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| Name | Class |
|---|---|
| Agence Regionale de Sante d'Ile de France | OTHER_GOV |
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The purpose of this study is to determine whether digitalizing pathological slides and let it accessible on a server for a second medical opinion (tele-expertise) would reduce the time to diagnosis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Before tele-expertise | Usual second opinion with pathological slides sent by mailing | ||
| During Tele-expertise | Second opinion with tele-expertise |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| During tele-expertise | Device |
|
| Measure | Description | Time Frame |
|---|---|---|
| Delay of second medical opinion | Between preparation of the slide and the result | Up to 10 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Number of second medical opinion requested | During the whole study (around 8 months) | |
| Overall costs | Sum of the durations of the professionals immobilization for performing a diagnosis x wages + costs of the telemedicine solution development and implementation. |
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Inclusion Criteria:
Exclusion Criteria:
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Patients in need for a second medical opinion on a pathological sample
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| Name | Affiliation | Role |
|---|---|---|
| Catherine Guettier, MD, PhD | Hôpital Bicêtre. Assistance Publique - Hôpitaux de Paris | Principal Investigator |
| Isabelle Durand-Zaleski, MD, PhD | DRCD URC Eco. Assistance Publique - Hôpitaux de Paris | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hôpital Saint Antoine | Paris | Paris | 75012 | France | ||
| Centre de Pathologie- Bièvres |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22617736 | Background | Kidholm K, Ekeland AG, Jensen LK, Rasmussen J, Pedersen CD, Bowes A, Flottorp SA, Bech M. A model for assessment of telemedicine applications: mast. Int J Technol Assess Health Care. 2012 Jan;28(1):44-51. doi: 10.1017/S0266462311000638. | |
| 26857558 | Derived | Charrier N, Zarca K, Durand-Zaleski I, Calinaud C; ARS Ile de France telemedicine group. Efficacy and cost effectiveness of telemedicine for improving access to care in the Paris region: study protocols for eight trials. BMC Health Serv Res. 2016 Feb 8;16:45. doi: 10.1186/s12913-016-1281-1. |
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| ID | Term |
|---|---|
| D020763 | Pathological Conditions, Anatomical |
| ID | Term |
|---|---|
| D013568 | Pathological Conditions, Signs and Symptoms |
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Fixed tissue
| Within 6 months after the start of tele-expertise |
| Number of times that the pathologist who gave the second opinion required the original material | During the whole study (around 8 months) |
| Bièvres |
| France |
| Hôpital Henri Mondor | Créteil | France |
| Centre Hospitalier Simone Veil | Eaubonne | France |
| Hôpital Bicêtre | Le Kremlin-Bicêtre | 94270 | France |
| Hôpital Bichat | Paris | France |
| Hôpital Cochin | Paris | France |
| Hôpital Saint Louis | Paris | France |
| Centre Hospitalier René Dubos | Pontoise | 95303 | France |
| Hôpital Paul Brousse | Villejuif | France |
| Centre Hospitalier de Villeneuve Saint Georges | Villeneuve-Saint-Georges | France |