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Teleoncology for children with cancer: A scoping review on applications and outcomes.
International Journal of Medical Informatics ( IF 3.7 ) Pub Date : 2020-03-13 , DOI: 10.1016/j.ijmedinf.2020.104118
Farzaneh Kermani 1 , Azam Orooji 2 , Abbas Sheikhtaheri 3
Affiliation  

BACKGROUND AND OBJECTIVES Teleoncology can be used to reduce the limitations due to the lack of access to specialists, inadequate resources and training, and reducing unnecessary travels and arising of the costs. The purpose of this study was to review the literatures to identify and classify the areas of application and outcomes of using teleoncology in diagnosis, management, and treatment of children with cancer. METHODS This scoping review of the published literatures was conducted by searching the Web of Science, PubMed/Medline, Scopus, and Cochrane Library databases in October 2019. Studies investigated telemedicine in diagnosis, management, and treatment of cancer in children were also included. We identified and classified different applications and the reported outcomes of this technology. RESULTS In this study, 1834 articles were retrieved, and after removing the unrelated and duplicated articles, 20 articles were reviewed ultimately. We found that, teleoncology services were provided to the patients with cancer, their parents, and nurses in various clinical fields such as telepathology, telemental care (telepsychology), teleneurology, teledermatology, telehematology, and teleophthalmology. The findings also showed that, the outcomes of using telemedicine in children with cancer can be classified into six general categories (five primary and 14 secondary outcomes). Primary outcomes including diagnosis accuracy, reduced costs as well as mortality and secondary outcomes consist of improved relationship and training, better care management, satisfaction, and workload. CONCLUSION The use of telemedicine for children with cancer is growing, and there is a tendency for using this technology for families and clinical staff. Providing teleoncology services to children with cancer may improve diagnosis accuracy and reduce the cost and mortality rate. Also, better care management, appropriate relationships and training, increased satisfaction, and decreased workload may be achieved.

中文翻译:

癌症儿童的远程肿瘤学:关于应用和结果的范围回顾。

背景和目的远程肿瘤学可用于减少由于缺乏专科医生,资源和培训不足而造成的局限性,并减少不必要的旅行和由此产生的费用。这项研究的目的是回顾文献,以鉴定和分类在肿瘤儿童的诊断,管理和治疗中使用远程肿瘤学的应用领域和结果。方法通过对2019年10月的Web of Science,PubMed / Medline,Scopus和Cochrane图书馆数据库进行搜索来对已发表文献进行范围界定审查。研究还包括对远程医学在儿童癌症的诊断,管理和治疗中的研究。我们确定并分类了该技术的不同应用和报告的结果。结果在这项研究中,检索了1834篇文章,并删除了不相关和重复的文章,最终对20篇文章进行了审查。我们发现,为癌症患者,其父母和护士提供了各种临床领域的远程肿瘤学服务,例如远程病理学,远程心理保健(远程心理学),远程神经病学,远程皮肤病学,远程血液学和远程眼科。研究结果还表明,在患有癌症的儿童中使用远程医疗的结果可分为六大类(五个主要结果和14个次要结果)。主要结果包括诊断准确性,降低的成本以及死亡率,次要结果包括改善关系和培训,更好的护理管理,满意度和工作量。结论越来越多的癌症儿童使用远程医疗,并且有为家庭和临床人员使用该技术的趋势。为癌症儿童提供远程肿瘤学服务可以提高诊断准确性,并降低成本和死亡率。而且,可以实现更好的护理管理,适当的关系和培训,增加的满意度和减少的工作量。
更新日期:2020-03-13
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