de Mello André Nebel, Hira Adilson Yuuji, Faria Regis Rossi Alves, Zuffo Marcelo Knörich, Filho Vicente Odone
Unidade de Onco-Hematologia, Instituto da Criança HC-FMUSP, Sao Paulo, Brazil.
J Telemed Telecare. 2005;11 Suppl 2:S16-8. doi: 10.1258/135763305775124876.
We established a pilot telemedicine network for paediatric oncology in Brazil, linking the School of Medicine at the University of Sao Paulo in Sao Paulo City to the 'Hospital de Base' in Porto Velho, Rondonia, located in the Amazon region, 3,000 km away. The videoconferencing link used ISDN transmission at 384 kbit/s. The network was used for patient screening, follow-up, treatment monitoring and other activities. Between March 2000 and 2002, 69 videoconferences were held for 33 patients, 29 with cancer. During this period, 16 patients required transfer, 18 patients died and 11 achieved cancer remission. The main cause for patient mortality (infection) was not one that could be addressed directly by telemedicine. Using the School of Medicine as a benchmark, the average mortality rate for paediatric cancer patients in the pilot was higher. However, it was lower than previous levels observed at Rondonia (62% versus 80%).
我们在巴西建立了一个儿科肿瘤远程医疗试点网络，将位于圣保罗市的圣保罗大学医学院与位于亚马逊地区、距离圣保罗3000公里的朗多尼亚州波多韦柳市的“基地医院”连接起来。视频会议链接使用384 kbit/s的ISDN传输。该网络用于患者筛查、随访、治疗监测及其他活动。2000年3月至2002年期间，为33名患者举行了69次视频会议，其中29名患有癌症。在此期间，16名患者需要转诊，18名患者死亡，11名患者实现癌症缓解。患者死亡的主要原因（感染）并非远程医疗能够直接解决的问题。以医学院为基准，试点中儿科癌症患者的平均死亡率较高。然而，它低于朗多尼亚州此前观察到的水平（62%对80%）。
