Patient and clinician experiences of remote consultation during the SARS-CoV-2 pandemic: A service evaluation.

Objectives: During the SARS-CoV-2 pandemic, clinicians were instructed to move all but emergency consultations to remote means to reduce the spread of the virus. The aim of this study was to evaluate patients' and clinicians' experiences of moving to remote means of consultation with their health care professionals during the SARS-CoV-2 pandemic.

Methods: The study design was a qualitative service evaluation.

Patients' and clinicians' experiences of remote consultation? A narrative synthesis.

Aims: To identify, evaluate and summarize evidence of patient and clinician experiences of being involved in video or telephone consultations as a replacement for in-person consultations.

Design: Narrative synthesis.

Data Sources: Medline; EMBASE; EMCARE; CINAHL and BNI.

[Comparative assessment of the effectiveness of treatment for patients with lung cancer].

A total of 4218 lung cancer patients received therapy from 1965 to 2004. Patients' population analysis shows no statistically significant changes in sex, clinico-anatomical forms or morphological type structure. The first 30 years analyzed showed a gradual increase in the number of patients receiving radical treatment (46.

[Current problems in the combined therapy of lung cancer].

The paper describes the general experience of modern lung cancer treatment methods application. Neoadjuvant therapy was shown to improve the long-term results of stage III patients increasing the 5-year overall survival by 7,8% (p=0,012). The special diagnostic algorithm for treatment results evaluation including autofluorescence spectrometry with 97,1% sensitivity and 88,3% specificity was developed.

[Use of laser irradiation in the treatment of facial cutaneous melanoma].

N.N.Petrov Research Institute of Oncology, St.

[Current methods in the diagnosis and therapy of lung cancer].

A 45-year experience of diagnosis and treatment of lung cancer is presented. In groups at high risk of cancer, photoroentgenographic screening has proved effective. The use of out-patient complex pulmonologic examination serves to improve identification of central cancer.

[Clinical diagnosis of primary melanoma of the skin].

Procedures for early diagnosis of primary skin melanoma have been developed on the basis of the data available on 1.500 cases. Symptoms of malignant transformation of long-term pigmented nevi have been analyzed.

[The potentials of impulse laser radiation in treating I-stage melanomas of the skin].

An analysis of observation of 265 patients during 1-22 years has shown that the radiation of powerful impulse lasers is an effective means of treatment of superficial and slightly risen skin melanomas of the 1st clinical stage having the I-IV level of invasion according to Clarke which are not thicker than 4,5 mm according to Breslaw.

[The surgical correction of pressure in the lesser circulation after extensive lung resections for cancer].

The surgical bypass of v. azygos and v. pulmonalis sup.

[The surgical treatment of lung cancer patients with an exacerbated hereditary factor].

Surgical treatment of 258 patients (1st group) with carcinoma of the lung whose hereditary case history was aggravated by the presence of malignant tumors in blood relatives was compared with treatment of 861 patients of the control group (2nd group). Lung cancer patients of the 1st group were less operable than those of the 2nd group, 60.0% and 71.

[Prophylactic lymph node excision in cutaneous melanomas of the lower limbs].

An analysis of 67 cases of skin melanoma of feet and legs aggravated by the risk of regional metastatic spreading established a significant improvement in five-year survival (over 30%) in patients who had undergone prophylactic lymphadenectomy. Indications for preventive surgery are suggested and rationale of its extent is discussed.

[Characteristics of regional metastasis of lung cancer in patients with aggravating hereditary factors].

Specific features of metastatic spreading of lung cancer have been compared in 258 surgical patients from families with a history of lung cancer incidence (group I) and in 861 controls (group II). Lesions in lymph nodes at various stages were more frequent in group I, metastatic spreading incidence increasing in step with stage. In is noteworthy that more frequent lesions in mediastinal lymph nodes (stage IV) were observed in group I (54.

[Lung cancer and age factor].

The authors provide the results of examination and treatment of 920 young patients under 45 (group I) and 462 elderly patients aged 60-74 years (group II). It has been revealed that in the young patients, primarily affected were the distal, proximal, intermediate and main bronchi. In group I patients, the tumor was localized in the intermediate or in the main (extrapulmonary) bronchus (in 6.

[The possibility of performing an incisional biopsy in skin melanomas during pulsed laser radiation treatment].

A procedure for stage I skin melanoma treatment using pulsed laser radiation was developed and employed in 94 patients. At first, a delimiting barrier around tumor was formed with laser beam. It was followed by incision biopsy of melanoma under local anesthesia to morphologically assess level of invasion (after Clark) and thickness of tumor (according to Breslow).

[RŁadiolymphography with 113mIn-chloride in the diagnosis of the lymphogenic metastases of skin melanomas].

One hundred and thirty indirect lymphoscintigraphies (74 lower and 56 upper ones) using 113mIn-chloride were performed in 121 cases of skin melanoma. Metastatic involvement of lymph nodes was characterized by either increased or decreased accumulation of the radionuclide. The overall accuracy of the procedure was 0.

[Characteristics of the metastasis of lung cancer in young patients].

Based on an investigation of micropreparations of resected lungs, findings of test thoracotomies and autopsies the authors have studied regularities of regional lung cancer metastazing in 275 patients of young age. It was shown that the intensity of regional metastazing is higher in young patients with lung cancer than in elderly patients, it grows with low-differentiated forms of tumor, nodular-peribronchial form of growth and increases in parallel with the growing size of the tumor node.

[Diagnosis of central cancer of the lungs].

Data on 396 patients with central cancer of the lung admitted to the thoracal department of the Petrov Research Institute of Oncology and the City Oncological Dispensary in 1985-1986 are presented. In 94 of them (23.7%) the disease was diagnosed by prophylactic roentgenofluorography, in 302 (76.

[Evaluation of diagnosis and treatment of various clinico-anatomical forms of lung cancer].

Among 3898 cases of primary lung cancer registered in Leningrad within 1985-1986, central cancer clearly predominated (61.9%). Central/peripheral cancer ratio was 1.

[Evaluation of the efficacy of intensive preoperative irradiation of patients with lung cancer].

The study discusses the results of treatment in 118 radically operated lung cancer patients: surgery alone--66 and combined therapy including preoperative irradiation (4 Gy for 5 successive days, total focal dose--20 Gy)--52 cases. Radiation treatment did not significantly affect the patient's general condition, nor did it interfere with surgical procedure, increase operative blood loss or postoperative lethality. However, the postoperative complication rate was higher in the radiotherapy group (51.

[Indications for preventive regional lymphadenectomy in primary melanoma of the skin of the head and neck].

The authors have conducted a retrospective analysis of results of the surgical treatment of primary melanomas of the skin in the area of head and neck in 86 patients. Five-year survival of the patients made up 53.5 +/- 5.

[Survival of patients with lung cancer (based on data of the All-Union Center for Cancer Therapy Research)].

The report discusses the results of a sampling survey conducted by the All-Union Center for Research in Efficacy of Neoplasm Treatment. The study was based on the data on 7173 inpatients with lung cancer treated at 38 oncological establishments in the USSR in 1974-1980. Survival was evaluated versus sex, age, stage and treatment modality.