Early Detection and Telehealth Mentoring National Cancer Program

Early Detection and Telehealth Mentoring National Cancer Program

donutmedialab.com Early Detection and Telehealth Mentoring National Cancer Program. The COVID-19 pandemic has made many health workers adapt to various conditions, including in handling cancer and implementing the national cancer program in Indonesia.

On the other hand, this condition has led to new innovations to integrate the vision of cancer treatment through cancer tele-health mentoring. How is this program implemented?

Cancer data in Indonesia and globally

Cancer is the second leading cause of death in Indonesia after cardiovascular disease. This is why cancer is still one of the biggest health problems in Indonesia.

Data released by the Global Burden of Cancer Study (Globocan) from the World Health Organization (WHO) wrote that the total cancer cases in Indonesia in 2020 reached 396,914 cases with a total death of 234,511 cases.

Breast cancer is the highest contributor to new cases, with 65,858 cases or about 16.6 percent of the total 396,914 cancer cases in Indonesia. In second place is occupied by cervical cancer with 36,633 new cases or 9.2 percent of the total number of cancer cases.

In third place, lung cancer accounted for 34,783 cases (8.8 percent of total cases), followed by colorectal cancer with 21,392 cases (4.5 percent of total cases), and nasopharyngeal cancer with 19,943 cases (5 percent of total cases).

Citing the website of the Indonesian Cancer Foundation (YKI), the reason for the high number of cancer cases in Indonesia is environmental conditions that continue to produce carcinogenic materials such as processed meat, cigarette smoke, and others.

Another reason that also influences is lifestyle such as lack of exercise, staying up late, and eating too much. Meanwhile, awareness for early detection of cancer is still small and limited.

Early detection of cancer must be prioritized

One of the main solutions in treating cancer in Indonesia is the need to improve services in early cancer detection or cancer testing. This was stated by the President Director of Dharmais Cancer Hospital (RSK), dr. R. Soeko Werdi Nindito D., MARS.

“The earlier the patient is detected early, the treatment will be cheaper and the results will be higher, so the recovery is higher,” said Soeko when Hello Sehat met at Dharmais Hospital on Thursday (27/01).

See also  It turns out that Indonesian citizens on vacation to Australia most like to see cute animals

This is related to life expectancy, if early detection is carried out at an early stage, it will provide a longer chance of life for cancer patients.

However, the obstacles that are still being faced until now, usually cancer patients who are admitted to the hospital have experienced an advanced stage that requires invasive treatment.

Another problem is the cost of undergoing cancer early detection services in Indonesia. The reason is, not all early detection services are supported by public health insurance such as BPJS Health.

“Further policies are needed to ensure this, because not all cancer patients need to be followed up in the hospital. If he has finished his treatment, then treatment is carried out at home so that the hospital is not full,” Soeko explained.

Research conducted by the journal Sensors notes that the survival of cancer patients is highly dependent on early detection.

Likewise, in the research journal Pharmacology & Therapeutics, which says there have been significant advances in cancer treatment over the last few decades. Current diagnostic and therapeutic approaches rely mostly on invasive (i.e. randomized biopsy and surgery) and non-specific techniques such as irradiation and chemotherapeutic agents.

It is also necessary to develop technologies that can be applied to sensitive and specific methods of detecting cancer. The methods of early detection of cancer that already exist are as follows.

  1. Papanicolau test for women to detect cervical cancer and mammography to detect breast cancer.
  2. Detection of prostate-specific antigen (PSA) levels in blood samples for men to detect prostate cancer.
  3. Blood detection for colorectal cancer.
  4. Endoscopy, CT scan, X-ray, ultrasound imaging, and MRI for various cancer detection.

In addition, the Ministry of Health has made a number of efforts to prevent and control cancer in Indonesia, such as early detection of breast cancer and cervical cancer.

This form of early detection for women aged 30-50 years through Visual Inspection with Acetic Acid (IVA) and Clinical Breast Examination (SADANIS) methods or can use Breast Self-Examination (BSE).

Seven national cancer programs of RSK Dharmais

Overall, RSK Dharmais as a national cancer center has seven main programs. The following are the seven main programs of the national cancer program.

  • Promotive-preventive

This program is aimed at promoting cancer prevention according to the situation and conditions in each area. It is hoped that the health office and puskesmas can provide information and education to cancer patients to be more local specific according to cases in the region.

  • Early detection
See also  8 Negative Impacts of the Internet on Children and How to Prevent Them

The earlier the early detection is carried out in cancer patients, the cheaper the treatment and also provides a higher healing outcome. This year, RSK Dharmais is focusing on promoting early detection of three types of cancer, namely Prostate, Lung, and Pancreatic (3P) whose services are still rarely available in hospitals.

  • Diagnostics and management

There are at least three types of diagnostics, namely radiology, laboratory, and pathology-anatomy. Management is also divided into three stages, surgery (surgery), chemotherapy, and radiotherapy.

  1. Palliative and pain

Patients with advanced cancer need to get education so they can act or act on their disease. Like how to deal with pain in the cancer department and live life as usual.

  1. Education and research

Continue to seek education and research related to cancer cases in Indonesia.

  1. Surveillance data

Recording and data collection of cases is not only for research, but is also expected to be the basis for policy making. So all hospitals that are included in the network need to strengthen surveillance data.

  1. Rehabilitation

Cancer patients are closely related to disability, so post-treatment rehabilitation in order to get a better quality of life.

Engage in collaboration through tele-health mentoring

RSK Dharmais in collaboration with Project ECHO aims to strengthen the network with hospitals in various provinces in the cancer mentoring telehealth program. This program is in the form of online mentoring in dealing with cancer cases in the regions.

Originally the ECHO (Extension for Community Healthcare Outcomes) project, was developed by Sanjeev Arora, MD External Link Disclaimer, at the University of New Mexico Center for Health Sciences.

This project is a collaborative model of medical education and care management that helps doctors provide expert-level care to patients wherever they live.

This cancer mentoring telehealth program leverages video conferencing technology to train, share cancer advice, and support primary care providers. This program is expected to help hospitals in various provinces in handling cancer cases in their area.

Implementation of tele-health mentoring

At the initial stage, this program is carried out regularly twice a month with a duration of two hours per meeting.

See also  Early Detection and Potential Recovery of Prostate Cancer Patients

A vertical hospital (owned by the Ministry of Health) along with three provincial hospitals were invited to this program. The hospital is then projected to support nine hospitals in the region to conduct tele-health mentoring.

The principle in tele-health mentoring is to transfer knowledge to every hospital that is included in the network through webinars. This program discusses cases of cancer treatment in different hospitals.

The discussion is carried out by displaying the results of X-rays, laboratory examinations, and others. Not only cases, this program also discusses the issue of financing in cancer treatment.

Another principle is to create a multidisciplinary team (MDT) with discussions starting from diagnosis, treatment, and future plans from patients themselves through tele-health mentoring. In addition to focusing on doctors, this program will also develop nurses who specialize in oncology.

“We are also working with HIMPONI (Indonesian Oncology Nurses Association) and the Faculty of Nursing, University of Indonesia to develop oncology nurses,” said Soeko.

The program will continue with plans to send doctors and nurses to undergo a training program at Tata Memorial Hospital in India for two and a half months.

Policy changes and technological developments

Soeko assessed that the support from the government through policies could encourage the implementation of the seven national cancer programs for the better in each region. This is due to the low level of early detection facilities in regional hospitals.

Through this network, it is also hoped that regional hospitals will begin to complete their facilities, especially to provide early detection services. In addition, it is also hoped that there will be an improvement in the referral system to make it easier to navigate in dealing with cancer patients.

“BPJS has been good in guaranteeing cancer treatment, but not yet for early detection,” said Soeko. In addition, efforts are still needed to change people’s thinking to take cancer preventive measures.

If early detection has been improved, the next step is to improve technology for early detection. Like one of them using Genomic, to find out which genes are more at risk for what type of cancer and what treatment is needed.

Check Also

German MotoGP Results 2022: Fabio Quartararo Winner!

German MotoGP Results 2022: Fabio Quartararo Winner!

donutmedialab.com — MotoGP Germany 2022 is exciting. Fabio Quartararo emerged as the hero, there was a show Francesco Bagnaia fell toward the start of the race! The 2022 German MotoGP will be held at the Sachsenring Circuit, Sunday (19/6/2022) night WIB for 30 laps. This is the tenth series race in MotoGP 2022. Francesco Bagnaia [...]

Leave a Reply

Your email address will not be published.