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A hybrid approach to telepathology in Cambodia.

Submitted by karopka on Fri, 2015/10/23 - 15:15
TitleA hybrid approach to telepathology in Cambodia.
Publication TypeJournal Article
Year of Publication2013
AuthorsKadaba, V, Ly, T, Noor, S, Chhut, SV, Hinsch, N, Stauch, G, Gollogly, J
JournalJ Telemed Telecare
Date Published2013 Dec
KeywordsAdolescent, Adult, Aged, Aged, 80 and over, Cambodia, Child, Child, Preschool, Female, Humans, Internet, Male, Middle Aged, Remote Consultation, Retrospective Studies, Surgical Procedures, Operative, telepathology, Videoconferencing, Young Adult

We established a hybrid telepathology network at the Children's Surgical Centre (CSC) in Cambodia, based on store-and-forward communication using iPATH and videoconferencing using Skype. We retrospectively analysed all data from the CSC stored on the iPATH server and reviewed the patient notes over an 8-month period. Of 115 patients for histopathology diagnosis during the study period, 38 cases were uploaded onto iPATH for further telemedicine discussion. The median number of days it took a specialist, other than the local one, to comment on the case on iPATH was 5 days (range 0-15). In three cases (8%) there was no reply from a specialist on iPATH. During the study period, seven clinical conferences were held, with an average of 6 cases (range 4-7) discussed at each conference. All 38 cases discussed had a final agreed diagnosis and firm management plans were made. Of the 24 cases where proactive management was advised, 17 patients followed through with the recommendations. Although the combination of video consultations and store-and-forward communication has not been used much before in the developing world, it has benefited patient care and outcomes at the CSC.

Alternate JournalJ Telemed Telecare
PubMed ID24197402
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