Accuracy and Cost-effectiveness of a Telemedicine Triage Initiative for Patients With Suspected Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis

Abstract

Disclaimer: Dr Rosenbach is on the editorial board of JAMA Dermatology, but was not involved in any of the decisions regarding review of the manuscript or its acceptance.

Store and forward Teledermatology for epidermal necrolysis management: Experience of a French reference centre

“…5 A recent study found a positive predictive value of 56.8% for the diagnosis of EN after implementation of the triage system as compared with before, 21.1% (p < 0.001). 6 In our study, SFTD led to the confirmation of EN in two thirds of suspected cases and a decision of transfer for half of confirmed EN cases. However, our study highlighted several areas of improvement, including the poor quality of the photographs and the number of email exchanges required to assess the diagnosis of EN and its severity.…”

Stevens‐Johnson syndrome/toxic epidermal necrolysis predictive models are not effective when applied by non‐dermatologists: A single‐institution prospective study

“…A cut‐off value of 0.40 was previously reported to hold high absolute accuracy in this model and was applied here to assess performance metrics 4 . Initial inpatient dermatologist triage impressions of photographs and questionnaires were used as criterion standard 6 . Standard descriptive statistics were presented as absolute and relative frequencies for categorical variables.…”

“…4 Initial inpatient dermatologist triage impressions of photographs and questionnaires were used as criterion standard. 6 Standard descriptive statistics were presented as absolute and relative frequencies for categorical variables.…”