Re-evaluation of challenging telepathological diagnoses in support of a hospital in Tanzania
| العنوان: | Re-evaluation of challenging telepathological diagnoses in support of a hospital in Tanzania |
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| المؤلفون: | Ansgar Stuefe, Gerhard Stauch, Hans-Konrad Mueller-Hermelink, Hans-Ullrich Voelker, Annette Strehl |
| المصدر: | Journal of Telemedicine and Telecare. 27:183-190 |
| بيانات النشر: | SAGE Publications, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | medicine.medical_specialty, Medical diagnostic, Telepathology, Health Informatics, Telehealth, Tanzania, 03 medical and health sciences, 0302 clinical medicine, Germany, medicine, Humans, Medical diagnosis, iPath, 030304 developmental biology, 0303 health sciences, biology, business.industry, biology.organism_classification, Hospitals, Pathologists, 030220 oncology & carcinogenesis, Family medicine, Cohort, business |
| الوصف: | Since 2007, a hospital in Tanzania has been supported with histopathological reports via telepathology (TP) by German pathologists. For this, the Internet-based platform iPath is used. The aim of this study was to analyse the rate of discrepancies in defined diagnostic groups. After shipment of paraffin-embedded tissue to Germany, specimens were processed according to recent diagnostic standards. All diagnoses were grouped into eight benign and 11 malignant main categories. The comparison comprised the following categories: 1, identical diagnosis; 2, mild discordance; 3, correct distinction between benign and malignant process, 4, false malignant; 5, false benign; and 6, no primary diagnosis possible. The cohort comprised 396 benign and 336 malignant diseases. Of the benign diseases, 62% were category 1, 23% category 2, 2% category 3, 6% category 4 and 7% category 6. Of the malignant diseases, 42% were category 1, 16% category 2, 12% category 3, 14% category 5 and 15% category 6. Exclusive support with static TP cannot meet all requirements of modern medical diagnostics. However, the project shows a approach for how pathologists in industrial countries can help low-income countries. In difficult cases, the opportunity for a final work-up using additional methods must be given for useful diagnostic purposes. |
| تدمد: | 1758-1109 1357-633X |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::71e1e1543b3694d1f423e6de6b9da537 https://doi.org/10.1177/1357633x19866564 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....71e1e1543b3694d1f423e6de6b9da537 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 17581109 1357633X |
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