Follow-up evaluation of a web-based pediatric brain tumor board in Latin America

Background Since 2013, pediatric oncologists from Central and South America discuss neuro-oncology cases with experts from North America and Europe in a web-based "Latin American Tumor Board" (LATB). Here, we evaluate the feasibility of recommendations rendered by the Board. Methods An ele...

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Authors: Rosabal-Obando M, Osorio DS, Lassaletta A, La Madrid AM, Bartels U, Finlay JL, Qaddoumi I, Rutkowski S, Mynarek M
Format: article
Status:Published version
Publication Date:2021
Country:España
Institution:Fundació Sant Joan de Déu
Repository:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
OAI Identifier:oai:fsjd.fundanetsuite.com:p19621
Online Access:https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=19621
Access Level:Open access
Keyword:childhood brain tumors
high&#8208
income countries
low&#8208
and middle&#8208
neuro&#8208
oncology
outreach
tele&#8208
virtual tumor boards
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spelling Follow-up evaluation of a web-based pediatric brain tumor board in Latin AmericaRosabal-Obando MOsorio DSLassaletta ALa Madrid AMBartels UFinlay JLQaddoumi IRutkowski SMynarek Mchildhood brain tumorshigh&#8208income countrieslow&#8208and middle&#8208income countriesneuro&#8208oncologyoutreachtele&#8208oncologyvirtual tumor boardsBackground Since 2013, pediatric oncologists from Central and South America discuss neuro-oncology cases with experts from North America and Europe in a web-based "Latin American Tumor Board" (LATB). Here, we evaluate the feasibility of recommendations rendered by the Board. Methods An electronic questionnaire was distributed to physicians who had received recommendations between October 2017 and October 2018. Physicians were asked regarding the feasibility of each recommendation given during the LATB discussion. Baseline case characteristics of all presented cases were obtained from anonymized minutes. Results Of the 142 patients discussed, data on 103 patients from 15 countries were available, corresponding to 283 recommendations. Physicians followed 60% of diagnostic procedural recommendations and 69% of therapeutic recommendations. The most difficult recommendations to follow were genetic and molecular testing, pathology review, chemotherapy, surgery, and molecular targeted therapies. Histological diagnoses changed in eight of 18 cases in which a pathology review was undertaken. Fifty-four percent of the recommendations that could not be implemented were considered not feasible in the specific context of the patient, while 31% were not implemented due to a decision of the medical staff or the parents (15% not specified). However, 96% of respondents considered the recommendations useful. Conclusion Recommendations were frequently perceived as useful, and were applicable in the participating institutions. Nevertheless, limitations in availability of diagnostic procedures and treatment modalities affected the feasibility of some recommendations. Tele-oncology tumor boards offer physicians from low- and middle-income countries access to real-time, high-level subspecialist expertise and provide a valuable platform for worldwide information exchange.WILEY2021info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=19621PEDIATRIC BLOOD & CANCERISSN: 15455009ISSNe: 15455017reponame:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déuinstname:Fundació Sant Joan de DéuInglésinfo:eu-repo/semantics/openAccessoai:fsjd.fundanetsuite.com:p196212026-05-27T12:37:41Z
dc.title.none.fl_str_mv Follow-up evaluation of a web-based pediatric brain tumor board in Latin America
title Follow-up evaluation of a web-based pediatric brain tumor board in Latin America
spellingShingle Follow-up evaluation of a web-based pediatric brain tumor board in Latin America
Rosabal-Obando M
childhood brain tumors
high&#8208
income countries
low&#8208
and middle&#8208
income countries
neuro&#8208
oncology
outreach
tele&#8208
oncology
virtual tumor boards
title_short Follow-up evaluation of a web-based pediatric brain tumor board in Latin America
title_full Follow-up evaluation of a web-based pediatric brain tumor board in Latin America
title_fullStr Follow-up evaluation of a web-based pediatric brain tumor board in Latin America
title_full_unstemmed Follow-up evaluation of a web-based pediatric brain tumor board in Latin America
title_sort Follow-up evaluation of a web-based pediatric brain tumor board in Latin America
dc.creator.none.fl_str_mv Rosabal-Obando M
Osorio DS
Lassaletta A
La Madrid AM
Bartels U
Finlay JL
Qaddoumi I
Rutkowski S
Mynarek M
author Rosabal-Obando M
author_facet Rosabal-Obando M
Osorio DS
Lassaletta A
La Madrid AM
Bartels U
Finlay JL
Qaddoumi I
Rutkowski S
Mynarek M
author_role author
author2 Osorio DS
Lassaletta A
La Madrid AM
Bartels U
Finlay JL
Qaddoumi I
Rutkowski S
Mynarek M
author2_role author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv childhood brain tumors
high&#8208
income countries
low&#8208
and middle&#8208
income countries
neuro&#8208
oncology
outreach
tele&#8208
oncology
virtual tumor boards
topic childhood brain tumors
high&#8208
income countries
low&#8208
and middle&#8208
income countries
neuro&#8208
oncology
outreach
tele&#8208
oncology
virtual tumor boards
description Background Since 2013, pediatric oncologists from Central and South America discuss neuro-oncology cases with experts from North America and Europe in a web-based "Latin American Tumor Board" (LATB). Here, we evaluate the feasibility of recommendations rendered by the Board. Methods An electronic questionnaire was distributed to physicians who had received recommendations between October 2017 and October 2018. Physicians were asked regarding the feasibility of each recommendation given during the LATB discussion. Baseline case characteristics of all presented cases were obtained from anonymized minutes. Results Of the 142 patients discussed, data on 103 patients from 15 countries were available, corresponding to 283 recommendations. Physicians followed 60% of diagnostic procedural recommendations and 69% of therapeutic recommendations. The most difficult recommendations to follow were genetic and molecular testing, pathology review, chemotherapy, surgery, and molecular targeted therapies. Histological diagnoses changed in eight of 18 cases in which a pathology review was undertaken. Fifty-four percent of the recommendations that could not be implemented were considered not feasible in the specific context of the patient, while 31% were not implemented due to a decision of the medical staff or the parents (15% not specified). However, 96% of respondents considered the recommendations useful. Conclusion Recommendations were frequently perceived as useful, and were applicable in the participating institutions. Nevertheless, limitations in availability of diagnostic procedures and treatment modalities affected the feasibility of some recommendations. Tele-oncology tumor boards offer physicians from low- and middle-income countries access to real-time, high-level subspecialist expertise and provide a valuable platform for worldwide information exchange.
publishDate 2021
dc.date.none.fl_str_mv 2021
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=19621
url https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=19621
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv WILEY
publisher.none.fl_str_mv WILEY
dc.source.none.fl_str_mv PEDIATRIC BLOOD & CANCER
ISSN: 15455009
ISSNe: 15455017
reponame:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
instname:Fundació Sant Joan de Déu
instname_str Fundació Sant Joan de Déu
reponame_str r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
collection r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
repository.name.fl_str_mv
repository.mail.fl_str_mv
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