Improving access to care for children with cancer through implementation of an electronic referral system (IMPACT): A single-center experience from Saudi Arabia

Pediatric Blood & Cancer
Wasil JastaniahAbdualrahman Alganawi

Abstract

Delayed access to cancer care has been associated with childhood cancer death. Improving timely access to cancer care is the first important step in the cancer treatment journey. We introduced an electronic referral system (e-RS) to improve timely access to cancer care. This study aimed to assess the impact of implementing an e-RS on timely access to cancer care. A retrospective cross-sectional study of pediatric oncology patients selected through a consecutive nonprobability sampling technique was performed to determine the turnaround time (TAT) of children with cancer diagnosed 12 months before and after implementation of the e-RS. TAT was defined as time in hours from referral to approval for admission. Of the 326 pediatric oncology patients diagnosed between January 2014 and December 2015, 59.9% were male and 40.1% were female. Median age for both sexes was 5.0 years (interquartile range [IQR]: 2.5-9.0 years). Among these, 98.2% were Saudi nationals. Hematological malignancies accounted for 50.6% of referrals and 16.6% had lymphoma. The median TAT of the manual referral system (m-RS) and e-RS was 18 h (IQR: 2-25 h) and 2 h (IQR: 1-16 h; P = .0001), median length of hospital stay during first admission was 11 days versus 9 d...Continue Reading

References

Mar 6, 2007·Annals of Saudi Medicine·M S KhattabM Y Khan
Oct 11, 2007·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Della L HowellWilliam G Woods
Oct 19, 2007·Journal of Biomedical Informatics·Mark E Frisse, Rodney L Holmes
Oct 10, 2008·The Cochrane Database of Systematic Reviews·Ayub AkbariCynthia Fraser
Feb 16, 2010·The Lancet Oncology·Ribhi Hazin, Ibrahim Qaddoumi
Nov 3, 2010·IEEE Transactions on Information Technology in Biomedicine : a Publication of the IEEE Engineering in Medicine and Biology Society·Eung-Hun KimYongmin Kim
Apr 20, 2011·British Journal of Neurosurgery·Melissa C ChooChristos M Tolias
Nov 28, 2012·Endocrinología y nutrición : órgano de la Sociedad Española de Endocrinología y Nutrición·Xavier OlivaCaridad Delgado
Jun 28, 2013·The New England Journal of Medicine·Alice Hm ChenHal F Yee
Jun 9, 2016·Ophthalmic Epidemiology·Nazanin EbrahimiadibBobeck S Modjtahedi
Apr 16, 2017·The Lancet Oncology·Eva Steliarova-FoucherUNKNOWN IICC-3 contributors
Apr 28, 2017·Surgical Endoscopy·Aristithes G DoumourasScott Gmora
Jun 5, 2019·Nepal Journal of Epidemiology·Krishna Kanta PoudelElisabete Weiderpass
Oct 31, 2019·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Ashley M NassiriDavid S Haynes

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