Daniel M Beswick1,2, Anita Vashi3, Yohan Song1,2, Rosemary Pham2, F Chris Holsinger2, James D Rayl4, Beth Walker5, John Chardos6, Annie Yuan1, Ella Benadam-Lenrow1, Dolores Davis7, C Kwang Sung1,2, Vasu Divi1,2, Davud B Sirjani1,2. 1. Department of Otolaryngology - Head and Neck Surgery, Palo Alto Veterans Affairs Health Care System, Palo Alto, California. 2. Department of Otolaryngology - Head and Neck Surgery, Stanford University School of Medicine, Stanford, California. 3. Center for Innovation to Implementation, Palo Alto Veterans Affairs Health Care System, Palo Alto, California. 4. Department of Otolaryngology - Head and Neck Surgery, New Mexico Veterans Affairs Health Care System, Albuquerque, New Mexico. 5. Ambulatory Care Service, Palo Alto Veterans Affairs Health Care System, Palo Alto, California. 6. Department of Medicine, Stanford University School of Medicine, Stanford, California. 7. Department of Surgery, Central California Veterans Affairs Health Care System, Fresno, California.
Abstract
BACKGROUND: The purpose of this study was to evaluate a telemedicine model that utilizes an audiovisual teleconference as a preoperative visit. METHODS: Veterans Health Administration (VHA) patients with head and neck cancer at 2 remote locations were provided access to the Palo Alto Veterans Affairs (PAVA) Health Care System otolaryngology department via the telemedicine protocol: tissue diagnosis and imaging at the patient site; data review at PAVA; and a preoperative teleconference connecting the patient to PAVA. Operative care occurred at PAVA. Follow-up care was provided remotely via teleconference. RESULTS: Fifteen patients were evaluated. Eleven underwent surgery, 4 with high-grade neoplasms (carcinoma). Average time from referral to operation was 28 days (range, 17-36 days) and 72 (range, 31-108 days), respectively, for high-grade and low-grade groups. The average patient was spared 28 hours traveling time and $900/patient was saved on travel-related costs. CONCLUSION: A telemedicine model enables timely access to surgical care and permits considerable savings among select VHA patients with head and neck cancer.
BACKGROUND: The purpose of this study was to evaluate a telemedicine model that utilizes an audiovisual teleconference as a preoperative visit. METHODS: Veterans Health Administration (VHA) patients with head and neck cancer at 2 remote locations were provided access to the Palo Alto Veterans Affairs (PAVA) Health Care System otolaryngology department via the telemedicine protocol: tissue diagnosis and imaging at the patient site; data review at PAVA; and a preoperative teleconference connecting the patient to PAVA. Operative care occurred at PAVA. Follow-up care was provided remotely via teleconference. RESULTS: Fifteen patients were evaluated. Eleven underwent surgery, 4 with high-grade neoplasms (carcinoma). Average time from referral to operation was 28 days (range, 17-36 days) and 72 (range, 31-108 days), respectively, for high-grade and low-grade groups. The average patient was spared 28 hours traveling time and $900/patient was saved on travel-related costs. CONCLUSION: A telemedicine model enables timely access to surgical care and permits considerable savings among select VHA patients with head and neck cancer.
Authors: Laurelie R Wall; Sanjeewa Kularatna; Elizabeth C Ward; Bena Cartmill; Anne J Hill; Elizabeth Isenring; Joshua Byrnes; Sandro V Porceddu Journal: Dysphagia Date: 2018-12-04 Impact factor: 3.438
Authors: Ryan D Nipp; Carolyn L Qian; Helen P Knight; Cristina R Ferrone; Hiroko Kunitake; Carlos Fernandez-Del Castillo; Michael Lanuti; Motaz Qadan; Rocco Ricciardi; Keith D Lillemoe; Brandon Temel; Ardeshir Z Hashmi; Erin Scott; Erin Stevens; Grant R Williams; Zhi Ven Fong; Terrence A O'Malley; Esteban Franco-Garcia; Nora K Horick; Vicki A Jackson; Joseph A Greer; Areej El-Jawahri; Jennifer S Temel Journal: J Geriatr Oncol Date: 2022-01-21 Impact factor: 3.929
Authors: Matthew B Mackwood; Tor D Tosteson; Jennifer A Alford-Teaster; Kevin M Curtis; Mary L Lowry; Jennifer A Snide; Wenyan Zhao; Anna N A Tosteson Journal: JCO Oncol Pract Date: 2022-04-21
Authors: Madeleine P Strohl; Christopher D Dwyer; Yue Ma; Clark A Rosen; Sarah L Schneider; VyVy N Young Journal: J Voice Date: 2020-06-23 Impact factor: 2.300
Authors: Jung Julie Kang; Richard J Wong; Eric J Sherman; Alisa Rybkin; Sean M McBride; Nadeem Riaz; C Jillian Tsai; Yao Yu; Linda Chen; Kaveh Zakeri; Daphna Y Gelblum; Erin F Gillespie; Marc A Cohen; Jennifer R Cracchiolo; Ian Ganly; Snehal Patel; Bhuvanesh Singh; Jay O Boyle; Benjamin R Roman; Luc G Morris; Ashok R Shaha; Lara A Dunn; Alan L Ho; James V Fetten; Jatin P Shah; David G Pfister; Nancy Y Lee Journal: Cancer Date: 2020-07-08 Impact factor: 6.921
Authors: Eleanor Layfield; Vasiliki Triantafillou; Aman Prasad; Jie Deng; Rabie M Shanti; Jason G Newman; Karthik Rajasekaran Journal: Head Neck Date: 2020-06-01 Impact factor: 3.821