Teleconsultation before chemotherapy for recently operated on patients.
BACKGROUND
Some operated on cancer patients require specialized complementary chemotherapy. Often, this takes place in another institution, where the patient consults the medical oncologist before hospitalization. The aim of this study was to analyze the potential benefit of a videoconference consultation within this framework.


METHODS
Sixteen operated on cancer patients hospitalized in the Surgical Unit received a teleconsultation in the presence of their surgeon and with the chemotherapist at some distance. During this period, the modalities of chemotherapy proposed, the duration of the teleconsultation, the economy of transport, and so on were noted. Twenty-four hours later each patient filled in a questionnaire aimed at, one, evaluating the quality of the image on an visual analogue scale (VAS) and the potential inconvenience involved; and two, evaluating the index of patient satisfaction on VAS. Furthermore, the last 12 patients filled in a questionnaire adapted to each of them, according to the information they had received. Each correct answer was noted 1, and each incorrect answer was noted 0. A memorization percentage was deduced.


RESULTS
The average age of the 16 patients was 63.4 years (range 46 to 78). The average duration of the teleconsultation was 27 minutes (12 to 40). The index of image satisfaction was 61.3%. As for the last 12 patients, 9.8 questions (7 to 12) enabled the calculation at 24 hours of the percentage of data retained by the patient (memorization index) based on the modalities and consequences of the chemotherapy. The percentage of correct answers was 80.5%. Fourteen of the 16 patients considered that teleconsultation had its advantages. Two patients would have preferred a classic consultation. The global satisfaction index was 79.9%. The average cost of functioning per patient was 187.76 FF A saving in transport of 509.92 FF was recorded per patient.


CONCLUSIONS
In the context of this original study, teleconsultation neither altered the doctor-patient relationship nor the quality of the message transmitted. Furthermore, it encourages closer links between complementary teams working at a distance and multidisciplinarity in cancerology.
Sezeur
A
A
Service de Chirurgie Générale et Digestive, Hôpital Rothschild, 33 bd de Picpus, 75012, Paris, France. asezeur@ch-diaconesses.fr
Degramont
A
A
Touboul
E
E
Mosnier
H
H
D000368:Aged; D017024:Chemotherapy, Adjuvant; D003362:Cost-Benefit Analysis; D006801:Humans; D007400:Interprofessional Relations; D008875:Middle Aged; D009369:Neoplasms / Q000188:drug therapy* / Q000601:surgery; D010297:Paris; D010347:Patient Care Planning / Q000191:economics; D017060:Patient Satisfaction; D010817:Physician-Patient Relations; D011787:Quality of Health Care; D019114:Remote Consultation / Q000191:economics