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This included three patients with obstruction, who underwent pre-treatment laparoscopic diverting colostomy formation and two weeks of postoperative recovery prior to initiation of treatment.

Scores from 19 surveyed physicians reflected overall satisfaction with the clinic format (Table 2). Tt in parentheses are standard deviations. Patient survey results similarly reflected a high degree of satisfaction with the clinic (Table 3). Patients gave high ratings for the audio and video quality of the visit (Questions 2, 3; 4.

The standard deviation of the satisfaction scores among patients and physicians was low (SD bNumbers represent mean 5-point Likert scale values, with higher scores indicating more favorable outcomes. This pilot study demonstrates that tele-MDC is a feasible alternative to in-person MDC during the COVID-19 pandemic, with the potential for a high degree of patient and physician satisfaction.

In a time t p n relatively limited healthcare access for cancer patients due to both institutional and governmental regulations, tele-MDC was a t p n option for timely, comprehensive cancer care while remaining compliant with COVID-19 restrictions. The virtual format was well received, with low standard deviations across all satisfaction scores reflecting relative homogeneity in satisfaction with the tele-MDC program among both patients and physicians.

This is to our knowledge t p n first description of a virtual MDC adaptation for colorectal cancer patients. Interestingly, despite the fact that tt tele-MDC was designed as a contingency in response to pandemic t p n, there were certain features that emerged as advantageous over t p n pre-pandemic format.

From the physician perspective, remote g eliminates the need for travel and allows more consistent and punctual participation, since not all team members are located in the same part of the medical center. Some potential logistic barriers to in-person conferencing are removed. From the patient pp, tele-MDC can allow participation of close contacts who would otherwise be excluded from the encounter, such as the primary care physician, or remote family members.

Because tele-MDC is easily accessible to patients who are unable to travel to multiple appointments due to associated costs (travel t p n, time off of work, etc), it thyroid disease has the potential to reduce disparities t p n cancer care due to socioeconomic status. These potential advantages may make certain elements of tele-MDC attractive additions to the traditional format even after the COVID-19 pandemic subsides.

There were several lessons learned while developing the tele-MDC at this institution. This ensured that all stakeholders had already allocated sufficient resources, specifically in terms of staffing t p n time.

The adaptation to a remote format was therefore a shared vision that appealed to all parties involved. Second, because the format for the tele-MDC was new to patients and Premarin (Conjugated Estrogens)- FDA members, it was helpful to provide an introduction to the tele-MDC arrangements prior to the appointment in order to set proper expectations.

This was typically done by phone when the visit was being arranged and then reinforced with a brief discussion before entering the conference room during the visit. Third, toward the middle of the pilot, a provider stationed at a clinical workstation was added remotely to the tele-MDC discussion.

The job of folate team member was to place any necessary orders and complete a summary worksheet, which was provided to the patient at b time of departure in a folder. This helped reinforce the MDC plan t p n visual aids and references, and helped with immediate scheduling of any recommended follow-up testing. In what is the closest example to the work in this study, Grenda et al. In this model, t p n are seen via remote encounter by each specialist in turn, without an in-person evaluation.

This differs from the format chosen in this tt, which permitted a single physician to interact with the patient directly in the clinic and perform a physical examination. A single physician contact was deemed necessary for colorectal tele-MDC for several reasons. First, it obviated the patient from having to deal with any technological issues, or anything at all other than the content of the discussion.

This was especially helpful pp older patients, who in general were less adept at using the technology. Of additional importance, by allowing the patient to interact with the surgeon directly, it was possible to include data from the physical examination in the final plan. Unlike the case for other tumors, including lung, in which direct physical examination of the tumor itself is not possible, MDC for rectal cancer without a physical examination would rely on incomplete data to produce a recommendation.

The present pilot also differed from the MDC described by Grenda t p n al. A g encounter was chosen due to the nature of multi-modal therapy for rectal and anal cancers. Patients often had questions pertaining to multiple specialists which could be answered as a team, better ensuring unified messaging and patient comprehension.

Others have used survey data to assess the satisfaction of participants in virtual MDT. The data in the current study are more uniformly favorable with respect to these questions. The authors of this review highlighted research and ; t p n many specialties including dermatology, cardiology, neurology, oncology, and palliative medicine.

They also described the potential for collaboration between hospitals in constructing a virtual MDT, to bring t p n a group of clinicians t p n a wide geographic area. This was not an option that was pursued in the current study, but one that certainly may be considered as the tele-MDC continues to grow in experience.

Further...

Comments:

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