Telemedicine in Neuro-Oncology—An Evaluation of Remote Consultations during the COVID-19 Pandemic
Abstract
:Simple Summary
Abstract
1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Collection of Demographic Data
2.3. Statistical Analyses
3. Results
3.1. Patients with Glioblastoma, Long Travel Distance and Low Karnofsky Were More Likely to Choose VC
3.2. Ratio of VC Was Associated with the Travel Distance and the Number of Consultations in Total
3.3. VC Were Considered an Adequate Alternative for Most Occasions but Not for the Initial Consultation
3.4. VC Had a Significantly Lower Expense yet Were Found to Be Slightly Less Personal Than Face-to-Face Consultations
3.5. The Offer of VC Made Patients Feel Safer
3.6. Patients Reported Interest in Implementing Further Telemedicine Modalities in Their Treatment
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Patients That Never Participated in VC (n = 498) | Patients That Participated in VC at Least Once (n = 114) | p-Value | |
---|---|---|---|
Sex | Male: 247 (49.6%) Female: 251 (50.4%) | Male: 63 (55.3%) Female: 51 (44.7%) | 0.16 (Fisher) |
Age | 52.0 years (39–63 years) | 54.5 years (43–62 years) | 0.43 (MWU) |
Karnofsky index | 20%: 1 (0.2%) 40%: 8 (1.6%) 50%: 18 (3.6%) 60%: 70 (14.1%) 70%: 78 (15.7%) 80%: 77 (15.5%) 90%: 152 (30.1%) 100%: 76 (15.3%) Not applicable: 18 (3.6%) | 20%: 0 (0%) 40%: 3 (2.6%) 50%: 13 (11.4%) 60%: 23 (20.2%) 70%: 27 (23.7%) 80%: 9 (7.9%) 90%: 25 (21.9%) 100%: 7 (6.1%) Not applicable: 7 (6.1%) | <0.01 (MWU) |
CNS WHO grade of malignancy | Grade 1: 23 (4.6%) Grade 2: 96 (19.3%) Grade 3: 97 (19.5%) Grade 4: 212 (42.6%) No CNS WHO grade: 70 (14.1%) | Grade 1: 0 (0%) Grade 2: 9 (7.9%) Grade 3: 14 (12.2%) Grade 4: 80 (70.2%) No CNS WHO grade: 11 (9.6%) | <0.01 (Χ²) |
Diagnosis | Glioblastoma/Gliosarcoma: 196 (39.4%) Astrocytoma IDHwt: 31 (6.2%) Astrocytoma IDHmut: 87 (17.5%) Oligodendroglioma: 51 (10.2%) Meningioma: 17 (3.4%) Metastasis: 18 (3.6%) Pilocytic Astrocytoma: 7 (1.4%) Craniopharyngioma: 2 (0.4%) Medulloblastoma: 7 (1.4%) Lymphoma: 2 (0.4%) Ependymoma: 9 (1.8%) Others: 71 (14.2%) | Glioblastoma/Gliosarcoma: 79 (69.2%) Astrocytoma IDHwt: 6 (5.3%) Astrocytoma IDHmut: 11 (9.6%) Oligodendroglioma: 3 (2.6%) Meningioma: 0 (0%) Metastasis: 3 (2.6%) Pilocytic Astrocytoma: 1 (0.9%) Craniopharyngioma: 0 (0%) Medulloblastoma: 0 (0%) Lymphoma: 0 (0%) Ependymoma: 0 (0%) Others: 11 (9.6%) | <0.01 (Χ2) |
Distance | 14.4 km (6.3–25.6 km) | 37.5 km (17.2–138.9 km) | <0.01 (MWU) |
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Share and Cite
Feldheim, J.; Schmidt, T.; Oster, C.; Feldheim, J.; Stuschke, M.; Stummer, W.; Grauer, O.; Scheffler, B.; Hagemann, C.; Sure, U.; et al. Telemedicine in Neuro-Oncology—An Evaluation of Remote Consultations during the COVID-19 Pandemic. Cancers 2023, 15, 4054. https://doi.org/10.3390/cancers15164054
Feldheim J, Schmidt T, Oster C, Feldheim J, Stuschke M, Stummer W, Grauer O, Scheffler B, Hagemann C, Sure U, et al. Telemedicine in Neuro-Oncology—An Evaluation of Remote Consultations during the COVID-19 Pandemic. Cancers. 2023; 15(16):4054. https://doi.org/10.3390/cancers15164054
Chicago/Turabian StyleFeldheim, Jonas, Teresa Schmidt, Christoph Oster, Julia Feldheim, Martin Stuschke, Walter Stummer, Oliver Grauer, Björn Scheffler, Carsten Hagemann, Ulrich Sure, and et al. 2023. "Telemedicine in Neuro-Oncology—An Evaluation of Remote Consultations during the COVID-19 Pandemic" Cancers 15, no. 16: 4054. https://doi.org/10.3390/cancers15164054