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Videoconferencing, an impetus to Pediatric Oncology

common recommendation involved a change in the initial diagnosis or grading of the tumor which resulted in significant treatment changes. Other recommendations included second look surgery or involved different diagnostic or treatment issues.

Up to six cases were discussed in each conference, which covered the majority of the cases seen at King Hussein Cancer Center each year. The impact on patient care and the neurooncology service was positive, as was the impact on patient compliance and trust from families. "The discussion and subsequent opinion obtained via the videoconference was perceived by patients and families as a formal second opinion and deepened their trust in the treating team and enhanced their compliance rate," the authors state. The videoconferencing also helped introduce new concepts into Jordan, such as the role of second surgery, alternatives to radiation therapy for certain tumors, the evolution of radiation therapy techniques, and the benefit of external pathology review for cases where the diagnosis is difficult. The authors note that pediatric oncology twinning initiatives should be multidisciplinary and should include neurosurgeons, radiation oncologists, pathologists and neuroradiologists. They conclude: "We hope that telemedicine, as an innovative tool, will disseminate in different fields of pediatric oncology, and contribute to reduce the gap between wealthy countries and those with limited resources."



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