講演情報
[II-OR18-05]State of remote second opinion program in pediatric cardiology
○佐々木 奈央, チェング ヘンリー, リュウ リンジー, ラソード ラフール (ボストン小児病院)
キーワード：
pediatric cardiology、remote second opinion、congenital heart disease
Background:Since 2017, our center has provided remote second opinions free of charge and has maintained a dedicated database to track this program. We provide second opinions to outpatients and critically ill inpatients requiring expedited review. For inpatients, a multidisciplinary (imaging, heart failure, cath, surgery, ICU) Inpatient Review Team (IRT) reviews cases twice weekly. The aim of this study is to describe the current state of our second opinion program.
Method:We retrospectively reviewed the second opinion database from fiscal year 2021-2024.
Results:A total of 6,407 second opinions were performed in the study period. 51% were initiated/assisted by local medical providers and 25% were initiated by patients. 4,113 were domestic patients (64%) and 2,294 were international (26%). After review, a total of 2,048 patients out of 6,407 came to our institution to receive further care (32%); 1,502 were domestic and 546 were international. Of the 6,407 total second opinions, 494 were inpatients reviewed by the IRT and 93 inpatients (19%) were transferred to our institution for further care. 1,169 surgeries and 864 cardiac catheterizations were performed on patients who came to our center.
Discussion:Our robust remote second opinion program provides expert opinions to many domestic and international patients. Remote second opinions give patients and local providers the option of continuing care locally or transfer to our institution for specialized care. This service may play a role in improving health care disparities and has the potential to be implemented in Japan.
Method:We retrospectively reviewed the second opinion database from fiscal year 2021-2024.
Results:A total of 6,407 second opinions were performed in the study period. 51% were initiated/assisted by local medical providers and 25% were initiated by patients. 4,113 were domestic patients (64%) and 2,294 were international (26%). After review, a total of 2,048 patients out of 6,407 came to our institution to receive further care (32%); 1,502 were domestic and 546 were international. Of the 6,407 total second opinions, 494 were inpatients reviewed by the IRT and 93 inpatients (19%) were transferred to our institution for further care. 1,169 surgeries and 864 cardiac catheterizations were performed on patients who came to our center.
Discussion:Our robust remote second opinion program provides expert opinions to many domestic and international patients. Remote second opinions give patients and local providers the option of continuing care locally or transfer to our institution for specialized care. This service may play a role in improving health care disparities and has the potential to be implemented in Japan.