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Organo Oficial de la Sociedad Mexicana de Urología

2020, Number 4

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Rev Mex Urol 2020; 80 (4)

Experience with teleurology in the diagnosis of urologic neoplasias at a hospital in Northern Mexico

González-Bonilla EA, Cantú-Elizondo JH, Halún-Treviño AN, González-Oyervides R, Barrera-Juárez E

Language: Spanish
References: 10
Page: 1-10
PDF size: 234.74 Kb.


ABSTRACT

Background: Genitourinary cancer is a great health problem worldwide, and mortality rates are higher in less developed countries. Mexico’s geographic distribution is complex, making it difficult to provide health services to rural communities. In the present study, we present the experience in providing medical services to remote communities through telemedicine, mainly in relation to the diagnosis of urologic neoplasias. By sharing our experience, we hope the program, as well as the process of primary care diagnosis of urologic neoplasias, can be improved, enhancing opportune patient referral.
Materials and Methods: A retrospective, descriptive analysis of the urology consultations carried out by the urology service personnel through telemedicine, within the time frame of January 2009 to May 2017, was conducted. The case records of patients suspected of urologic neoplasia were examined and the data of patients in whom the diagnosis was confirmed were analyzed.
Results: A total of 1,265 consultations were given by the urology service through telemedicine during the study period. Of those, 696 were first-time consultations and the rest were subsequent appointments. Fifty-nine patients were suspected of having genitourinary cancer (8% of the first-time consultations) and the disease was confirmed in 17 patients (2% of the first-time consultations). The most prevalent neoplasia was prostate cancer, presenting in 6 patients (35%), and the remaining cases corresponded to bladder cancer (29%), penile cancer (12%), testicular cancer (12%), kidney cancer (6%), and urothelial cancer of the upper urinary tract (6%). Mean patient age was 65.7 years, with a predominance of men (n = 15). The majority of cases were diagnosed in clinically advanced stages.
Conclusion: In our experience, the role of telemedicine was limited, regarding the opportune diagnosis of genitourinary cancer, given that the majority of cases analyzed were diagnosed in advanced stages.


REFERENCES

  1. AlDossary S, Martin-Khan MG, Bradford NK, Armfield NR, Smith AC. The Development of a Telemedicine Planning Framework Based on Needs Assessment. J Med Syst. 2017;41(5):74. doi: 10.1007/s10916-017-0709-4

  2. Secretaría de Salud. Cuatro Experiencias de Telemedicina en México. 2°. México: Secretaría de Salud/CENETE-SALUD; 2013. 22 p. (Colección Telesalud).

  3. Secretaría de Salud, Serie Tecnologías en Salud. Volumen 3 Telemedicina. Telemedicina. 2°. México: Secretaría de Salud; 2011. 216p. (Tecnologías en Salud; vol. 3).

  4. Prasad Sandip, Patel Amit, Rosen Alex, Shih Ya-Chen Tina, Eggener Scott. 410 association of global incidence and mortality of genitourinary cancers with social and economic development. J Urol. 2012;187(4S): e167–8. doi: 10.1016/j. juro.2012.02.476

  5. Secretaría de Salud. Modelo de Atención Médica a Distancia. 1°. México: Secretaría de Salud; 2013. 21 p.

  6. Kamel MH, Moore PC, Bissada NK, Heshmat SM. Potential years of life lost due to urogenital cancer in the United States: trends from 1972 to 2006 based on data from the SEER database. J Urol. 2012;187(3):868–71. doi: 10.1016/j. juro.2011.10.142

  7. Ferlay J, Soerjomataram I, Ervik M, Dikshit R, Eser S, Mathers C, et al. GLOBOCAN 2012: Estimated Cancer Incidence, Mortality and Prevalence Worldwide in 2012 v1.0. World Health Organization; 2012.

  8. Viers BR, Lightner DJ, Rivera ME, Tollefson MK, Boorjian SA, Karnes RJ, et al. Efficiency, satisfaction, and costs for remote video visits following radical prostatectomy: A randomized controlled trial. Eur Urol. 2015;68(4):729–35. doi: 10.1016/j.eururo.2015.04.002

  9. Viers BR, Pruthi S, Rivera ME, O’Neil DA, Gardner MR, Jenkins SM, et al. Are Patients Willing to Engage in Telemedicine for Their Care: A Survey of Preuse Perceptions and Acceptance of Remote Video Visits in a Urological Patient Population. Urology. 2015;85(6):1233–9. doi: 10.1016/j.urology.2014.12.064

  10. Hawary AM, Warburton HE, Brough RJ, Collins GN, Brown SC, O’Reilly PH, et al. The ‘2-week wait’ rule for referrals for suspected urological cancers--urgent need for refinement of criteria. Ann R Coll Surg Engl. 2008;90(6):517–22. doi: 10.1308/003588408X301082




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