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Clinical outcomes in patients with solid tumors living in rural and urban areas followed via telemedicine: experience in a highly complex latin american hospital

BACKGROUND: Difficulties in cancer services access increase the burden of disease and mortality in rural areas, and telehealth can be a useful tool to address these inequalities. OBJECTIVE: We aimed to describe the outcomes of patients in rural and urban areas with solid tumors managed by oncologist...

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Autores principales: Restrepo, Juan Guillermo, Alarcón, Juliana, Hernández, Andrés, Sangiovanni, Saveria, González, Sofía, Gallego, Kelly, Peña-Zárate, Evelyn E., Libreros-Peña, Laura, Escobar, María Fernanda
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10018944/
https://www.ncbi.nlm.nih.gov/pubmed/36927771
http://dx.doi.org/10.1186/s12885-023-10717-5
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author Restrepo, Juan Guillermo
Alarcón, Juliana
Hernández, Andrés
Sangiovanni, Saveria
González, Sofía
Gallego, Kelly
Peña-Zárate, Evelyn E.
Libreros-Peña, Laura
Escobar, María Fernanda
author_facet Restrepo, Juan Guillermo
Alarcón, Juliana
Hernández, Andrés
Sangiovanni, Saveria
González, Sofía
Gallego, Kelly
Peña-Zárate, Evelyn E.
Libreros-Peña, Laura
Escobar, María Fernanda
author_sort Restrepo, Juan Guillermo
collection PubMed
description BACKGROUND: Difficulties in cancer services access increase the burden of disease and mortality in rural areas, and telehealth can be a useful tool to address these inequalities. OBJECTIVE: We aimed to describe the outcomes of patients in rural and urban areas with solid tumors managed by oncologists through telemedicine. METHODS: We conducted a retrospective cohort study of patients with solid tumors from March to December 2020. A total of 1270 subjects with solid tumors were included, 704 living in urban areas and 566 in rural areas. RESULTS: The most frequent tumors were breast (51.8%) and prostate (12.4%). The trend of telemedicine care was similar for both populations; in-person care was more frequent in the urban population. There were no differences in referral to the emergency room, need for hospitalization, and mortality for both groups. CONCLUSION: Telemedicine is a care modality that reduces barriers in the care of patients with solid tumors, evidencing similar outcomes regardless of living in rural or urban areas.
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spelling pubmed-100189442023-03-16 Clinical outcomes in patients with solid tumors living in rural and urban areas followed via telemedicine: experience in a highly complex latin american hospital Restrepo, Juan Guillermo Alarcón, Juliana Hernández, Andrés Sangiovanni, Saveria González, Sofía Gallego, Kelly Peña-Zárate, Evelyn E. Libreros-Peña, Laura Escobar, María Fernanda BMC Cancer Research BACKGROUND: Difficulties in cancer services access increase the burden of disease and mortality in rural areas, and telehealth can be a useful tool to address these inequalities. OBJECTIVE: We aimed to describe the outcomes of patients in rural and urban areas with solid tumors managed by oncologists through telemedicine. METHODS: We conducted a retrospective cohort study of patients with solid tumors from March to December 2020. A total of 1270 subjects with solid tumors were included, 704 living in urban areas and 566 in rural areas. RESULTS: The most frequent tumors were breast (51.8%) and prostate (12.4%). The trend of telemedicine care was similar for both populations; in-person care was more frequent in the urban population. There were no differences in referral to the emergency room, need for hospitalization, and mortality for both groups. CONCLUSION: Telemedicine is a care modality that reduces barriers in the care of patients with solid tumors, evidencing similar outcomes regardless of living in rural or urban areas. BioMed Central 2023-03-16 /pmc/articles/PMC10018944/ /pubmed/36927771 http://dx.doi.org/10.1186/s12885-023-10717-5 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Restrepo, Juan Guillermo
Alarcón, Juliana
Hernández, Andrés
Sangiovanni, Saveria
González, Sofía
Gallego, Kelly
Peña-Zárate, Evelyn E.
Libreros-Peña, Laura
Escobar, María Fernanda
Clinical outcomes in patients with solid tumors living in rural and urban areas followed via telemedicine: experience in a highly complex latin american hospital
title Clinical outcomes in patients with solid tumors living in rural and urban areas followed via telemedicine: experience in a highly complex latin american hospital
title_full Clinical outcomes in patients with solid tumors living in rural and urban areas followed via telemedicine: experience in a highly complex latin american hospital
title_fullStr Clinical outcomes in patients with solid tumors living in rural and urban areas followed via telemedicine: experience in a highly complex latin american hospital
title_full_unstemmed Clinical outcomes in patients with solid tumors living in rural and urban areas followed via telemedicine: experience in a highly complex latin american hospital
title_short Clinical outcomes in patients with solid tumors living in rural and urban areas followed via telemedicine: experience in a highly complex latin american hospital
title_sort clinical outcomes in patients with solid tumors living in rural and urban areas followed via telemedicine: experience in a highly complex latin american hospital
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10018944/
https://www.ncbi.nlm.nih.gov/pubmed/36927771
http://dx.doi.org/10.1186/s12885-023-10717-5
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