Placenta accreta spectrum (PAS) is a severe condition that requires trained interdisciplinary group participation. However, achieving that specific training is difficult without academic programs or hospitals dedicated to teaching PAS skills.
We describe an interinstitutional collaboration process focused on improving PAS treatment and facilitated by telemedicine. Finally, we propose a replicable model for other centres
This was a retrospective, descriptive study including PAS patients treated over 10-years in a low-middle income country (LMIC) hospital (local hospital [LH]). We evaluated the clinical results and impact of interinstitutional collaboration with a PAS expert group (EG) at another LMIC. Virtual strategies of continuous communication between the LH and EG were used, such as telemedicine, teleradiology and telepresence during surgeries.
Eighty-nine PAS patients were included. We observed a progressive improvement in clinical results (intraoperative bleeding, transfusion frequency, postoperative length of stay and frequency of complications) as the LH fixed interdisciplinary group gained experience by treating more cases.
Interinstitutional collaboration (through telemedicine and remote supervision) and PAS team formation, were related to the best results in the most recent years of observation. Thus, ongoing PAS team training, facilitated by inter-institutional collaboration and telemedicine, is a valid strategy for improving clinical outcomes in PAS.