Teleconsultations and Shared Care in Pediatric Oncology During COVID-19

Ganguly, Shuvadeep; Bakhshi, Sameer

doi:10.1007/s12098-020-03499-2

Cited by 13 publications

(22 citation statements)

References 9 publications

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“…Oncology: Email and telephone calls were used for non-intensive care and follow-up of paediatric oncology services. A shared care model was followed by paediatric oncologists by partnering with local healthcare facilities and guiding them regarding chemotherapy, blood product infusion, and management of complications [27]. 9.…”

Section: Triage Of Covid Patients: Teleconsultation Was Usedmentioning

confidence: 99%

The Role of Telemedicine in Child and Adolescent Healthcare in India

2021

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Purpose of ReviewWe highlight the evolution and use of telemedicine in child and adolescent healthcare in India, in pre and post pandemic eras. Recent FindingsThe latest research endorses telemedicine as a successful strategy in resource-limited settings to provide accessible and equitable healthcare. Summary Telemedicine was initiated in India in 2001. The pandemic restrictions resulted in an increase in its use. The national telemedicine and telepsychiatry guidelines facilitated and enabled its widespread use. Telehealth was used by private and public health establishments, in urban, rural, and remote areas. It was used for triaging cases; managing and monitoring COVID patients in home isolation, in non-COVID medical and psychiatric care, and follow-up; continuing medical education; and health promotion strategies like teleyoga. The shortcomings included inability to provide privacy and confidentiality, perform physical examination, and provide emergency care. Most patients and their caregivers expressed satisfaction with telehealth services. Telemedicine is likely to become an integral part of healthcare services in the post pandemic era.

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Section: Triage Of Covid Patients: Teleconsultation Was Usedmentioning

confidence: 99%

The Role of Telemedicine in Child and Adolescent Healthcare in India

2021

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“…Practice guidelines for teleconsultation were proposed by Ministry of Health and Family Welfare (MOHFW), Government of India for local use [11]. Many other subspecialties have also resorted to the use of teleservices for outpatient care [12][13][14]. By following teleconsultation, many children could be taken care of, which would have suffered otherwise.…”

Section: Discussionmentioning

confidence: 99%

Changing Pattern of Congenital Heart Disease Care During COVID-19 Pandemic

et al. 2021

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Objective To study the impact of coronavirus disease 2019 (COVID-19) pandemic on the utilization of pediatric cardiac care services and to determine the role of teleconsultation services in delivering healthcare in this subset of population. Methods It was a retrospective, observational study. All children who attended pediatric cardiology outpatient/teleconsultation services or were admitted to pediatric cardiology ward between

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“…To achieve a balance between providing vital cancer‐directed and supportive treatment and ensuring that the risk of acquiring the SARS‐CoV‐2 infection was minimum, individual centers adopted several strategies including modifications to treatment protocols and increased use of growth factors. Although not addressed in this study, we know that individual centers in India have also widely used teleconsultation and deferred non‐urgent clinical assessments 24‐27 . What has not previously been reported is the increased need and use of support from social organizations with 79% of the centers reported seeking more support than usual.…”

Section: Discussionmentioning

confidence: 82%

“…Although not addressed in this study, we know that individual centers in India have also widely used teleconsultation and deferred non-urgent clinical assessments. [24][25][26][27] What has not previously been reported is the increased need and use of support from social organizations with 79% of the centers reported seeking more support than usual. Not surprisingly, the demand and support were greater for nonmedical aspects of care like transport, patient navigation, and accommodation thus reflecting the social impact of the pandemic and lockdown.…”

Section: Discussionmentioning

confidence: 87%

The impact of COVID‐19 pandemic on access to treatment for children with cancer in India and treating center practices

Sharma

Mahajan

Bakhshi

et al. 2021

Cancer

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Background The coronavirus disease 2019 (COVID‐19) pandemic led the Indian government to announce a nationwide lockdown on March 23, 2020. This study aimed to explore the impact of the pandemic on the accessibility of care for children with cancer and to view strategies adopted by hospitals for service delivery. Methods Weekly average of childhood cancer (≤18 years) patient registrations during pre‐lockdown period (January 1 to March 23, 2020) were compared with post‐lockdown period (March 24 to May 31, 2020). The effect on the scheduled treatment was investigated for post‐lockdown period. A survey of health care providers was conducted to determine centers' adopted strategies. Results In 30 participating centers, 1146 patients with childhood cancer (797 pre‐lockdown period and 349 post‐lockdown period) were registered. The weekly average registration was 67.3 and 35.5 patients during pre‐lockdown and post‐lockdown respectively (decline of 47.9%). Although most centers experienced this decline, there were 4 that saw an increase in patient registrations. The distribution of patients registered post‐lockdown was found significantly different by age (lesser older age, P = .010) and distance (lesser travel distance, P = .001). 36.1% of patients, who were scheduled for any of the treatment modalities (chemotherapy, surgery, radiotherapy, and hematopoietic stem cell transplantation) during the post‐lockdown period, experienced delays. Centers adopted several strategies including modifications to treatment protocols, increased use of growth factors, and increased support from social organizations. Conclusions This multicenter study from India suggests that the COVID‐19 pandemic and the lockdown impacted 2 out of 3 children with cancer. The effect of this on survival is yet to be established.

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Teleconsultations and Shared Care in Pediatric Oncology During COVID-19

Cited by 13 publications

References 9 publications

The Role of Telemedicine in Child and Adolescent Healthcare in India

The Role of Telemedicine in Child and Adolescent Healthcare in India

Changing Pattern of Congenital Heart Disease Care During COVID-19 Pandemic

The impact of COVID‐19 pandemic on access to treatment for children with cancer in India and treating center practices

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