Team management, twinning, and telemedicine in retinoblastoma

A 3-tier approach implemented in the first eye salvage program in Jordan

Ibrahim Qaddoumi, Ibrahim Nawaiseh, Mustafa Mehyar, Bassem Razzouk, Barrett G. Haik, Saamir Kharma, Imad Jaradat, Carlos Rodriguez-Galindo, Matthew Wilson

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

Background. This study evaluated the outcome of retinoblastoma patients, when employing a telemedicine-based twinning program in Jordan. Procedure. This cohort study included patients at the King Hussein Cancer Centre (KHCC; Amman, Jordan) who received consultations for retinoblastoma from March 2003 to September 2006. A collaborative program was established with the International Outreach Program at St. Jude Children's Research Hospital in Memphis, Tennessee. Cases were discussed using an Internet consultation service where fundus images, clinical history, and proposed treatment were reviewed. Selected cases were further discussed via videoconferencing and electronic mail. Results. Thirty-three children with retinoblastoma (20 bilateral) were treated at KHCC. The median age at diagnosis was 7 months for patients with bilateral retinoblastoma and 35 months for patients with unilateral retinoblastoma. Of the 20 patients with bilateral disease, 12 were newly diagnosed and 8 had received prior treatment. Our success in the bilateral cases was most evident in the previously untreated group, in which only six eyes (25%) were enucleated and four eyes (17%) were irradiated. Of the 13 patients with unilateral retinoblastoma, 12 underwent enucleation, and 6 required radiation. Neither group experienced mortality. Conclusions. Twinning has positively impacted survival and ocular salvage in Jordan. By partnering a team of professionals with mentors willing to provide close supervision, the highly specialized management of retinoblastoma can be successfully implemented in a developing country.

Original languageEnglish (US)
Pages (from-to)241-244
Number of pages4
JournalPediatric Blood and Cancer
Volume51
Issue number2
DOIs
StatePublished - Aug 1 2008

Fingerprint

Jordan
Retinoblastoma
Telemedicine
Referral and Consultation
Videoconferencing
Mentors
Internet
Developing Countries
Cohort Studies
Outcome Assessment (Health Care)
Radiation
Survival
Mortality
Therapeutics
Research

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Hematology
  • Oncology

Cite this

Team management, twinning, and telemedicine in retinoblastoma : A 3-tier approach implemented in the first eye salvage program in Jordan. / Qaddoumi, Ibrahim; Nawaiseh, Ibrahim; Mehyar, Mustafa; Razzouk, Bassem; Haik, Barrett G.; Kharma, Saamir; Jaradat, Imad; Rodriguez-Galindo, Carlos; Wilson, Matthew.

In: Pediatric Blood and Cancer, Vol. 51, No. 2, 01.08.2008, p. 241-244.

Research output: Contribution to journalArticle

Qaddoumi, I, Nawaiseh, I, Mehyar, M, Razzouk, B, Haik, BG, Kharma, S, Jaradat, I, Rodriguez-Galindo, C & Wilson, M 2008, 'Team management, twinning, and telemedicine in retinoblastoma: A 3-tier approach implemented in the first eye salvage program in Jordan', Pediatric Blood and Cancer, vol. 51, no. 2, pp. 241-244. https://doi.org/10.1002/pbc.21489
Qaddoumi, Ibrahim ; Nawaiseh, Ibrahim ; Mehyar, Mustafa ; Razzouk, Bassem ; Haik, Barrett G. ; Kharma, Saamir ; Jaradat, Imad ; Rodriguez-Galindo, Carlos ; Wilson, Matthew. / Team management, twinning, and telemedicine in retinoblastoma : A 3-tier approach implemented in the first eye salvage program in Jordan. In: Pediatric Blood and Cancer. 2008 ; Vol. 51, No. 2. pp. 241-244.
@article{8c7a16a3c1f84d749118b99a541471bb,
title = "Team management, twinning, and telemedicine in retinoblastoma: A 3-tier approach implemented in the first eye salvage program in Jordan",
abstract = "Background. This study evaluated the outcome of retinoblastoma patients, when employing a telemedicine-based twinning program in Jordan. Procedure. This cohort study included patients at the King Hussein Cancer Centre (KHCC; Amman, Jordan) who received consultations for retinoblastoma from March 2003 to September 2006. A collaborative program was established with the International Outreach Program at St. Jude Children's Research Hospital in Memphis, Tennessee. Cases were discussed using an Internet consultation service where fundus images, clinical history, and proposed treatment were reviewed. Selected cases were further discussed via videoconferencing and electronic mail. Results. Thirty-three children with retinoblastoma (20 bilateral) were treated at KHCC. The median age at diagnosis was 7 months for patients with bilateral retinoblastoma and 35 months for patients with unilateral retinoblastoma. Of the 20 patients with bilateral disease, 12 were newly diagnosed and 8 had received prior treatment. Our success in the bilateral cases was most evident in the previously untreated group, in which only six eyes (25{\%}) were enucleated and four eyes (17{\%}) were irradiated. Of the 13 patients with unilateral retinoblastoma, 12 underwent enucleation, and 6 required radiation. Neither group experienced mortality. Conclusions. Twinning has positively impacted survival and ocular salvage in Jordan. By partnering a team of professionals with mentors willing to provide close supervision, the highly specialized management of retinoblastoma can be successfully implemented in a developing country.",
author = "Ibrahim Qaddoumi and Ibrahim Nawaiseh and Mustafa Mehyar and Bassem Razzouk and Haik, {Barrett G.} and Saamir Kharma and Imad Jaradat and Carlos Rodriguez-Galindo and Matthew Wilson",
year = "2008",
month = "8",
day = "1",
doi = "10.1002/pbc.21489",
language = "English (US)",
volume = "51",
pages = "241--244",
journal = "Pediatric Blood and Cancer",
issn = "1545-5009",
publisher = "Wiley-Liss Inc.",
number = "2",

}

TY - JOUR

T1 - Team management, twinning, and telemedicine in retinoblastoma

T2 - A 3-tier approach implemented in the first eye salvage program in Jordan

AU - Qaddoumi, Ibrahim

AU - Nawaiseh, Ibrahim

AU - Mehyar, Mustafa

AU - Razzouk, Bassem

AU - Haik, Barrett G.

AU - Kharma, Saamir

AU - Jaradat, Imad

AU - Rodriguez-Galindo, Carlos

AU - Wilson, Matthew

PY - 2008/8/1

Y1 - 2008/8/1

N2 - Background. This study evaluated the outcome of retinoblastoma patients, when employing a telemedicine-based twinning program in Jordan. Procedure. This cohort study included patients at the King Hussein Cancer Centre (KHCC; Amman, Jordan) who received consultations for retinoblastoma from March 2003 to September 2006. A collaborative program was established with the International Outreach Program at St. Jude Children's Research Hospital in Memphis, Tennessee. Cases were discussed using an Internet consultation service where fundus images, clinical history, and proposed treatment were reviewed. Selected cases were further discussed via videoconferencing and electronic mail. Results. Thirty-three children with retinoblastoma (20 bilateral) were treated at KHCC. The median age at diagnosis was 7 months for patients with bilateral retinoblastoma and 35 months for patients with unilateral retinoblastoma. Of the 20 patients with bilateral disease, 12 were newly diagnosed and 8 had received prior treatment. Our success in the bilateral cases was most evident in the previously untreated group, in which only six eyes (25%) were enucleated and four eyes (17%) were irradiated. Of the 13 patients with unilateral retinoblastoma, 12 underwent enucleation, and 6 required radiation. Neither group experienced mortality. Conclusions. Twinning has positively impacted survival and ocular salvage in Jordan. By partnering a team of professionals with mentors willing to provide close supervision, the highly specialized management of retinoblastoma can be successfully implemented in a developing country.

AB - Background. This study evaluated the outcome of retinoblastoma patients, when employing a telemedicine-based twinning program in Jordan. Procedure. This cohort study included patients at the King Hussein Cancer Centre (KHCC; Amman, Jordan) who received consultations for retinoblastoma from March 2003 to September 2006. A collaborative program was established with the International Outreach Program at St. Jude Children's Research Hospital in Memphis, Tennessee. Cases were discussed using an Internet consultation service where fundus images, clinical history, and proposed treatment were reviewed. Selected cases were further discussed via videoconferencing and electronic mail. Results. Thirty-three children with retinoblastoma (20 bilateral) were treated at KHCC. The median age at diagnosis was 7 months for patients with bilateral retinoblastoma and 35 months for patients with unilateral retinoblastoma. Of the 20 patients with bilateral disease, 12 were newly diagnosed and 8 had received prior treatment. Our success in the bilateral cases was most evident in the previously untreated group, in which only six eyes (25%) were enucleated and four eyes (17%) were irradiated. Of the 13 patients with unilateral retinoblastoma, 12 underwent enucleation, and 6 required radiation. Neither group experienced mortality. Conclusions. Twinning has positively impacted survival and ocular salvage in Jordan. By partnering a team of professionals with mentors willing to provide close supervision, the highly specialized management of retinoblastoma can be successfully implemented in a developing country.

UR - http://www.scopus.com/inward/record.url?scp=45549103800&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=45549103800&partnerID=8YFLogxK

U2 - 10.1002/pbc.21489

DO - 10.1002/pbc.21489

M3 - Article

VL - 51

SP - 241

EP - 244

JO - Pediatric Blood and Cancer

JF - Pediatric Blood and Cancer

SN - 1545-5009

IS - 2

ER -