Skip to main content
Log in

The Latin American Brain Tumor Board teleconference: results of a web-based survey to evaluate participant experience utilizing this resource

  • Original Paper
  • Published:
Child's Nervous System Aims and scope Submit manuscript

Abstract

Purpose

The Latin American Brain Tumor Board (LATB) is a weekly teleconference connecting pediatric neuro-oncologists from referral centers in high-income countries with pediatric subspecialists from 20 Latin American countries since 2013. This survey explored the participants’ experience utilizing this resource.

Methods

A cross-sectional electronic questionnaire was distributed to 159 participants through email and Cure4Kids.

Results

Ninety-five respondents (60%) from all the participating countries completed the survey. Sixty-one reported frequent-attendance (≥ 1 per month), 23 reported infrequent-attendance (< 1 per month), and 11 never participated. The most frequently reported attendance-barriers were the subspecialist’s workload (64%), the timing of the teleconference (38%), and Internet connectivity problems (29%). Subspecialist’s workload was more frequently reported as a barrier compared with other barriers, in both the frequent- and infrequent-attendance groups (p < 0.05), with the exception of the timing of the meeting in the infrequent-attendance group. More than 80% of attendees found the frequency and duration of the teleconference were sufficient. Utilizing Spanish as the primary language was reported to enhance the recommendations by 93% of the attendees. Moreover, 84% reported that the recommendations (almost) always fit the local circumstances. Furthermore, 99% of attendees found the teleconference provided a continuing medical education opportunity. Finally, 96% of attendees (almost) always found that the provided recommendations helped to improve the outcomes/quality of life of the patients.

Conclusions

The LATB teleconference provided a valuable tool for the management of pediatric brain tumors in Latin America as it provided a feasible and easy to access continued medical education opportunity for the participants.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Notes

  1. The six-global pediatric neuro-oncologists are from the following institutions: Hospital for Sick Children (Canada), St. Jude Children’s Research Hospital (USA), Hospital Sant Joan de Déu (Spain), Hospital Infantil Universitario Niño Jesús (Spain), and Nationwide Children’s Hospital (USA).

References

  1. Rodriguez-Galindo C, Friedrich P, Alcasabas P, Antillon F, Banavali S, Castillo L, Israels T, Jeha S, Harif M, Sullivan MJ, Quah TC, Patte C, Pui CH, Barr R, Gross T (2015) Toward the cure of all children with cancer through collaborative efforts: pediatric oncology as a global challenge. J Clin Oncol 33(27):3065–3073

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Aristizabal P, Fuller S, Rivera-Gomez R, Ornelas M, Nuno L, Rodriguez-Galindo C, Ribeiro R, Roberts W (2017) Addressing regional disparities in pediatric oncology: results of a collaborative initiative across the Mexican–North American border. Pediatr Blood Cancer 64(6):e26387

    Article  Google Scholar 

  3. Farmer P, Frenk J, Knaul FM, Shulman LN, Alleyne G, Armstrong L, Atun R, Blayney D, Chen L, Feachem R, Gospodarowicz M, Gralow J, Gupta S, Langer A, Lob-Levyt J, Neal C, Mbewu A, Mired D, Piot P, Reddy KS, Sachs JD, Sarhan M, Seffrin JR (2010) Expansion of cancer care and control in countries of low and middle income: a call to action. Lancet 376(9747):1186–1193

    Article  PubMed  Google Scholar 

  4. Stiller CA, Nectoux J (1994) International incidence of childhood brain and spinal tumours. Int J Epidemiol 23(3):458–464

    Article  CAS  PubMed  Google Scholar 

  5. Ostrom QT, Gittleman H, Liao P, Vecchione-Koval T, Wolinsky Y, Kruchko C, Barnholtz-Sloan JS (2017) CBTRUS statistical report: primary brain and other central nervous system tumors diagnosed in the United States in 2010-2014. Neuro-Oncology 19(suppl_5):v1–v88

    Article  PubMed  PubMed Central  Google Scholar 

  6. United Nations, Department of Economic and Social Affairs, Population Division: World Population Prospects (2017) The 2017 Revision, Key Findings and Advance Tables. Working Paper No. ESA/P/WP/248.NewYork:UnitedNations.https://esa.un.org/unpd/wpp/Publications/Files/WPP2017_KeyFindings.pdf. Accessed 15 July 2018

  7. Baskin JL, Lezcano E, Kim BS, Figueredo D, Lassaletta A, Perez-Martinez A, Madero L, Caniza MA, Howard SC, Samudio A, Finlay JL (2013) Management of children with brain tumors in Paraguay. Neuro-Oncology 15(2):235–241

    Article  PubMed  Google Scholar 

  8. Chan MH, Boop F, Qaddoumi I (2015) Challenges and opportunities to advance pediatric neuro-oncology care in the developing world. Childs Nerv Syst 31(8):1227–1237

    Article  PubMed  Google Scholar 

  9. Wagner HP, Antic V (1997) The problem of pediatric malignancies in the developing world. Ann N Y Acad Sci 824(1):193–204

    Article  CAS  PubMed  Google Scholar 

  10. Biesma RG, Brugha R, Harmer A, Walsh A, Spicer N, Walt G (2009) The effects of global health initiatives on country health systems: a review of the evidence from HIV/AIDS control. Health Policy Plan 24(4):239–252

    Article  PubMed  PubMed Central  Google Scholar 

  11. Hopkins J, Burns E, Eden T (2013) International twinning partnerships: an effective method of improving diagnosis, treatment and care for children with cancer in low-middle income countries. J Cancer Policy 1(1):e8–e19

    Article  Google Scholar 

  12. U.S. Department of Health and Human Services Centers for Disease Control and Prevention. Office of the Director, Office of Strategy and Innovation (2011) Introduction to program evaluation for public health programs: a self-study guide. Atlanta, GA: Centers for Disease Control and Prevention, https://www.cdc.gov/eval/guide/CDCEvalManual.pdf. Accessed 15 July 2018

  13. Ribeiro RC, Pui C-H (2005) Saving the children — improving childhood cancer treatment in developing countries. N Engl J Med 352(21):2158–2160

    Article  CAS  PubMed  Google Scholar 

  14. Masera G, Baez F, Biondi A, Cavalli F, Conter V, Flores A, Fontana G, Fossati Bellani F, Lanfranco P, Malta A, Mendez G, Ocampo E, Pacheco C, Riva L, Sala A, Silva F, Sessa C, Tognoni G (1998) North-south twinning in paediatric haemato-oncology: the La Mascota programme, Nicaragua. Lancet 352(9144):1923–1926

    Article  CAS  PubMed  Google Scholar 

  15. Veerman AJP, Sutaryo S (2005) Twinning: a rewarding scenario for development of oncology services in transitional countries. Pediatr Blood Cancer 45(2):103–106

    Article  CAS  PubMed  Google Scholar 

  16. Amayiri N, Swaidan M, Abuirmeileh N, Al-Hussaini M, Tihan T, Drake J, Musharbash A, Qaddoumi I, Tabori U, Halalsheh H Bartels U, Bouffet E (2018) Video-teleconferencing in pediatric neuro-oncology: ten years of experience. J Glob Oncol 4:1–7

    Article  PubMed  Google Scholar 

  17. Hazin R, Qaddoumi I (2010) Teleoncology: current and future applications for improving cancer care globally. Lancet Oncol 11(2):204–210

    Article  PubMed  PubMed Central  Google Scholar 

  18. Francisco P, Faisal S, Gaston R, Raul R, Ibrahim Q (2017) The impact of prospective telemedicine implementation in the Management of Childhood Acute Lymphoblastic Leukemia in Recife, Brazil. Telemed J E Health 23(10):863–867

    Article  Google Scholar 

  19. Qaddoumi I, Nawaiseh I, Mehyar M, Razzouk B, Haik BG, Kharma S, Jaradat I, Rodriguez-Galindo C, Wilson MW (2008) Team management, twinning, and telemedicine in retinoblastoma: a 3-tier approach implemented in the first eye salvage program in Jordan. Pediatr Blood Cancer 51(2):241–244

    Article  PubMed  Google Scholar 

  20. Qaddoumi I, Mansour A, Musharbash A, Drake J, Swaidan M, Tihan T, Bouffet E (2007) Impact of telemedicine on pediatric neuro-oncology in a developing country: the Jordanian-Canadian experience. Pediatr Blood Cancer 48(1):39–43

    Article  PubMed  Google Scholar 

  21. Maher L, Craig A, Menezes G (2007) A national survey of telemedicine in the Republic of Ireland. J Telemed Telecare 13(7):348–351

    Article  PubMed  Google Scholar 

  22. Wiley CA, Murdoch G, Parwani A, Cudahy T, Wilson D, Payner T, Springer K, Lewis T (2011) Interinstitutional and interstate teleneuropathology. J Pathol Inform 2(1):21–21

    Article  PubMed  PubMed Central  Google Scholar 

  23. Ng WH, Wang E, Ng I, Bernstein M (2009) Teleradiology and emergency neurosurgery-presence in a small Asian City state and need in a large Canadian Province. J Brain Dis 1:7–11

    PubMed  PubMed Central  Google Scholar 

  24. Rosenberg C, Kroos K, Rosenberg B, Hosten N, Flessa S (2013) Teleradiology from the provider’s perspective—cost analysis for a mid-size university hospital. Eur Radiol 23(8):2197–2205

    Article  PubMed  Google Scholar 

  25. Santiago TC, Jenkins JJ, Pedrosa F, Billups C, Quintana Y, Ribeiro RC, Qaddoumi I (2012) Improving the histopathologic diagnosis of pediatric malignancies in a low-resource setting by combining focused training and telepathology strategies. Pediatr Blood Cancer 59(2):221–225

    Article  PubMed  Google Scholar 

  26. Shenai MB, Tubbs RS, Guthrie BL, Cohen-Gadol AA (2014) Virtual interactive presence for real-time, long-distance surgical collaboration during complex microsurgical procedures. J Neurosurg 121(2):277–284

    Article  PubMed  Google Scholar 

  27. Davis MC, Can DD, Pindrik J, Rocque BG, Johnston JM (2016) Virtual interactive presence in global surgical education: international collaboration through augmented reality. World Neurosurg 86:103–111

    Article  PubMed  Google Scholar 

  28. Hoek PD, Schers HJ, Bronkhorst EM, Vissers KCP, Hasselaar JGJ (2017) The effect of weekly specialist palliative care teleconsultations in patients with advanced cancer –a randomized clinical trial. BMC Med 15(1):119

    Article  PubMed  PubMed Central  Google Scholar 

  29. Head BA, Schapmire TJ, Zheng Y (2017) Telehealth in palliative care: a systematic review of patient-reported outcomes. J Hosp Palliat Nurs 19(2):130–139

    Article  Google Scholar 

Download references

Acknowledgments

We would like to thank Dr. Scott L. Coven, DO, MPH for his contribution to this study and his role in reviewing the manuscript.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Diana S. Osorio.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Electronic supplementary material

Online Resource 1

The survey questions (PDF 58 kb)

Online Resource 2

Detailed information of attendees’ answers to the survey questions (PDF 82 kb)

Online Resource 3

Participants’ responses to survey questions related to the post-teleconference summery reports (PDF 67 kb)

Online Resource 4

Subspecialites requested to be included in the Latin American Brain Tumor Board teleconference (PDF 49 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Abu Arja, M.H., Stanek, J.R., Morales La Madrid, A.E. et al. The Latin American Brain Tumor Board teleconference: results of a web-based survey to evaluate participant experience utilizing this resource. Childs Nerv Syst 35, 257–265 (2019). https://doi.org/10.1007/s00381-018-4000-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00381-018-4000-x

Keywords

Navigation