Re-evaluation of challenging telepathological diagnoses in support of a hospital in Tanzania
| Autor: | Ansgar Stuefe, Gerhard Stauch, Hans-Konrad Mueller-Hermelink, Hans-Ullrich Voelker, Annette Strehl |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
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 |
| Zdroj: | Journal of Telemedicine and Telecare. 27:183-190 |
| ISSN: | 1758-1109 1357-633X |
| DOI: | 10.1177/1357633x19866564 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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