A statewide community cancer center videoconferencing program.
BACKGROUND
The multidisciplinary approach to cancer care has been established through a statewide videoconferencing network to discuss prospective patient management issues. To our knowledge this is the first report of a statewide community cancer center videoconferencing network in the USA.


METHODS
Four of seven American College of Surgeons Commission on Cancer community hospitals in the state of Delaware agreed to participate in a statewide videoconferencing network. Through information technology all centers can communicate pathology and radiology results via visualization methodology. Information is shared on a weekly basis with discussion of treatment decisions and diagnostic procedures. The videoconferencing occurs over a 60-min period.


RESULTS
All cases have been prospectively presented. The videoconferencing has led to an increase in National Cancer Institute (NCI) treatment and cancer control clinical trials accrual. American Society of Clinical Oncology (ASCO) guidelines and the National Comprehensive Cancer Center Network (NCCN) guidelines have been followed in 92% of case presentations as recommended by the videoconference participants. Physician and support personnel do not have to travel to any of the centers since technology allows communication amongst all participants through their own community cancer centers.


CONCLUSIONS
A statewide community cancer center videoconferencing network has resulted in high compliance with ASCO and NCCN guidelines and improvement in accrual to NCI Clinical trials.
Dickson-Witmer
D
D
Helen F. Graham Cancer Center, 4701 Ogletown-Stanton Road, Suite 1233, Newark, DE 19713, USA.
Petrelli
Nicholas J
NJ
Witmer
D R
DR
England
M
M
Witkin
G
G
Manzone
T
T
Napoletano
J
J
Strusowski
P
P
Spellman
J
J
Smith
D
D
D002173:Cancer Care Facilities / Q000458:organization & administration*; D003153:Community Health Services / Q000458:organization & administration*; D006801:Humans; D054547:National Cancer Institute (U.S.); D009369:Neoplasms / Q000517:prevention & control / Q000628:therapy*; D011446:Prospective Studies; D014481:United States; D049269:Videoconferencing / Q000706:statistics & numerical data*