Teleoncology: current and future applications for improving cancer care globally.

Access to quality cancer care is often unavailable in low-income and middle-income countries, and also in rural or remote areas of high-income countries. Teleoncology-oncology applications of medical telecommunications, including pathology, radiology, and other related disciplines-has the potential to enhance access to and quality of clinical cancer care, and to improve education and training. Implementation of teleoncology in the developing world requires an approach tailored to priorities, resources, and needs. Teleoncology can best achieve its proposed goals through consistent and long-term application. We review teleoncology initiatives that have the potential to decrease cancer-care inequality between resource-poor and resource-rich institutions and offer guidelines for the development of teleoncology programmes in low-income and middle-income countries.

[1]  Richard Sylvester,et al.  Long-term results of a randomized trial comparing breast-conserving therapy with mastectomy: European Organization for Research and Treatment of Cancer 10801 trial. , 2000, Journal of the National Cancer Institute.

[2]  J. Little,et al.  Systematic review of cancer treatment programmes in remote and rural areas , 1999, British Journal of Cancer.

[3]  Kenichi Yokota,et al.  Evaluation of a Telemedicine System for Supporting Thyroid Disease Diagnosis , 2001, MedInfo.

[4]  Frederick Bukachi,et al.  Information technology for health in developing countries. , 2007, Chest.

[5]  J. Kvedar,et al.  Cancer diagnosis and telemedicine: a case study from Cambodia. , 2006, Annals of oncology : official journal of the European Society for Medical Oncology.

[6]  P Hufnagl,et al.  The UICC Telepathology Consultation Center. International Union Against Cancer. A global approach to improving consultation for pathologists in cancer diagnosis. , 2000, Cancer.

[7]  F. Sloan,et al.  Cancer Control Opportunities in Low- and Middle-Income Countries , 2007 .

[8]  F. Gilles,et al.  Outcome of children with centrally reviewed low‐grade gliomas treated with chemotherapy with or without radiotherapy on Children's Cancer Group high‐grade glioma study CCG‐945 , 2003, Cancer.

[9]  Srinivasan Mukundan,et al.  Trial telemedicine system for supporting medical students on elective in the developing world. , 2003, Academic radiology.

[10]  Marcelo Knörich Zuffo,et al.  Development of a Telemedicine Model for Emerging Countries: a Case Study on Pediatric Oncology in Brazil , 2006, 2006 International Conference of the IEEE Engineering in Medicine and Biology Society.

[11]  N. Nathoo,et al.  Telemedicine and neurosurgery: experience of a regional unit based in South Africa , 2003, Journal of telemedicine and telecare.

[12]  S. Day,et al.  Clinical Nurse Coordinators: A New Generation of Highly Specialized Oncology Nursing in Jordan , 2009, Journal of pediatric hematology/oncology.

[13]  Charles W Callahan,et al.  Effectiveness of an Internet-based store-and-forward telemedicine system for pediatric subspecialty consultation. , 2005, Archives of pediatrics & adolescent medicine.

[14]  Monika Alise Johansen,et al.  Challenges in Telemedicine and eHealth: Lessons Learned from 20 Years with Telemedicine in Tromsø , 2007, MedInfo.

[15]  F Otto,et al.  Hospice care using home-based telemedicine systems , 1998, Journal of telemedicine and telecare.

[16]  E. Demidenko,et al.  Geographic access to cancer care in the U.S. , 2008, Cancer.

[17]  C. Rodríguez-Galindo,et al.  Team management, twinning, and telemedicine in retinoblastoma: A 3‐tier approach implemented in the first eye salvage program in Jordan , 2008, Pediatric blood & cancer.

[18]  M. Aapro,et al.  The new dimension of oncology. Teleoncology ante portas. , 2005, Critical reviews in oncology/hematology.

[19]  Naohito Yamaguchi,et al.  Japanese experience of telemedicine in oncology , 2001, Int. J. Medical Informatics.

[20]  J Ricke,et al.  Telemedicine and its impact on cancer management. , 2000, European journal of cancer.

[21]  M. Repacholi,et al.  LONG-TERM HEALTH IMPLICATIONS OF THE CHERNOBYL ACCIDENT AND RELEVANT PROJECTS OF THE WORLD HEALTH ORGANIZATION , 2007, Health physics.

[22]  F. Nezhat Minimally invasive surgery in gynecologic oncology: laparoscopy versus robotics. , 2008, Gynecologic oncology.

[23]  I sabel Mortara,et al.  International Union against Cancer , 1938, Nature.

[24]  D. Schwartz,et al.  The development of a telemedical cancer center within the Veterans Affairs Health Care System: a report of preliminary clinical results. , 2002, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.

[25]  M. Reznik,et al.  The role of telemedicine in the care of children in under-served communities , 2004, Journal of telemedicine and telecare.

[26]  George Kontaxakis,et al.  Integrated telemedicine applications and services for oncological positron emission tomography. , 2006, Oncology reports.

[27]  Manfred Dietel,et al.  Telemicroscopy via the Internet , 1998, Nature.

[28]  Richard Wootton,et al.  Telemedicine support for the developing world , 2008, Journal of telemedicine and telecare.

[29]  W. Reinus,et al.  A multidisciplinary study investigating radiotherapy in Ewing's sarcoma: end results of POG #8346. Pediatric Oncology Group. , 1998, International journal of radiation oncology, biology, physics.

[30]  G. E. Who,et al.  Preventing chronic diseases: a vital investment , 2005 .

[31]  K Brauchli,et al.  Telepathology on the Solomon Islands—two years’ experience with a hybrid Web- and email-based telepathology system , 2004, Journal of telemedicine and telecare.

[32]  J Mullaney SatelLife: pioneering the path for electronic communication and health information in the developing world. , 1997, Clinical performance and quality health care.

[33]  Shiyam Kumar,et al.  Knowledge, attitude and practices of non-oncologist physicians regarding cancer and palliative care: a multi-center study from Pakistan. , 2008, Asian Pacific journal of cancer prevention : APJCP.

[34]  G M Böhm,et al.  Telemedicine model for training non-medical persons in the early recognition of melanoma , 2003, Journal of telemedicine and telecare.

[35]  Operational teledermatology in Broken Hill, rural Australia , 2005, The Australasian journal of dermatology.

[36]  J. Drake,et al.  Impact of telemedicine on pediatric neuro‐oncology in a developing country: The Jordanian‐Canadian experience , 2007, Pediatric blood & cancer.

[37]  Ronald C Merrell,et al.  Implementation and evaluation of a low-cost telemedicine station in the remote Ecuadorian rainforest , 2007, Journal of telemedicine and telecare.

[38]  Eva Steliarova-Foucher,et al.  Baseline status of paediatric oncology care in ten low-income or mid-income countries receiving My Child Matters support: a descriptive study. , 2008, The Lancet. Oncology.

[39]  Yuri Quintana,et al.  Implementation of a data management program in a pediatric cancer unit in a low income country , 2007, Pediatric blood & cancer.

[40]  C. Pui,et al.  Establishment of a pediatric oncology program and outcomes of childhood acute lymphoblastic leukemia in a resource-poor area. , 2004, JAMA.

[41]  E. Helveston,et al.  Development of retinoblastoma programs in Central America , 2009, Pediatric blood & cancer.

[42]  Elham Maserat Information communication technology: new approach for rural cancer care improvement. , 2008, Asian Pacific journal of cancer prevention : APJCP.

[43]  Robert J. Bulik,et al.  Human factors in telemedicine. , 2008, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.

[44]  J. Kalita,et al.  Telemedicine in neurology: underutilized potential. , 2005, Neurology India.

[45]  Richard K.C Hsieh,et al.  Telemedicine in China , 2001, Int. J. Medical Informatics.

[46]  J A Brebner,et al.  TELEMAM: a cluster randomised trial to assess the use of telemedicine in multi-disciplinary breast cancer decision making. , 2007, European journal of cancer.

[47]  A Allen,et al.  Practising oncology via telemedicine , 1997, Journal of telemedicine and telecare.

[48]  Gunter Haroske,et al.  Diagnostic telepathology: long-term experience of a single institution , 2004, Virchows Archiv.

[49]  P Yellowlees,et al.  Successful development of telemedicine systems-seven core principles , 1997, Journal of telemedicine and telecare.

[50]  P. Pizzo,et al.  Principles and Practice of Pediatric Oncology , 1989 .

[51]  David Rajasekar,et al.  Improvement of radiotherapy facilities in developing countries: a three-tier system with a teleradiotherapy network. , 2004, The Lancet. Oncology.

[52]  G. Hortobagyi A shortage of oncologists? The American Society of Clinical Oncology workforce study. , 2007, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[53]  Yuri Quintana,et al.  Cure4Kids: Research challenges in the design of a website for global education and collaboration , 2008 .

[54]  P. Burger,et al.  Phase III study of craniospinal radiation therapy followed by adjuvant chemotherapy for newly diagnosed average-risk medulloblastoma. , 2006, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[55]  J J McAleer,et al.  Broadcast quality teleconferencing for oncology. , 2001, The oncologist.

[56]  J. Ferlay,et al.  Cancer Incidence in Five Continents , 1970, Union Internationale Contre Le Cancer / International Union against Cancer.

[57]  H. Eich,et al.  Initiation of a teleradiotherapeutic network for patients in German lymphoma studies. , 2004, International journal of radiation oncology, biology, physics.

[58]  A. Oakley,et al.  Melanoma-diagnosis by telemedicine , 1996, Journal of telemedicine and telecare.

[59]  C. Rodríguez-Galindo,et al.  Transfer of complex frontline anticancer therapy to a developing country: The St. Jude osteosarcoma experience in Chile , 2008, Pediatric blood & cancer.

[60]  V. Mbarika,et al.  Differences in public and private sector adoption of telemedicine: Indian case study for sectoral adoption. , 2007, Studies in health technology and informatics.

[61]  K. Ganapathy,et al.  Telemedicine and neurosciences in developing countries. , 2002, Surgical neurology.

[62]  F. Cavalli,et al.  North-South twinning in paediatric haemato-oncology: the La Mascota programme, Nicaragua , 1998, The Lancet.

[63]  P. Swinfen,et al.  Low-cost telemedicine in the developing world , 2002, Journal of telemedicine and telecare.

[64]  Rolf Wynn,et al.  Characteristics of successfully implemented telemedical applications , 2007, Implementation science : IS.

[65]  D. Olsen,et al.  Telemedicine in radiotherapy treatment planning: requirements and applications. , 2000, Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology.

[66]  Yuri Quintana,et al.  Childhood cancer epidemiology in low‐income countries , 2008, Cancer.

[67]  E. Bouffet,et al.  Supplementation of a successful pediatric neuro-oncology telemedicine-based twinning program by e-mails. , 2009, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.

[68]  Peter Hufnagl,et al.  The UICC Telepathology Consultation Center , 2000 .