Nutritional and Metabolic Diseases

Symptoms and General Pathology

All Conditions

Gland and Hormone Related Diseases

Neoplasms

Rare Diseases

Obesity

Thyroid Diseases

Diabetes Mellitus

Hyperthyroidism

Thyroid Nodule

Hypothyroidism

Goiter

Endocrine System Diseases

Thyroid Neoplasms

Endocrine Gland Neoplasms

Head and Neck Neoplasms

Chronic Graft Versus Host Disease

Referrals will be evaluated through the state's protocols

Referrals will be evaluated through the state's protocols associated with telephone-based teleconsultations.

The teleconsultations will be performed by medical doctors, mostly family physicians, but also internists and endocrinologists. The teleconsultations will follow a structured format to discuss some topics on the disease and access the relevant information (based on the state's protocols). The doubts from the primary care physician will be addressed.

Teleconsultation

The informations provided in the referral list will be evaluated through the state's referrals protocols.

Protocol

Erno Harzheim, MD

The aim of this study is evaluate the effects of telephone teleconsultations to primary care physicians (compared to the state's referral protocol) in the referrals waiting list for endocrinological appointments.

Rio Grande do Sul state's referral list for endocrinology evaluation in specialized care is highly overloaded. There is currently a referral protocol to select patients how should be referred. It will be evaluated if a intervention of telephone-based teleconsultations provided by the TelessaúdeRS to the primary care physicians can provide additional benefits. TelessaúdeRS is a telehealth program from the University of Rio Grande do Sul. This will be evaluated in a cluster randomized clinical trial.

Evaluation of the Effects of Teleconsultations on a Endocrinology Referral List

Evaluation of the Effectivity of Teleconsultations for Improving the Referrals From Primary Care to Specialized Care of Patients With Chronic Endocrinological Conditions

We plan to publish trial results in an indexed medical journal. The results will be reported by the authors and the authorship criteria from ICMJE will be followed. After publishing the main results of the trial the unidentified dataset will be available by contacting the authors and providing an analyses plan which will be evaluated by the study's main investigator.

Number of consultations authorized after the evaluation by the control and intervention strategies.

Total number of new referrals performed by the county.

Number of new referrals for endocrinology with adequate informations according to the state's protocols.

Total number of calls to TelessaúdeRS hotline (available to every primary care physician working in brazilian public health system)

Secretaria Estadual da Saúde do Estado do Rio Grande do Sul

Programa de Pesquisa e Pós-Graduação em Epidemiologia da UFRGS

TelessaúdeRS / UFRGS

Hospital de Clinicas de Porto Alegre

Patients in the intervention group will receive weekly teleconsultation of 30 minutes during 8 weeks through the secure Edumeet platform. In pilot 1, tele-rehabilitation training will be performed by a remote physiotherapist and will consist of a series of rehabilitation exercises. In pilot 2, tele-psychological support will be performed by a remote psychologist and will consist of techniques for managing emotions and stress. In the intervention group, patients will also have the possibility to wear a smartwatch to automatically collect physical parameters.

Patients in the control group will receive usual care.

Pilot 1a/b : the tele-rehabilitation intervention in BC or H\&N operated patients will consist of a series of exercises. The physiotherapist during teleconsultation rehabilitation program will explain to the patient how to perform the movements and regulate breathing. Practical advice on correct and incorrect habits will also be dispensed by the physiotherapist during the teleconsultation.

Pilot 2: the tele-rehabilitation intervention will consist of tele psychological support performed by a trained psychologist in each participating center It will consist of the learning of techniques for managing negative emotions, for relaxation and for implementing effective behavioural and coping strategies.

For each group, the TC will be scheduled every week for 8 weeks. The session will be available on a secure platform (Edumeet). Moreover, if they agree to, patients will also wear a smart watch to monitor physical parameters such as physical activity, sleeping and heart rate.

Telemedicine

Andrea Pace, Dr

Victoria Leclercq, PhD

Timon Vandamme, Dr

Contantinos Zambogou

Angelos Kassianos, Dr

Anastasia Constantinidou

Eleni Timotheadou

József Lövey, Dr

Des OToole

Maria C Piccirillo

Viktoras Rudzianskas

Jolanta Paskeviciene

Marija Turlinksienė

Rui Soares

Joana Dias

Maria Moura

Otilia Romano

Eunice Silva

Cvetka Grašič Kuhar

Ignacio Durán

David Vicente

The integration of teleconsultation (TC) and telemonitoring (TM) in cancer patients care may allow to improve person-centered care and patients' empowerment.

The eCAN JA explores the role of telemedicine tools (i.e. TC \& TM) in clinical trials focusing on tele-rehabilitation and tele-psychological support in different populations of cancer patients in 10 European countries. The pilots will be conducted among 354 patients affected by breast (BC, pilot 1a), head \& neck (H\&N, pilot 1b) and advanced (pilot 2) cancers.

The main aim is to assess the effect of TC and TM program focused on rehabilitation and psychological support for cancer patients on patient reported outcomes measures (PROMs) in three pilots compare to usual care.

Patients will be randomly assigned either to the intervention or control groups using a 1:1 ratio. Patients in the intervention group will receive weekly TC of 30 minutes during 8 weeks through the secure Edumeet platform. In pilot 1, tele-rehabilitation training will be performed by a remote physiotherapist and will consist of a series of rehabilitation exercises. In pilot 2, tele-psychological support will be performed by a remote psychologist and will consist of techniques for managing emotions and stress. In the intervention group, patients will also have the possibility to wear a smartwatch to automatically collect physical parameters. Patients in the control group will receive usual care.

PROMs (i.e. quality of life, distress and pain) and physical parameters (i.e. physical activity, sleep quality and heart rate) will be monitored by a dedicated telemonitoring systems. A secure web platform will provide dashboard to clinicians for decision support. Patients' experience and costs data will be also collected. The results of the eCAN project will improve our knowledge on benefits and risks for TC and TM in cancer patients care.

Telerehabilitation and Tele-psychological Support in Cancer Patients eCAN JA

Telerehabilitation and Tele-psychological Support in Cancer Patients: the Pilots Projects of eCAN JA

physical activity, number of steps, will be collected via wearable devices

The average sleep quality (light sleep, deep sleep, REM sleep) will be collected via wearable device (Garmin watche)

Daily heart rate (beats per minute) trend will be collected via wearable device (Garmin watche)

Costs that arose for patients will be collected using a patient-reported cost questionnaire.

usability of the teleconsultation program and telemonitoring with mHealth App Usability Questionnaire (MAUQ) for Standalone mHealth Apps Used by Patients

usability of the teleconsultation program and telemonitoring with TELEHEALTH USABILITY QUESTIONNAIRE (TUQ)

Visual Analogical Scale (VAS). The ends are defined as the extreme limits of the parameter to be measured (orientated from the left (0 the worst) to the right (100 the best).

NCCN Distress thermometer.Distress is an unpleasant experience of a mental, physical, social, or spiritual nature. It can affect the way you think, feel, or act. Distress may make it harder to cope with having cancer, its symptoms, or its treatment. Please circle the number (0-10) that best describes how much distress you have been experiencing in the past week, including today.

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization
Evaluation of the Effects of Teleconsultations on a Endocrinology Referral List	NCT02710799	Diabetes Mellit... Hypothyroidism Hyperthyroidism Goiter Thyroid Nodule Obesity	Teleconsultatio... Protocol	18 Years -	Hospital de Clinicas de Porto Alegre
Telerehabilitation and Tele-psychological Support in Cancer Patients eCAN JA	NCT06007001	Cancer	Telemedicine	18 Years - 75 Years	Sciensano
Telerehabilitation and Tele-psychological Support in Cancer Patients eCAN JA	NCT06007001	Cancer	Telemedicine	18 Years - 75 Years	Sciensano
Telerehabilitation and Tele-psychological Support in Cancer Patients eCAN JA	NCT06007001	Cancer	Telemedicine	18 Years - 75 Years	Sciensano
Telerehabilitation and Tele-psychological Support in Cancer Patients eCAN JA	NCT06007001	Cancer	Telemedicine	18 Years - 75 Years	Sciensano
Evaluation of the Effects of Teleconsultations on a Endocrinology Referral List	NCT02710799	Diabetes Mellit... Hypothyroidism Hyperthyroidism Goiter Thyroid Nodule Obesity	Teleconsultatio... Protocol	18 Years -	Hospital de Clinicas de Porto Alegre

Spots Global Cancer Trial Database for teleconsultation