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Telemedicine for Multidisciplinary Urologic Cancer Care: A Prospective Single Institution Study
Clinical Genitourinary Cancer ( IF 3.2 ) Pub Date : 2024-02-24 , DOI: 10.1016/j.clgc.2024.02.009
Frederick Okoye , Adam J. Gadzinski , Rishi Sekar , Isabelle Abarro , Petros Grivas , Scott Tykodi , Jay Liao , Jonathan Chen , Jing Zeng , Jonathan Wright , John L. Gore

We rapidly implemented a telemedicine Multidisciplinary Urologic Cancer Clinic (MDUCC) at the University of Washington/Seattle Cancer Care Alliance during the peak of the COVID-19 Public Health Emergency to maintain our ability to provide multidisciplinary cancer care. We report our experiences though assessment of patient-reported outcomes from our telemedicine MDUCC. Video visits with a urologic oncologist, medical oncologist, and radiation oncologist were conducted in the same format as our in-person MDUCC. We prospectively collected patient demographic and clinical data. Patients were invited to complete a post-visit survey that assessed satisfaction, provider trust, travel time, and costs of the telemedicine visit. We estimated travel distances and times from each patient's home to our clinic. Among invited patients, twenty-four patients completed a survey after their telemedicine MDUCC visit. Twenty patients (83%) were at home during the visit. Most (85%) were men, Caucasian (79%), and were being seen in our Bladder Cancer MDUCC (83%). All twenty-four patients responded that they would be willing to have future appointments via telemedicine; eighteen patients (75%) strongly agreed that the encounter was high quality; 19 patients strongly agreed that they were satisfied with their visit. Patients saved an estimated average one-way travel distance of 145 miles and one-way travel time of 179 minutes to convene a telemedicine visit. Telemedicine MDUCCs are feasible and effective in providing access to multidisciplinary urologic cancer care. Patient satisfaction was high, and many patients were spared a substantial travel burden. Telemedicine may continue to be leveraged to improve access to multidisciplinary urologic cancer care.

中文翻译:

多学科泌尿系统癌症护理的远程医疗:一项前瞻性单一机构研究

在 COVID-19 公共卫生紧急事件高峰期,我们在华盛顿大学/西雅图癌症护理联盟迅速建立了远程医疗多学科泌尿科癌症诊所 (MDUCC),以保持我们提供多学科癌症护理的能力。我们通过评估远程医疗 MDUCC 患者报告的结果来报告我们的经验。泌尿肿瘤科医生、肿瘤内科医生和放射肿瘤科医生的视频就诊采用与我们现场 MDUCC 相同的形式进行。我们前瞻性地收集了患者的人口统计和临床数据。患者被邀请完成访问后调查,评估远程医疗访问的满意度、提供者信任、旅行时间和费用。我们估计了从每位患者家到我们诊所的旅行距离和时间。在受邀患者中,24 名患者在远程医疗 MDUCC 就诊后完成了一项调查。就诊期间,20 名患者 (83%) 在家。大多数 (85%) 是男性、白种人 (79%),并且在我们的膀胱癌 MDUCC (83%) 中被发现。所有 24 名患者均表示,他们愿意在未来通过远程医疗进行预约; 18 名患者 (75%) 强烈同意这次就诊质量很高; 19 名患者强烈同意他们对就诊感到满意。患者进行远程医疗就诊时估计平均单程旅行距离为 145 英里,单程旅行时间为 179 分钟。远程医疗 MDUCC 在提供多学科泌尿科癌症护理方面是可行且有效的。患者满意度很高,许多患者免除了巨大的旅行负担。可以继续利用远程医疗来改善获得多学科泌尿科癌症护理的机会。
更新日期:2024-02-24
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