RT Journal Article
SR Electronic
T1 Evaluating e-consultation implementation in Lung Cancer patients. Are we doing well?
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP 4159
DO 10.1183/13993003.congress-2020.4159
VO 56
IS suppl 64
A1 Marcos Zuil Martin
A1 Laura Pérez
A1 Noelia Sánchez Sánchez
A1 Paloma Clavería
A1 Mª Teresa Rosell
A1 Javier Lázaro
A1 Diego Márquez
A1 Alicia Blasco
A1 Agustín Rodríguez
A1 Eva Anadón
A1 Eva Fernández
A1 Milagros Bone
A1 José Ángel Carretero
YR 2020
UL http://erj.ersjournals.com/content/56/suppl_64/4159.abstract
AB Background: Lung Cancer (LC) is the greatest cause of cancer death in our world. Most patients have advanced and incurable disease at the time of diagnosis. The development of an electronic consultation system provides an easier way to start the staging process.Aims: to study the results of an e-consultation service between Primary Care Providers (PCP) and a Respiratory Unit as a first consultation in a lung cancer staging process.Methods: Retrospective study of a secure, web-based e-consultation, developed between our Respiratory Unit and PCP from our Hospital Health Area. After the electronic consultation, each patient with possible LC received a phone call and had a scheduled face-to-face interview during the staging process. The study took place from January 1, 2018 to December 31, 2019.Results: - Total e-consultations: Year 2018 (Y18): 1555; Year 2019 (Y19): 1828- LC e-consultations: Y18: 76 (4.8%); Y19: 69 (3.77%)- Average time for the first phone call to the patient: Y18: 2.3 days; Y19: 1.9 days- Staging: False positive or follow up cases: Y18: 51(67.1%); Y19: 47(68,1%)Stage I-II cases: Y18: 11(14,4%); Y19: 9(13.0%)Stage III-IV cases : Y18: 14(18,4%); Y19: 13(18.8%)- Time saved during staging process: Y18: 10+2 days; Y19: 14+3 days- Additional requirements requested by patients: . New phone call: Y18: 10 (14.28%); Y19: 11 (15.9%) Added personal attention: Y18: 6 (7.8%); Y19: 7 (10.1%)Conclusions: Implementation of e-consultation service in LC staging process reduces wait times for patients and leads to overall cost savings, but added activities or meetings should be planned (outpatient health information) because of the high emotional demand of these patients.FootnotesCite this article as: European Respiratory Journal 2020; 56: Suppl. 64, 4159.This abstract was presented at the 2020 ERS International Congress, in session “Respiratory viruses in the "pre COVID-19" era”.This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).