Departament of Hematology-Oncology, Fundación Valle del Lili, Cali, Colombia.
Centro de Investigaciones Clínicas, Fundación Valle Lili, Cali, Colombia.
BMC Cancer. 2023 Mar 16;23(1):253. doi: 10.1186/s12885-023-10717-5.
Difficulties in cancer services access increase the burden of disease and mortality in rural areas, and telehealth can be a useful tool to address these inequalities.
We aimed to describe the outcomes of patients in rural and urban areas with solid tumors managed by oncologists through telemedicine.
We conducted a retrospective cohort study of patients with solid tumors from March to December 2020. A total of 1270 subjects with solid tumors were included, 704 living in urban areas and 566 in rural areas.
The most frequent tumors were breast (51.8%) and prostate (12.4%). The trend of telemedicine care was similar for both populations; in-person care was more frequent in the urban population. There were no differences in referral to the emergency room, need for hospitalization, and mortality for both groups.
Telemedicine is a care modality that reduces barriers in the care of patients with solid tumors, evidencing similar outcomes regardless of living in rural or urban areas.
癌症服务获取方面的困难增加了农村地区的疾病负担和死亡率，远程医疗可以成为解决这些不平等问题的有用工具。
我们旨在描述通过远程医疗由肿瘤学家管理的农村和城市地区实体瘤患者的结局。
我们对 2020 年 3 月至 12 月期间的实体瘤患者进行了回顾性队列研究。共纳入 1270 例实体瘤患者，其中 704 例居住在城市地区，566 例居住在农村地区。
最常见的肿瘤是乳腺癌（51.8%）和前列腺癌（12.4%）。远程医疗护理的趋势在两个群体中相似；城市人群更频繁地进行门诊护理。两组在急诊就诊、住院需求和死亡率方面均无差异。
远程医疗是一种护理模式，它减少了实体瘤患者护理方面的障碍，无论居住在农村还是城市地区，都能产生相似的结果。
