Title |
Consultation via telemedicine and access to operative care for patients with head and neck cancer in a Veterans Health Administration population
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Published in |
Head & Neck, February 2016
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DOI | 10.1002/hed.24386 |
Pubmed ID | |
Authors |
Daniel M Beswick, Anita Vashi, Yohan Song, Rosemary Pham, F Chris Holsinger, James D Rayl, Beth Walker, John Chardos, Annie Yuan, Ella Benadam-Lenrow, Dolores Davis, C Kwang Sung, Vasu Divi, Davud B Sirjani |
Abstract |
The purpose of this study was to evaluate a telemedicine model that utilizes an audiovisual teleconference as a preoperative visit. Veterans Health Administration (VHA) patients with head and neck cancer at 2 remote locations were provided access to the Palo Alto Veterans Affairs (PAVA) Health Care System otolaryngology department via the telemedicine protocol: tissue diagnosis and imaging at the patient site; data review at PAVA; and a preoperative teleconference connecting the patient to PAVA. Operative care occurred at PAVA. Follow-up care was provided remotely via teleconference. Fifteen patients were evaluated. Eleven underwent surgery, 4 with high-grade neoplasms (carcinoma). Average time from referral to operation was 28 days (range, 17-36 days) and 72 (range, 31-108 days), respectively, for high-grade and low-grade groups. The average patient was spared 28 hours traveling time and $900/patient was saved on travel-related costs. A telemedicine model enables timely access to surgical care and permits considerable savings among select VHA patients with head and neck cancer. © 2016 Wiley Periodicals, Inc. Head Neck, 2016. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 1 | 33% |
Unknown | 2 | 67% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 3 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Switzerland | 1 | 1% |
Unknown | 71 | 99% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 11 | 15% |
Student > Master | 11 | 15% |
Other | 7 | 10% |
Student > Doctoral Student | 6 | 8% |
Student > Bachelor | 6 | 8% |
Other | 18 | 25% |
Unknown | 13 | 18% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 25 | 35% |
Nursing and Health Professions | 9 | 13% |
Social Sciences | 5 | 7% |
Computer Science | 4 | 6% |
Agricultural and Biological Sciences | 2 | 3% |
Other | 7 | 10% |
Unknown | 20 | 28% |