Clinical trial NCT02374697: Assessment of Tele-expertise for Second Medical Opinion on Pathological Diagnosis
Official title: Assessment of Tele-expertise for Second Medical Opinion on Pathological Diagnosis
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Anatomical Pathological Condition
Keywords: Second opinion
Lead sponsor: Assistance Publique - Hôpitaux de Paris
Sponsor class: OTHER
Collaborators: name: Agence Regionale de Sante d'Ile de France
First posted: 2015-03-02
Enrollment: 470
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: CASE_CONTROL
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Patients in need for a second medical opinion on a pathological sample

Brief summary: The purpose of this study is to determine whether digitalizing pathological slides and let it accessible on a server for a second medical opinion (tele-expertise) would reduce the time to diagnosis.


Eligibility criteria: Inclusion Criteria:

* All patients in need for a second medical opinion on a pathological sample

Exclusion Criteria:

* None

Primary outcomes:
measure: Delay of second medical opinion
timeFrame: Up to 10 weeks
Secondary outcomes:
measure: Number of second medical opinion requested
timeFrame: During the whole study (around 8 months)
measure: Overall costs
timeFrame: Within 6 months after the start of tele-expertise
measure: Number of times that the pathologist who gave the second opinion required the original material
timeFrame: During the whole study (around 8 months)
Other outcomes:
Locations:
city: Bièvres
country: France
facility: Centre de Pathologie- Bièvres
city: Créteil
country: France
facility: Hôpital Henri Mondor
city: Eaubonne
country: France
facility: Centre Hospitalier Simone Veil
city: Le Kremlin-Bicêtre
country: France
facility: Hôpital Bicêtre
city: Paris
country: France
facility: Hôpital Saint Antoine
city: Paris
country: France
facility: Hôpital Bichat
city: Paris
country: France
facility: Hôpital Cochin
city: Paris
country: France
facility: Hôpital Saint Louis
city: Pontoise
country: France
facility: Centre Hospitalier René Dubos
city: Villejuif
country: France
facility: Hôpital Paul Brousse
city: Villeneuve Saint Georges
country: France
facility: Centre Hospitalier de Villeneuve Saint Georges
Study officials:
affiliation: Hôpital Bicêtre. Assistance Publique - Hôpitaux de Paris
name: Catherine Guettier, MD, PhD
role: PRINCIPAL_INVESTIGATOR
affiliation: DRCD URC Eco. Assistance Publique - Hôpitaux de Paris
name: Isabelle Durand-Zaleski, MD, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Kidholm K, Ekeland AG, Jensen LK, Rasmussen J, Pedersen CD, Bowes A, Flottorp SA, Bech M. A model for assessment of telemedicine applications: mast. Int J Technol Assess Health Care. 2012 Jan;28(1):44-51. doi: 10.1017/S0266462311000638.
citation: Charrier N, Zarca K, Durand-Zaleski I, Calinaud C; ARS Ile de France telemedicine group. Efficacy and cost effectiveness of telemedicine for improving access to care in the Paris region: study protocols for eight trials. BMC Health Serv Res. 2016 Feb 8;16:45. doi: 10.1186/s12913-016-1281-1.