Assessment of Tele-expertise for Second Medical Opinion on Pathological Diagnosis


The purpose of this study is to determine whether digitalizing pathological slides and let it accessible on a server for a second medical opinion (tele-expertise) would reduce the time to diagnosis.

Study Type

  • Study Type: Observational
  • Study Design
    • Time Perspective: Prospective
  • Study Primary Completion Date: June 2015


  • Device: During tele-expertise

Arms, Groups and Cohorts

  • Before tele-expertise
    • Usual second opinion with pathological slides sent by mailing
  • During Tele-expertise
    • Second opinion with tele-expertise

Clinical Trial Outcome Measures

Primary Measures

  • Delay of second medical opinion
    • Time Frame: Up to 10 weeks
    • Between preparation of the slide and the result

Secondary Measures

  • Number of second medical opinion requested
    • Time Frame: During the whole study (around 8 months)
  • Overall costs
    • Time Frame: Within 6 months after the start of tele-expertise
    • Sum of the durations of the professionals immobilization for performing a diagnosis x wages + costs of the telemedicine solution development and implementation.
  • Number of times that the pathologist who gave the second opinion required the original material
    • Time Frame: During the whole study (around 8 months)

Participating in This Clinical Trial

Inclusion Criteria

  • All patients in need for a second medical opinion on a pathological sample Exclusion Criteria:

  • None

Gender Eligibility: All

Minimum Age: N/A

Maximum Age: N/A

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • Assistance Publique – Hôpitaux de Paris
  • Collaborator
    • Agence Regionale de Sante d’Ile de France
  • Provider of Information About this Clinical Study
    • Sponsor
  • Overall Official(s)
    • Catherine Guettier, MD, PhD, Principal Investigator, Hôpital Bicêtre. Assistance Publique – Hôpitaux de Paris
    • Isabelle Durand-Zaleski, MD, PhD, Principal Investigator, DRCD URC Eco. Assistance Publique – Hôpitaux de Paris


Kidholm K, Ekeland AG, Jensen LK, Rasmussen J, Pedersen CD, Bowes A, Flottorp SA, Bech M. A model for assessment of telemedicine applications: mast. Int J Technol Assess Health Care. 2012 Jan;28(1):44-51. doi: 10.1017/S0266462311000638.

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