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Please use this identifier to cite or link to this item: http://hdl.handle.net/1807/30129

Title: A Systematic Review of Teleradiology for Remote Neurosurgical Evaluation of Patients in Facilities without Neurosurgery Specialists
Authors: Williams, Dinsie
Advisor: Laupacis, Andreas
Department: Health Policy, Management and Evaluation
Keywords: Teleradiology
Neurosurgery
Radiology
Remote
Consulation
GRADE
Transfer
Systematic Review
Issue Date: 30-Nov-2011
Abstract: Background: Teleradiology is currently being explored to enhance services for patients seeking emergency neurosurgical diagnoses in Ontario, Canada. Design: Systematic review of literature and cost-consequence analysis. Data sources: Medline, Embase, Cochrane, and Database of Abstracts of Reviews of Effects. Methods: Studies published between 1950 and 2008 describing remote consultations for neurosurgical assessments were retrieved. Two reviewers selected studies through multi-staged content screening and extracted data. Results 12 of 3765 studies met the inclusion criteria: two were randomized controlled trials and ten were case series. Teleradiology [88% (207/236)] and video-conferencing [89% (213/239] consultations produced higher diagnostic accuracy than telephone consultations [64% (150/235), p<0.001]. Savings varied by location and were based on avoided costs for ground and air transportation and hospitalization. Conclusions: There is limited evidence of clinical benefit of teleradiology. Savings associated with reduction in patient transfer rates depend on transportation mode and may be attenuated by higher operational costs.
URI: http://hdl.handle.net/1807/30129
Appears in Collections:Master

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