An online tumor board with international neurosurgical collaboration guides surgical decision-making in Western Kenya

被引:12
作者
Henderson, Fraser C., Jr. [1 ]
Lepard, Jacob [2 ]
Seibly, Jason [3 ]
Rambo, William [4 ]
Boswell, Scott [5 ]
Copeland, William R. [6 ]
机构
[1] Med Univ South Carolina, Dept Neurosurg, Charleston, SC 29425 USA
[2] Univ Alabama Birmingham, Dept Neurosurg, Birmingham, AL USA
[3] Cent Illinois Neuro Hlth Serv, Bloomington, IL USA
[4] Midlands Orthoped & Neurosurg, Columbia, SC USA
[5] Salina Reg Hlth Ctr, Dept Neurosurg, Salina, KS USA
[6] Tenwek Hosp, Dept Surg, Bomet, Kenya
关键词
Global neurosurgery; Resident education; Sub-Saharan Africa; Low; and middle-income countries; Tumor board; Neuro-oncology; Pediatric neurosurgery; MANAGEMENT;
D O I
10.1007/s00381-020-04744-x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Telecollaboration via web-based platforms has emerged as a tool to relieve constraints on the establishment of tumor boards for neurosurgical oncology. Challenging tumor cases arising in low- and middle-income countries may benefit from the use of such models. The case of a 5-year-old boy presenting in Western Kenya with a challenging tumor and symptomatic hydrocephalus was presented on a novel web platform to a multi-national audience of neurosurgeons. The treating neurosurgeon invited a physician network to review the case vignette and radiographic images. Respondents independently offered input during a prescribed response period. Three respondents provided surgical opinions during a 24-h response period. The treating neurosurgeon utilized the pooled input to determine a course of action for the patient. When a web-based platform is available, lone neurosurgeons in low-resource settings may nevertheless apply multi-national, multi-institutional perspectives to challenging oncology cases.
引用
收藏
页码:715 / 719
页数:5
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