Kein Folientitel

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Improved Quality of cancer care by
telemedicine at the Tumorzentrum
Regensburg F.Hofstädter, M.Nerlich,
A.Pauer M.Klinkhammer-Schalke
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Configuration of the Tumorzentrum Regensburg e.V.
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Tumorzentrum Regensburg e.V.
standards of diagnosis
Standards of therapy
radiation chemotherapy
surgery
standards of follow up
Continuous educations
diagnosis
Follow up
radiation
chemotherapy
surgery
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Aims

• General
• To improve medical treatment of cancer patients
  by collecting all relevant medical data of all
  cancer patients of the district from first
  diagnosis over treatment to follow up or death.

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Aims

• Specific
• To improve structures, treatment schedules and
  therapy quality by external quality control and
  outcome analysis (comparison of
  institution-specific data with anonymous common
  results and data from literature)

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Data acquisition and management

• Hospitals
• Data coming from specifically structured medical
  (routine) reports
• Practioners
• Data coming from documentation sheets
• (diagnosis, treatment, follow up)

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Data acquisition and management

• Avoid unnecessary documentation work load.
• Avoid double documentation (epidemiology, quality
  control, management, DRG)
• Improve quality and speed of documentation and
  communication.

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Oncology Network with telemedicine 2003
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• Recommendation

• Teleteaching

• Telelearning

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Expert meeting via telemedicine
Expert meeting difficult case reports
Diagnosis,First therapy
Follow - up treatment
recurrency
X - ray
CT, NMR
Rad
Patho.
Hormonal
Scintigr.
surgery
Chemo
Treatment decision
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Projektgroups of Tumorzentrum Regensburg e.V.

• lung cancer
• colorektal cancer
• lymphoma
• breast cancer
• prostate cancer
• melanoma
• cancer of the CNS

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Projectgroups
mission

• state of medical care
• general medical report
• cooperation and general organisations of
  clinical studies

goals

• to improve the cooperation and communication
• discussion of guidelines and special
  cancertherapies
• resulting in binding agreements of diagnose,
  postoperative therapie, rehabilitation and
  follow-up.

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Effectiveness

• Influence of intervention and communication
  by telemedicine on quality of medical procedures
  
• adjuvant chemotherapy of colon cancer
• breast conserving surgery
• number of lymph nodes

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Cancer registry 1992 - 2001
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Colon cancer 1992 - 2001
N 1597
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Adjuvant chemotherapy colon cancer (stage
III) 1993-2001
n 530
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Survival colon cancer (stage III) 1993-2001
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Summary

• Important Integration of all groups involved
  (hospitals, physicians,administration,
  insurance, patients groups)
• Involve participants in data analysis by
• telemedicine (colloquium, project groups).
• Continuous report of results (effectiveness).