Smartphone-Based Telemedicine Service at Palliative Care Unit during Nationwide Lockdown: Our Initial Experience at a Tertiary Care Cancer Hospital.
Identifieur interne : 001126 ( Main/Corpus ); précédent : 001125; suivant : 001127Smartphone-Based Telemedicine Service at Palliative Care Unit during Nationwide Lockdown: Our Initial Experience at a Tertiary Care Cancer Hospital.
Auteurs : Swagata Biswas ; Shreya Das Adhikari ; Nishkarsh Gupta ; Rakesh Garg ; Sachidanand Jee Bharti ; Vinod Kumar ; Seema Mishra ; Sushma BhatnagarSource :
- Indian journal of palliative care [ 0973-1075 ] ; 2020.
Abstract
Background and Aims
With the COVID-19 pandemic, lockdown, and fear from contagion, the advantages of telemedicine are clearly outweighing the setbacks by minimizing the need for individuals to visit health-care facilities. Our study aims to assess how palliative medicine physicians could follow up on cancer patients and barriers they faced, discuss their results, and evaluate their treatment response with the help of telemedicine.
Materials and Methods
We conducted a prospective analysis of the smartphone-based telemedicine service at our palliative care (PC) unit from March 25, 2020, to May 13, 2020. We recorded the patient's reason for call, main barriers to a hospital visit, and the assistance given to them by the physician on call. Each caller was asked to measure his/her satisfaction with the service on a 4-point scale.
Results
Out of 314 patients, 143 (45.54%) belonged to Delhi and 171 (54.46%) belonged to other states. 157 patients sought help for symptom management; 86 patients needed to restock their opioid medications. Seventy-one patients required information regarding their oncological treatments requiring consultation from other departments. Titration of oral opioids and medication prescription (
Conclusion
Telemedicine is the future of health-care delivery systems. In PC, we deal with immunocompromised debilitated cancer patients and telemedicine is immensely helpful for us to provide holistic integrated care to these patients who are unable to visit hospitals regularly.
DOI: 10.4103/IJPC.IJPC_161_20
PubMed: 33088083
PubMed Central: PMC7535006
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India.</nlm:affiliation></affiliation></author><author><name sortKey="Gupta, Nishkarsh" sort="Gupta, Nishkarsh" uniqKey="Gupta N" first="Nishkarsh" last="Gupta">Nishkarsh Gupta</name><affiliation><nlm:affiliation>Department of Onco-Anaesthesia and Palliative Medicine, Dr. Bhimrao Ambedkar Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India.</nlm:affiliation></affiliation></author><author><name sortKey="Garg, Rakesh" sort="Garg, Rakesh" uniqKey="Garg R" first="Rakesh" last="Garg">Rakesh Garg</name><affiliation><nlm:affiliation>Department of Onco-Anaesthesia and Palliative Medicine, Dr. Bhimrao Ambedkar Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India.</nlm:affiliation></affiliation></author><author><name sortKey="Bharti, Sachidanand Jee" sort="Bharti, Sachidanand Jee" uniqKey="Bharti S" first="Sachidanand Jee" last="Bharti">Sachidanand Jee Bharti</name><affiliation><nlm:affiliation>Department of Onco-Anaesthesia and Palliative Medicine, Dr. Bhimrao Ambedkar Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India.</nlm:affiliation></affiliation></author><author><name sortKey="Kumar, Vinod" sort="Kumar, Vinod" uniqKey="Kumar V" first="Vinod" last="Kumar">Vinod Kumar</name><affiliation><nlm:affiliation>Department of Onco-Anaesthesia and Palliative Medicine, Dr. Bhimrao Ambedkar Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India.</nlm:affiliation></affiliation></author><author><name sortKey="Mishra, Seema" sort="Mishra, Seema" uniqKey="Mishra S" first="Seema" last="Mishra">Seema Mishra</name><affiliation><nlm:affiliation>Department of Onco-Anaesthesia and Palliative Medicine, Dr. Bhimrao Ambedkar Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India.</nlm:affiliation></affiliation></author><author><name sortKey="Bhatnagar, Sushma" sort="Bhatnagar, Sushma" uniqKey="Bhatnagar S" first="Sushma" last="Bhatnagar">Sushma Bhatnagar</name><affiliation><nlm:affiliation>Department of Onco-Anaesthesia and Palliative Medicine, Dr. Bhimrao Ambedkar Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:33088083</idno><idno type="pmid">33088083</idno><idno type="doi">10.4103/IJPC.IJPC_161_20</idno><idno type="pmc">PMC7535006</idno><idno type="wicri:Area/Main/Corpus">001126</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">001126</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Smartphone-Based Telemedicine Service at Palliative Care Unit during Nationwide Lockdown: Our Initial Experience at a Tertiary Care Cancer Hospital.</title><author><name sortKey="Biswas, Swagata" sort="Biswas, Swagata" uniqKey="Biswas S" first="Swagata" last="Biswas">Swagata Biswas</name><affiliation><nlm:affiliation>Department of Onco-Anaesthesia and Palliative Medicine, Dr. Bhimrao Ambedkar Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India.</nlm:affiliation></affiliation></author><author><name sortKey="Adhikari, Shreya Das" sort="Adhikari, Shreya Das" uniqKey="Adhikari S" first="Shreya Das" last="Adhikari">Shreya Das Adhikari</name><affiliation><nlm:affiliation>Department of Onco-Anaesthesia and Palliative Medicine, Dr. Bhimrao Ambedkar Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India.</nlm:affiliation></affiliation></author><author><name sortKey="Gupta, Nishkarsh" sort="Gupta, Nishkarsh" uniqKey="Gupta N" first="Nishkarsh" last="Gupta">Nishkarsh Gupta</name><affiliation><nlm:affiliation>Department of Onco-Anaesthesia and Palliative Medicine, Dr. Bhimrao Ambedkar Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India.</nlm:affiliation></affiliation></author><author><name sortKey="Garg, Rakesh" sort="Garg, Rakesh" uniqKey="Garg R" first="Rakesh" last="Garg">Rakesh Garg</name><affiliation><nlm:affiliation>Department of Onco-Anaesthesia and Palliative Medicine, Dr. Bhimrao Ambedkar Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India.</nlm:affiliation></affiliation></author><author><name sortKey="Bharti, Sachidanand Jee" sort="Bharti, Sachidanand Jee" uniqKey="Bharti S" first="Sachidanand Jee" last="Bharti">Sachidanand Jee Bharti</name><affiliation><nlm:affiliation>Department of Onco-Anaesthesia and Palliative Medicine, Dr. Bhimrao Ambedkar Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India.</nlm:affiliation></affiliation></author><author><name sortKey="Kumar, Vinod" sort="Kumar, Vinod" uniqKey="Kumar V" first="Vinod" last="Kumar">Vinod Kumar</name><affiliation><nlm:affiliation>Department of Onco-Anaesthesia and Palliative Medicine, Dr. Bhimrao Ambedkar Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India.</nlm:affiliation></affiliation></author><author><name sortKey="Mishra, Seema" sort="Mishra, Seema" uniqKey="Mishra S" first="Seema" last="Mishra">Seema Mishra</name><affiliation><nlm:affiliation>Department of Onco-Anaesthesia and Palliative Medicine, Dr. Bhimrao Ambedkar Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India.</nlm:affiliation></affiliation></author><author><name sortKey="Bhatnagar, Sushma" sort="Bhatnagar, Sushma" uniqKey="Bhatnagar S" first="Sushma" last="Bhatnagar">Sushma Bhatnagar</name><affiliation><nlm:affiliation>Department of Onco-Anaesthesia and Palliative Medicine, Dr. Bhimrao Ambedkar Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Indian journal of palliative care</title><idno type="ISSN">0973-1075</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>Background and Aims</b></p><p>With the COVID-19 pandemic, lockdown, and fear from contagion, the advantages of telemedicine are clearly outweighing the setbacks by minimizing the need for individuals to visit health-care facilities. Our study aims to assess how palliative medicine physicians could follow up on cancer patients and barriers they faced, discuss their results, and evaluate their treatment response with the help of telemedicine.</p></div><div type="abstract" xml:lang="en"><p><b>Materials and Methods</b></p><p>We conducted a prospective analysis of the smartphone-based telemedicine service at our palliative care (PC) unit from March 25, 2020, to May 13, 2020. We recorded the patient's reason for call, main barriers to a hospital visit, and the assistance given to them by the physician on call. Each caller was asked to measure his/her satisfaction with the service on a 4-point scale.</p></div><div type="abstract" xml:lang="en"><p><b>Results</b></p><p>Out of 314 patients, 143 (45.54%) belonged to Delhi and 171 (54.46%) belonged to other states. 157 patients sought help for symptom management; 86 patients needed to restock their opioid medications. Seventy-one patients required information regarding their oncological treatments requiring consultation from other departments. Titration of oral opioids and medication prescription (</p></div><div type="abstract" xml:lang="en"><p><b>Conclusion</b></p><p>Telemedicine is the future of health-care delivery systems. In PC, we deal with immunocompromised debilitated cancer patients and telemedicine is immensely helpful for us to provide holistic integrated care to these patients who are unable to visit hospitals regularly.</p></div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">33088083</PMID><DateRevised><Year>2020</Year><Month>10</Month><Day>23</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">0973-1075</ISSN><JournalIssue CitedMedium="Print"><Volume>26</Volume><Issue>Suppl 1</Issue><PubDate><Year>2020</Year><Month>Jun</Month></PubDate></JournalIssue><Title>Indian journal of palliative care</Title><ISOAbbreviation>Indian J Palliat Care</ISOAbbreviation></Journal><ArticleTitle>Smartphone-Based Telemedicine Service at Palliative Care Unit during Nationwide Lockdown: Our Initial Experience at a Tertiary Care Cancer Hospital.</ArticleTitle><Pagination><MedlinePgn>S31-S35</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.4103/IJPC.IJPC_161_20</ELocationID><Abstract><AbstractText Label="Background and Aims" NlmCategory="UNASSIGNED">With the COVID-19 pandemic, lockdown, and fear from contagion, the advantages of telemedicine are clearly outweighing the setbacks by minimizing the need for individuals to visit health-care facilities. Our study aims to assess how palliative medicine physicians could follow up on cancer patients and barriers they faced, discuss their results, and evaluate their treatment response with the help of telemedicine.</AbstractText><AbstractText Label="Materials and Methods" NlmCategory="UNASSIGNED">We conducted a prospective analysis of the smartphone-based telemedicine service at our palliative care (PC) unit from March 25, 2020, to May 13, 2020. We recorded the patient's reason for call, main barriers to a hospital visit, and the assistance given to them by the physician on call. Each caller was asked to measure his/her satisfaction with the service on a 4-point scale.</AbstractText><AbstractText Label="Results" NlmCategory="UNASSIGNED">Out of 314 patients, 143 (45.54%) belonged to Delhi and 171 (54.46%) belonged to other states. 157 patients sought help for symptom management; 86 patients needed to restock their opioid medications. Seventy-one patients required information regarding their oncological treatments requiring consultation from other departments. Titration of oral opioids and medication prescription (<i>n</i> = 129), contact details of other PC units at their native state for opioid procurement (<i>n</i> = 55), and attachment to our community-based PC service (<i>n</i> = 22) were main modes of management. Fifty-six patients were very satisfied and 152 patients were satisfied with the service.</AbstractText><AbstractText Label="Conclusion" NlmCategory="UNASSIGNED">Telemedicine is the future of health-care delivery systems. In PC, we deal with immunocompromised debilitated cancer patients and telemedicine is immensely helpful for us to provide holistic integrated care to these patients who are unable to visit hospitals regularly.</AbstractText><CopyrightInformation>Copyright: © 2020 Indian Journal of Palliative Care.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Biswas</LastName><ForeName>Swagata</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Onco-Anaesthesia and Palliative Medicine, Dr. Bhimrao Ambedkar Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Adhikari</LastName><ForeName>Shreya Das</ForeName><Initials>SD</Initials><AffiliationInfo><Affiliation>Department of Onco-Anaesthesia and Palliative Medicine, Dr. Bhimrao Ambedkar Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gupta</LastName><ForeName>Nishkarsh</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Department of Onco-Anaesthesia and Palliative Medicine, Dr. Bhimrao Ambedkar Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Garg</LastName><ForeName>Rakesh</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Onco-Anaesthesia and Palliative Medicine, Dr. Bhimrao Ambedkar Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bharti</LastName><ForeName>Sachidanand Jee</ForeName><Initials>SJ</Initials><AffiliationInfo><Affiliation>Department of Onco-Anaesthesia and Palliative Medicine, Dr. Bhimrao Ambedkar Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kumar</LastName><ForeName>Vinod</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>Department of Onco-Anaesthesia and Palliative Medicine, Dr. Bhimrao Ambedkar Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mishra</LastName><ForeName>Seema</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Onco-Anaesthesia and Palliative Medicine, Dr. Bhimrao Ambedkar Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bhatnagar</LastName><ForeName>Sushma</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Onco-Anaesthesia and Palliative Medicine, Dr. Bhimrao Ambedkar Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>06</Month><Day>30</Day></ArticleDate></Article><MedlineJournalInfo><Country>India</Country><MedlineTA>Indian J Palliat Care</MedlineTA><NlmUniqueID>101261221</NlmUniqueID><ISSNLinking>0973-1075</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">COVID-19</Keyword><Keyword MajorTopicYN="N">palliative care</Keyword><Keyword MajorTopicYN="N">telemedicine</Keyword></KeywordList><CoiStatement>There are no conflicts of interest.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>05</Month><Day>21</Day></PubMedPubDate><PubMedPubDate 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