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Telemedicine as a Quality Improvement Facilitator in Pelvic Cancer Surgery

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Pelvic Cancer Surgery

Abstract

Technological barriers of telemedicine and surgical telementoring have decreased during recent years, and high-quality videoconference equipment is accessible on a commercial basis. Surgical telementoring has been described as a natural fit in surgery, with solutions demonstrated for laparoscopic and robotic surgery, and mobile telemetering solutions have been demonstrated. Telemedicine is widely used in multidisciplinary teams, assessing pelvic cancer. Evidence exists for cost-effectiveness and safety of telementoring systems, but there is insufficient data for educational outcomes. This chapter focuses on the increasing demand for pelvic cancer surgeons, and how telemedicine can be used to meet societies demand for new surgeons, by improving surgical education and decreasing the obstacles created by distance.

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References

  1. DeBakey ME. Telemedicine has now come of age. Telemed J. 1995;1:3.

    Article  Google Scholar 

  2. Murphy R, Bird K. Telediagnosis: a new community health resource. Observations on the feasibility of telediagnosis based on 1000 patient transactions. Am J Publ Health (NY). 1974;64:113–9.

    Article  Google Scholar 

  3. Augestad KM, Lindsetmo RO. Overcoming distance: video-conferencing as a clinical and educational tool among surgeons. World J Surg. 2009;33:1356–65.

    Article  PubMed Central  PubMed  Google Scholar 

  4. Fraher EP, Knapton A, Sheldon GF, Meyer A, Ricketts TC. Projecting surgeon supply using a dynamic model. Ann Surg. 2013;257:867–72.

    Article  PubMed  Google Scholar 

  5. Etzioni DA, Finlayson SR, Ricketts TC, Lynge DC, Dimick JB. Getting the science right on the surgeon workforce issue. Arc Surg. 2011;146(4):1–4.

    Google Scholar 

  6. Gonzalez C, McKenna P. Challenges facing academic urology training programs: an impending crisis. Urology. 2013;81:475–9.

    Article  PubMed  Google Scholar 

  7. Jarvis-Selinger S, Chan E, Payne R, Plohman K, Ho K. Clinical telehealth across the disciplines: lessons learned. Telemed J E Health. 2008;14:720–5. Audio, transactions of the IRE professional group on 2008.

    Article  PubMed  Google Scholar 

  8. Lavrentyev V, Seay A, Rafiq A, Justis D, Merrell RC. A surgical telemedicine clinic in a correctional setting. Telemed e Health. 2008;14:385–8.

    Article  Google Scholar 

  9. Doarn C. The power of video conferencing in surgical practice and education. World J Surg. 2009;33:1366–7.

    Article  PubMed  Google Scholar 

  10. Miskovic D, Wyles SM, Ni M, Darzi AW, Hanna GB. Systematic review on mentoring and simulation in laparoscopic colorectal surgery. Ann Surg. 2010;252:1–9.

    Article  Google Scholar 

  11. Doarn C. Telemedicine in tomorrow’s operating room: a natural fit. Surg Innov. 2003;10:121–6.

    Article  Google Scholar 

  12. Eadie L, Seifalian A, Davidson B. Telemedicine in surgery. Br J Surg. 2003;90:647–58.

    Article  CAS  PubMed  Google Scholar 

  13. Agarwal R, Levinson A, Allaf M, Makarov D, Nason A, Su L. The RoboConsultant: telementoring and remote presence in the operating room during minimally invasive urologic surgeries using a novel mobile robotic interface. Urology. 2007;70:970–4.

    Article  PubMed  Google Scholar 

  14. Challacombe B, Wheatstone S. Telementoring and telerobotics in urological surgery. Curr Urol Rep. 2010;11:22–8.

    Article  PubMed  Google Scholar 

  15. Parker A, Rubinfeld I, Azuh O. What ring tone should be used for patient safety? Early results with a blackberry-based telementoring safety solution. AJS. 2010;199:336–41.

    Article  Google Scholar 

  16. Wood D. No surgeon should operate alone: how telementoring could change operations. Telemed e-Health. 2011;17:150–2.

    Article  Google Scholar 

  17. Rothenberg SS, Yoder S, Kay S, Ponsky T. Initial experience with surgical telementoring in pediatric laparoscopic surgery using remote presence technology. J Laparoendosc Adv Surg Tech. 2011;19:S219–22.

    Article  Google Scholar 

  18. Augestad K, Bellika JG, Budrionis A, Chomutare T, Lindsetmo RO, Patel H, Delaney CP. Surgical telementoring in knowledge translation—clinical outcomes and educational benefits: a comprehensive review. Surg Innov. 2013;20:276–84.

    Article  Google Scholar 

  19. Schlachta CM, Kent SA, Lefebvre KL, McCune ML, Jayaraman S. A model for longitudinal mentoring and telementoring of laparoscopic colon surgery. Surg Endosc. 2008;23:1634–8.

    Article  PubMed  Google Scholar 

  20. Sebajang H, Trudeau P, Dougall A, Hegge S, McKinley C, Anvari M. The role of telementoring and telerobotic assistance in the provision of laparoscopic colorectal surgery in rural areas. Surg Endosc. 2006;20:1389–93.

    Article  CAS  PubMed  Google Scholar 

  21. Panait L, Rafiq A, Tomulescu V. Telementoring versus on-site mentoring in virtual reality-based surgical training. Surg Endosc. 2005;20:113–8.

    Article  PubMed  Google Scholar 

  22. Ereso A, Garcia P, Tseng E. Live transference of surgical subspecialty skills using telerobotic proctoring to remote general surgeons. ACS. 2010;211:400–11.

    Google Scholar 

  23. Schlachta C, Lefebvre K, Sorsdahl A, Jayaraman S. Mentoring and telementoring leads to effective incorporation of laparoscopic colon surgery. Surg Endosc. 2009;24:841–4.

    Article  PubMed  Google Scholar 

  24. Desmartines N. An evaluation of telemedicine in surgery. Ann Surg. 2000;135:849–53.

    Google Scholar 

  25. Vassiliou M, Feldman L, Andrew CG. A global assessment tool for evaluation of intraoperative laparoscopic skills. AJS. 2005;190:7–7.

    Google Scholar 

  26. Kitamura C. How effective is video consultation in clinical oncology? A systematic review. Curr Oncol. 2010;17:17.

    PubMed Central  CAS  PubMed  Google Scholar 

  27. Kunkler I, Prescott R, Lee R. TELEMAM: a cluster randomised trial to assess the use of telemedicine in multi-disciplinary breast cancer decision making. Eur J Cancer. 2007;43:2506–14.

    Article  CAS  PubMed  Google Scholar 

  28. Norum J, Pedersen S, Størmer J. Prioritization of telemedicine services for large scale implementation in Norway. J Telemed Telecare. 2007;13:185–92.

    Article  PubMed  Google Scholar 

  29. Dickson-Witmer D, Petrelli N, Witmer D. A statewide community cancer center videoconferencing program. Ann Surg Oncol. 2008;15:3058–64.

    Article  CAS  PubMed  Google Scholar 

  30. Kunkler I, Fielding RG, Brebner J. A comprehensive approach for evaluating telemedicine-delivered multidisciplinary breast cancer meetings in southern Scotland. J Telemed Telecare. 2005;11 Suppl 1:71–3.

    Article  PubMed  Google Scholar 

  31. Go P, Payne J, Satava R, Rosser J. Teleconferencing bridges two oceans and shrinks the surgical world. Surg Endosc. 1996;10:105–6.

    Article  CAS  PubMed  Google Scholar 

  32. Stalfors J, Bjorholt I, Westin T. A cost analysis of participation via personal attendance versus telemedicine at a head and neck oncology multidisciplinary team meeting. J Telemed Telecare. 2005;11:205–10.

    Article  PubMed  Google Scholar 

  33. Axford A, Askill C, Jones A. Virtual multidisciplinary teams for cancer care. J Telemed Telecare. 2002;8 Suppl 2:3–4.

    Article  PubMed  Google Scholar 

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Acknowledgements: Mobile Medical Mentor (M3) Project Group

Knut Magne Augestad, MD, Ph.D (Research Leader Department of Research and Innovation, Norwegian Centre for Telemedicine and Integrated Care and Department of Gastrointestinal Surgery, University Hospital North Norway, Tromsø, Norway), Andrius Budrionis, MSc (Research Fellow, Tromsø Telemedicine Laboratory, Norwegian Centre for Telemedicine and Integrated Care, Tromsø, Norway), Etai Bogen, MD (Research fellow, Department of Gastrointestinal Surgery, Norwegian Centre for Telemedicine and Integrated Care, Tromsø, Norway), Johan Gustav Bellika MSc, Ph.D (Associate Professor, Norwegian Centre for Telemedicine and Integrated Care, Tromsø, Norway), Rolv- Ole Lindsetmo MD, MPh, PhD (Professor and Chief, Department of Gastrointestinal Surgery, University Hospital North Norway, Tromsø, Norway), Gunnar Hartvigsen PhD (Professor, Department of Computer Science, Faculty of Science, University of Tromsø, Norway), Per Hasvold MSc (Research Fellow, Norwegian Centre for Telemedicine and Integrated Care, Tromsø, Norway), Stig Muller MD, PhD (Consultant, Department of Surgery, University Hospital North Norway, Tromsø; Norway), Hiten Patel MD, PhD (Professor, Department of Surgery, Section of Laparoscopic Urology, University Hospital North Norway, Tromsø, Norway), Conor Delaney MD, Ph.D (Professor of Surgical Education and Chief Division of Colorectal Surgery, University Hospitals Case Medical Center, Cleveland, OH, USA), Alexander Horsch PhD (Professor Institute for Medical Statistics and Epidemiology, University of Technology, Munich, Germany), Kim Mortensen MD, PhD (Consultant, Department of Surgery, University Hospital North Norway, Tromsø Norway), Sture Pettersen MSc (CEO Tromsø Telemedicine Laboratory, Norwegian Centre for Telemedicine and Integrated Care, Tromsø, Norway).

Disclosures

Mr. Budrionis was financially supported by a grant from HST Helse Nord. Dr. Augestad and Dr. Bogen have no financial disclosures.

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Correspondence to Knut Magne Augestad MD, PhD .

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Augestad, K.M., Bogen, E., Patel, H.R.H. (2015). Telemedicine as a Quality Improvement Facilitator in Pelvic Cancer Surgery. In: Patel, H., Mould, T., Joseph, J., Delaney, C. (eds) Pelvic Cancer Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-4258-4_4

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  • DOI: https://doi.org/10.1007/978-1-4471-4258-4_4

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