OncoNet A paradigm for cancermanagement in developing       countries         Dr. Aswin Kumar, MD             Asst. Profes...
Cancer – a global problem30% of all cancers can be prevented40% of all cancers can be curedCancer needs prolonged treatmen...
Through the looking glassBy 2015, two-thirds of all cancer patients will bein the developing worldThe developing world has...
God’s Own CountryArea: 38,863 sq. kmPopulation (hundredthousand): 318.41Sex ratio: 1036 in favour ofwomenLiteracy: 90.92%L...
Regional Cancer Centre,Trivandrum Tertiary referral cancer hospital with state of the art treatment facilities Seven oncol...
Yearly patient attendance at RCC,           Trivandrum1200010000 8000 6000 4000 2000   0        1982   1992   1993   1994 ...
50-60 new patients per day500 patients on daily follow up
Patient follow-up 200390008000                                    Kasargod 5897000                                    Kann...
Expense for each visit18001600140012001000800600400200  0       Ks Kn Wy Kz Ml Pk Tr Ek Id Kt Al Pt Kl
In the pastMonthly follow-upclinicsEarly detection, cancereducation, and palliativeservicesSpecialists travel to thesecent...
Follow-up attendance at nodal          centres  900  800  700  600                                             Kannur  500...
Telemedicine and cancerEarly interventionAvoid unnecessaryreferrals and admissionsWaiting period forpatients can be reduce...
Onconet Kerala Launched April 2001 Technical assistance from C-DAC, Govt. of India Broad band network connecting RCC and p...
Scope of OnconetEstablish high bandwidth connectivity between Regional CancerCentre, Trivandrum and its peripheral centers...
TelepathologySecond opinions and consultations with the Armed ForcesInstitute of Pathology (AFIP) and UICCPreparation of d...
Learning ResourceCentre for Oncology          Learning Resource Centre for Oncology          provides cancer related infor...
Learning Resource                                        Centre for Oncology• Access various  databases mounted on the CD ...
ActivitiesMonthly clinics at peripheral centresSpecialist consultations for suburban and ruralclinicsCME programmes with M...
In conclusionEarly detection and treatmentEarly, appropriate and timely referralOptimization of limited treatment resource...
THE ONCOLOGY NETWORK IN KERALA
THE ONCOLOGY NETWORK IN KERALA
THE ONCOLOGY NETWORK IN KERALA
THE ONCOLOGY NETWORK IN KERALA
THE ONCOLOGY NETWORK IN KERALA
THE ONCOLOGY NETWORK IN KERALA
THE ONCOLOGY NETWORK IN KERALA
THE ONCOLOGY NETWORK IN KERALA
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THE ONCOLOGY NETWORK IN KERALA

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THE ONCOLOGY NETWORK IN KERALA

  1. 1. OncoNet A paradigm for cancermanagement in developing countries Dr. Aswin Kumar, MD Asst. ProfessorRegional Cancer Centre, Trivandrum, India
  2. 2. Cancer – a global problem30% of all cancers can be prevented40% of all cancers can be curedCancer needs prolonged treatment and regularfollow-upPrincipal forms of treatment: surgery,radiotherapy and chemotherapyLong periods of hospitalization and regular visitsto the hospitalCured patients need lifelong follow-up
  3. 3. Through the looking glassBy 2015, two-thirds of all cancer patients will bein the developing worldThe developing world has only 5% of all healthcare resources
  4. 4. God’s Own CountryArea: 38,863 sq. kmPopulation (hundredthousand): 318.41Sex ratio: 1036 in favour ofwomenLiteracy: 90.92%Life expectancy: 68Birth rate (per 1000): 18.3Infant mortality (per 1000):22
  5. 5. Regional Cancer Centre,Trivandrum Tertiary referral cancer hospital with state of the art treatment facilities Seven oncology divisions with 75 trained professionals Caters to south India 12,000 new cases per year Annual follow-up: 100,000
  6. 6. Yearly patient attendance at RCC, Trivandrum1200010000 8000 6000 4000 2000 0 1982 1992 1993 1994 1995 1997 1998 1999 2000 2001
  7. 7. 50-60 new patients per day500 patients on daily follow up
  8. 8. Patient follow-up 200390008000 Kasargod 5897000 Kannur 504 Wayanad 4866000 Kozhikode 4145000 Malappuram4000 381 Palakkad 3733000 Thrissur 2952000 Ernakulam 2231000 Idukki 254 0 Patient followup attendance in Pathanamthitta 2003 135
  9. 9. Expense for each visit18001600140012001000800600400200 0 Ks Kn Wy Kz Ml Pk Tr Ek Id Kt Al Pt Kl
  10. 10. In the pastMonthly follow-upclinicsEarly detection, cancereducation, and palliativeservicesSpecialists travel to thesecentres with medicalrecordsAverage monthly follow-up: 80
  11. 11. Follow-up attendance at nodal centres 900 800 700 600 Kannur 500 Palakkad 400 Ernakulam 300 Kozhencherry Kollam 200 100 0 Patients Attended followup clinics in Nodal Centres - 2003
  12. 12. Telemedicine and cancerEarly interventionAvoid unnecessaryreferrals and admissionsWaiting period forpatients can be reducedTelepathologyapplicationsTeleradiologyPatient follow-upPalliative careContinuing medicaleducation
  13. 13. Onconet Kerala Launched April 2001 Technical assistance from C-DAC, Govt. of India Broad band network connecting RCC and peripheral nodes Video-conferencing, telepathology and teleradiology at all centres V-SAT from ISRO
  14. 14. Scope of OnconetEstablish high bandwidth connectivity between Regional CancerCentre, Trivandrum and its peripheral centers at Kochi, Kannur,Palakkad, Kozhencherry and Kannur using (VSAT).Enhance the Tele-consultation clinic at all peripheral centers with highquality video conferencing, telepathology and teleradiologyequipments. This facilitates remote expert consultation, capture,storage, transmission and sharing of pathology and radiology images.Develop a Web enabled Hospital Information System at RegionalCancer Centre tightly integrated with telemedicine systemDevelopment of a Knowledge Enabled Oncology System utilizing thevast amount of cancer related expertise in RCC.Setting up a Learning Resource Centre for reference by RCC staffand other oncologists.
  15. 15. TelepathologySecond opinions and consultations with the Armed ForcesInstitute of Pathology (AFIP) and UICCPreparation of digital images for clinical meetings and presentations
  16. 16. Learning ResourceCentre for Oncology Learning Resource Centre for Oncology provides cancer related information to clinicians, researchers, health planners, health workers, and administrators across ISRO’s telemedicine network. This facilitates quick access to all updated oncology information.
  17. 17. Learning Resource Centre for Oncology• Access various databases mounted on the CD ROM server• The doctors and researchers can have access to all library in-house databases such as library catalogue, journal holdings, current journals, bibliographies, and resources
  18. 18. ActivitiesMonthly clinics at peripheral centresSpecialist consultations for suburban and ruralclinicsCME programmes with Medical Colleges andother cancer hospitals in IndiaRegular telepathology programmes with TataMemorial Hospital, Mumbai
  19. 19. In conclusionEarly detection and treatmentEarly, appropriate and timely referralOptimization of limited treatment resources?Cost-effectiveTelepathology and teleradiology applications

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