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@ARTICLE{AlBadarin:303013,
author = {E. Al Badarin and O. Chamdine and M. Elayadi and A.
Al-Battashi and M. Al Nuaimi and E. T. Alshamsi and L.
Hessissen and H. Al-Tarrah and E. Maher and R. Farah and A.
Maaz and W. Said and R. Hazaimeh and M. Khader and K. Salami
and C. Hawkins and M. S. Abdelbaki and U. Bartels$^*$ and U.
Tabori and E. Bouffet and N. Amayiri},
title = {{E}xpanding the {P}ediatric {N}euro-{O}ncology
{T}eleconference {E}xperience: {F}rom {T}winning to
{I}nternational {C}ases {D}iscussions.},
journal = {JCO global oncology},
volume = {11},
number = {11},
issn = {2378-9506},
address = {Alexandria, VA},
publisher = {American Society of Clinical Oncology},
reportid = {DKFZ-2025-01460},
pages = {e2500023},
year = {2025},
abstract = {Video teleconferencing in neuro-oncology is feasible and
sustainable. The well-established, 20-year long monthly
teleconference between King Hussein Cancer Center (KHCC),
Jordan, and SickKids, Canada, is an example. Since 2018,
several regional centers joined these meetings to discuss
their patients' management plans. We aim to evaluate this
experience.We reviewed the minutes of 56 meetings
(2018-2023). Preconference local treatment plans were
compared with postconference recommendations. We documented
the implementation of recommendations and the impact
perceived by the treating oncologists.Two hundred fifty-one
patients were discussed: 137 from Jordan and 114 from eight
other countries. Four of the 14 participating oncologists
had formal pediatric neuro-oncology training. Of the 227
patients $(90\%),$ where the local multidisciplinary team
had suggested a preconference plan, the teleconference
recommendations concurred with the proposed plan in $50\%$
of cases, agreed on it and proposed an alternative option in
$18\%,$ and disagreed in $32\%.$ The difference in
recommendations mostly affected the proposed treatment
modality. In $64\%$ of discordant plans and $50\%$ of
alternative plans, the treating team applied the
recommendations. The main challenges in applying the
recommendations were attributed to patient-related factors
$(51\%),$ local team consensus on a different plan $(26\%),$
or logistic difficulties $(23\%).$ The high patient load,
longer involvement in teleconferencing, formal
neuro-oncology training, and well-established
multidisciplinary team helped the KHCC team formulate more
concordant plans.This experience illustrates the potential
benefit for physicians to get an expert opinion on
challenging cases. The participating oncologists valued the
shared educational experience, especially those related to
molecular testing and treatment implications. Joining such
regional teleconferences is of particular importance to
centers with small patient volume or those lacking a
pediatric neuro-oncologist.},
keywords = {Humans / Child / Medical Oncology: methods / Female / Male
/ Videoconferencing / Pediatrics: methods / Jordan /
Adolescent},
cin = {B310},
ddc = {610},
cid = {I:(DE-He78)B310-20160331},
pnm = {312 - Funktionelle und strukturelle Genomforschung
(POF4-312)},
pid = {G:(DE-HGF)POF4-312},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:40644645},
doi = {10.1200/GO-25-00023},
url = {https://inrepo02.dkfz.de/record/303013},
}