title: [Cancer care with informational technology].
abstract: New innovations in clinical information technology have brought about changes in cancer care. The high-speed Internet provides an enormous real-time information exchange among physicians anywhere on earth. Computer-aided clinical decision support systems free up cancer experts in all stages of the cancer care continuum, including prevention, early detection, treatment and end-of-life care. Large registrations of cancer patients using the Internet enable us to construct large nationwide phenotypic and genotypic databases that allow clinicians to optimize individualized cancer treatment. Electronical medical records with an order-entry-system showing realtime clinical information provide safe, efficient and effective care. While new internet/intranet technologies reduce the inefficiencies of cancer care, the unintended consequences of the new informational technologies result in delivery of enormous unregulated clinical information, creating a digital divide between those using and not using the Internet, causing a decrease in communication.
authors.affiliation: Division of Respirology and Chest Surgery, Kanto Medical Center NTT EC.
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Usui
authors.forename: Teruo
authors.initials: T
authors.lastname: Ishihara
mesh_terms: D003195:Computer Communication Networks; D020000:Decision Support Systems, Clinical; D006801:Humans; D020407:Internet; D009369:Neoplasms / Q000175:diagnosis / Q000517:prevention & control / Q000628:therapy*; D012042:Registries / Q000592:standards