibility of such tool for twinning purposes.MethodsA computer, an EMLO visual presenter HV‐7600SX document camera, and a TANDBERG 6000 model videoconference unit were used to present data. For connectivity, we used a six‐channel ISDN telephone line. Each channel is 64 megabytes/sec.ResultsBetween December 2004 and May 2006, 20 sessions of videoconference were held between King Hussein Cancer Center and the Hospital for Sick Children to discuss 72 cases of 64 patients with various brain tumors (5 patients were discussed twice and 1 patient four times). In 23 patients (36%), major changes from original plan were recommended on different aspects of the care. In 21 patients (91%), those recommendations were followed, with potentially significant positive impact on patients' care.ConclusionsVideoconferencing is a feasible and practical twinning tool in pediatric neuro‐oncology with a potentially major impact on patient care. Pediatr Blood Cancer 2007;48:39–43. © 2006 Wiley‐Liss, Inc.

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