Telemedicine for Outpatient Neurosurgical Oncology Care: Lessons Learned for the Future During the COVID-19 Pandemic

World Neurosurg. 2020 Jul:139:e859-e863. doi: 10.1016/j.wneu.2020.05.140. Epub 2020 May 22.

Abstract

Background: The coronavirus 2019 (COVD-19) pandemic has drastically disrupted the delivery of neurosurgical care, especially for the already at-risk neuro-oncology population. The sudden change to clinic visits has rapidly spurned the implementation of telemedicine. A recommendation care paradigm of neuro-oncologic patients limited by telemedicine has not been reported.

Methods: A summary of a multi-institution experience detailing the potential benefits, pitfalls, and the necessary considerations to outpatient care of neurosurgical oncology patients.

Results: There are limitations and advantages to incorporating telemedicine into the outpatient care of neuro-oncology patients. Telemedicine-specific considerations for each step and stakeholder of the appointment (physician, patient, scheduling, previsit, imaging, and physical examination) are examined.

Conclusions: Telemedicine, pushed to prominence during this COVID-19 pandemic, is a powerful and possibly preferential tool for the future of outpatient neuro-oncologic care.

Keywords: Brain tumor; COVID-19; Coronavirus; Neuro-oncology; Telehealth; Telemedicine.

Publication types

  • Review

MeSH terms

  • Ambulatory Surgical Procedures / standards
  • Ambulatory Surgical Procedures / trends*
  • Betacoronavirus*
  • COVID-19
  • Coronavirus Infections / epidemiology
  • Coronavirus Infections / surgery*
  • Forecasting
  • Humans
  • Medical Oncology / standards
  • Medical Oncology / trends*
  • Neurosurgery / standards
  • Neurosurgery / trends*
  • Pandemics
  • Pneumonia, Viral / epidemiology
  • Pneumonia, Viral / surgery*
  • SARS-CoV-2
  • Telemedicine / standards
  • Telemedicine / trends*