Evidence map›Paper›PMID 28422613›Full record

ArticleTelemedicine journal and e-health : the official journal of the American Telemedicine Association2017

The Impact of Prospective Telemedicine Implementation in the Management of Childhood Acute Lymphoblastic Leukemia in Recife, Brazil.

Francisco Pedrosa, Faisal Shaikh, Gaston Rivera, Raul Ribeiro, Ibrahim Qaddoumi

Abstract read
In one paragraph

Article in Telemedicine journal and e-health : the official journal of the American Telemedicine Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Telemedicine in Neurological Disorders: Opportunities and Challenges.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2019
    Review
  6. The Latin American Brain Tumor Board teleconference: results of a web-based survey to evaluate participant experience utilizing this resource.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Francisco Pedrosa1 Department of Oncology, Instituto Materno-Infantil de Pernambuco , Recife, Brazil .
Faisal Shaikh2 Department of Internal Medicine, Weill Cornell University , New York, New York.
Gaston Rivera3 Department of Global Pediatric Medicine, St. Jude Children's Research Hospital , Memphis, Tennessee.
Raul Ribeiro3 Department of Global Pediatric Medicine, St. Jude Children's Research Hospital , Memphis, Tennessee.
Ibrahim Qaddoumi3 Department of Global Pediatric Medicine, St. Jude Children's Research Hospital , Memphis, Tennessee.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA gap in childhood cancer outcomes remains between developed and developing countries. Persistence of this gap may be caused by financial, social, or educational disparities. Twinning and distance learning initiatives may improve such disparities. Integrating telemedicine into pediatric oncology twinning programs enhances education and facilitates patient-centered capacity building. MATERIALS AND

methodsWe performed an analysis of Web-based meetings held from August 2005 through July 2009 between the International Outreach Program at St. Jude Children's Research Hospital and the Instituto Materno Infantil de Pernambuco (IMIP) in Recife, Brazil. We determined the effect of these online conferences on the development and implementation of an innovative protocol for children with acute lymphoblastic leukemia (ALL) at IMIP.

resultsMeetings occurred in 45 months of the 48-month study period with an average of two meetings per month. A total of 163 new patients were discussed during the study period; we retrieved documentation of patient-related discussions for 147 of them, constituting 286 discussions. On average, each patient was discussed 1.9 times (range, 1-15 discussions/patient). Compared with that of the era predating the online meetings (1993-2005), overall mortality, early death, and relapse of patients with ALL decreased after the telemedicine program was instituted at IMIP. DISCUSSION: Personal dedication and institutional support are essential for successful telemedicine initiatives. Documentation and archival of meetings are important for accurately measuring outcomes and developing methods for improved care.

conclusionsIntegration of telemedicine into twinning programs facilitates communication about interventions, leading to improved outcomes of pediatric patients with cancer.

Indexed as

Developing CountriesAdolescentBrazilChildChild, PreschoolClinical ProtocolsCommunicationFemaleHumansInfantMalePatient Care PlanningPrecursor Cell Lymphoblastic Leukemia-LymphomaProspective StudiesQuality Assurance, Health CareRecurrenceBrazildeveloping countrieseducationleukemiapediatric cancertelemedicine

Identifiers

PMID28422613
PMCPMC5651971

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.