Training facilitated by interinstitutional collaboration and telemedicine: an alternative for improving results in the placenta accreta spectrum

Placenta accreta spectrum is a severe condition that requires trained, interdisciplinary group intervention. However, achieving the level of training that is required is difficult without academic programs or hospitals dedicated to teaching the necessary skills to deal with placenta accreta spectrum...

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Autores principales:	Albaro José Nieto-Calvache, MD, José Miguel Palacios-Jaraquemada, MD, PhD, Lina María Vergara-Galliadi, MD, Alejandro Solo Nieto-Calvache, MD, Maria Andrea Zambrano, MD, Juan Manuel Burgos-Luna, MD
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	eHealth mHealth placenta accreta telemedicine Gynecology and obstetrics RG1-991
Acceso en línea:	https://doaj.org/article/878ad3e827764d3a8f74787b75a69b1d
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spelling	oai:doaj.org-article:878ad3e827764d3a8f74787b75a69b1d2021-11-20T05:14:45ZTraining facilitated by interinstitutional collaboration and telemedicine: an alternative for improving results in the placenta accreta spectrum2666-577810.1016/j.xagr.2021.100028https://doaj.org/article/878ad3e827764d3a8f74787b75a69b1d2021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2666577821000265https://doaj.org/toc/2666-5778Placenta accreta spectrum is a severe condition that requires trained, interdisciplinary group intervention. However, achieving the level of training that is required is difficult without academic programs or hospitals dedicated to teaching the necessary skills to deal with placenta accreta spectrum. We describe an interinstitutional collaboration process focused on improving placenta accreta spectrum treatment, which is facilitated by telemedicine. Lastly, we propose a replicable model for other centers.This was a retrospective, descriptive study that included placenta accreta spectrum patients treated over a 10-year period in a low-middle income country hospital (local hospital). We evaluated the clinical results and impact of interinstitutional collaboration with a placenta accreta spectrum expert group at another low-middle income country hospital. Virtual strategies of continuous communication between the local hospital and expert group were used, such as telemedicine, teleradiology, and telepresence during surgeries.A total of 89 placenta accreta spectrum patients were included. We observed a progressive improvement in the clinical outcomes (intraoperative bleeding, transfusion frequency, postoperative length of stay, and frequency of complications) as the fixed interdisciplinary group at the local hospital gained experience by treating more cases.Interinstitutional collaboration (through telemedicine and remote supervision) and placenta accreta spectrum team formation were the 2 factors associated with the best outcomes in the most recent years of observation. Thus, ongoing placenta accreta spectrum team training, facilitated by interinstitutional collaboration and telemedicine, is a valid strategy for improving the clinical outcomes in placenta accreta spectrum.Albaro José Nieto-Calvache, MDJosé Miguel Palacios-Jaraquemada, MD, PhDLina María Vergara-Galliadi, MDAlejandro Solo Nieto-Calvache, MDMaria Andrea Zambrano, MDJuan Manuel Burgos-Luna, MDElsevierarticleeHealthmHealthplacenta accretatelemedicineGynecology and obstetricsRG1-991ENAJOG Global Reports, Vol 1, Iss 4, Pp 100028- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	eHealth mHealth placenta accreta telemedicine Gynecology and obstetrics RG1-991
spellingShingle	eHealth mHealth placenta accreta telemedicine Gynecology and obstetrics RG1-991 Albaro José Nieto-Calvache, MD José Miguel Palacios-Jaraquemada, MD, PhD Lina María Vergara-Galliadi, MD Alejandro Solo Nieto-Calvache, MD Maria Andrea Zambrano, MD Juan Manuel Burgos-Luna, MD Training facilitated by interinstitutional collaboration and telemedicine: an alternative for improving results in the placenta accreta spectrum
description	Placenta accreta spectrum is a severe condition that requires trained, interdisciplinary group intervention. However, achieving the level of training that is required is difficult without academic programs or hospitals dedicated to teaching the necessary skills to deal with placenta accreta spectrum. We describe an interinstitutional collaboration process focused on improving placenta accreta spectrum treatment, which is facilitated by telemedicine. Lastly, we propose a replicable model for other centers.This was a retrospective, descriptive study that included placenta accreta spectrum patients treated over a 10-year period in a low-middle income country hospital (local hospital). We evaluated the clinical results and impact of interinstitutional collaboration with a placenta accreta spectrum expert group at another low-middle income country hospital. Virtual strategies of continuous communication between the local hospital and expert group were used, such as telemedicine, teleradiology, and telepresence during surgeries.A total of 89 placenta accreta spectrum patients were included. We observed a progressive improvement in the clinical outcomes (intraoperative bleeding, transfusion frequency, postoperative length of stay, and frequency of complications) as the fixed interdisciplinary group at the local hospital gained experience by treating more cases.Interinstitutional collaboration (through telemedicine and remote supervision) and placenta accreta spectrum team formation were the 2 factors associated with the best outcomes in the most recent years of observation. Thus, ongoing placenta accreta spectrum team training, facilitated by interinstitutional collaboration and telemedicine, is a valid strategy for improving the clinical outcomes in placenta accreta spectrum.
format	article
author	Albaro José Nieto-Calvache, MD José Miguel Palacios-Jaraquemada, MD, PhD Lina María Vergara-Galliadi, MD Alejandro Solo Nieto-Calvache, MD Maria Andrea Zambrano, MD Juan Manuel Burgos-Luna, MD
author_facet	Albaro José Nieto-Calvache, MD José Miguel Palacios-Jaraquemada, MD, PhD Lina María Vergara-Galliadi, MD Alejandro Solo Nieto-Calvache, MD Maria Andrea Zambrano, MD Juan Manuel Burgos-Luna, MD
author_sort	Albaro José Nieto-Calvache, MD
title	Training facilitated by interinstitutional collaboration and telemedicine: an alternative for improving results in the placenta accreta spectrum
title_short	Training facilitated by interinstitutional collaboration and telemedicine: an alternative for improving results in the placenta accreta spectrum
title_full	Training facilitated by interinstitutional collaboration and telemedicine: an alternative for improving results in the placenta accreta spectrum
title_fullStr	Training facilitated by interinstitutional collaboration and telemedicine: an alternative for improving results in the placenta accreta spectrum
title_full_unstemmed	Training facilitated by interinstitutional collaboration and telemedicine: an alternative for improving results in the placenta accreta spectrum
title_sort	training facilitated by interinstitutional collaboration and telemedicine: an alternative for improving results in the placenta accreta spectrum
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/878ad3e827764d3a8f74787b75a69b1d
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Training facilitated by interinstitutional collaboration and telemedicine: an alternative for improving results in the placenta accreta spectrum

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