Telemedicine as a strategy to facilitate placenta accreta spectrum treatment.

We read with interest the article by Sandlin et al, [1] in which they describe the clinical results of patients with Placenta Accreta Spectrum (PAS) managed under a state program, led by a PAS experienced group (PAS team) that was facilitated by the use of telemedicine. We congratulate the authors for presenting the results of almost 10 years of interdisciplinary work, inter-institutional collaboration (IIC), and regionalization of care. The authors’ description of a state that has only one tertiary academic medical center offering health care coverage to a large number of small cities is very similar to how most lowand medium-income countries (LMIC) operate. A recent survey in Latin America identified only 14 hospitals with PAS interdisciplinary teams that care for more than two cases per month of this disease [2]. The authors’ description about how they applied their ANGELS program to the care of PAS is an example of how IIC through telemedicine, helps solve many of the difficulties faced by medical groups and PAS patients in LMIC: