Better, sooner, more convenient: A successful teledermoscopy service

Lim, David J.; Oakley, Amanda; Rademaker, Marius

doi:10.1111/j.1440-0960.2011.00836.x

Cited by 72 publications

(84 citation statements)

References 7 publications

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“…Similarly, Lim et al (9) showed that the mean waiting time for a first assessment by a dermatologist was reduced from 114 to 39 days using TDS. Morton et al (5) also showed a decrease in the mean waiting time for patients with MM, SCC and BCC to definitive treatment, albeit not as dramatically.…”

Section: Discussionmentioning

confidence: 91%

Smartphone Teledermoscopy Referrals: A Novel Process for Improved Triage of Skin Cancer Patients

Börve¹,

Gyllencreutz²,

Terstappen³

et al. 2015

Acta Derm Venerol

111

157

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In this open, controlled, multicentre and prospective observational study, smartphone teledermoscopy referrals were sent from 20 primary healthcare centres to 2 dermatology departments for triage of skin lesions of concern using a smartphone application and a compatible digital dermoscope. The outcome for 816 patients referred via smartphone teledermoscopy was compared with 746 patients referred via the traditional paper-based system. When surgical treatment was required, the waiting time was significantly shorter using teledermoscopy for patients with melanoma, melanoma in situ, squamous cell carcinoma, squamous cell carcinoma in situ and basal cell carcinoma. Triage decisions were also more reliable with teledermoscopy and over 40% of the teledermoscopy patients could potentially have avoided face-to-face visits. Only 4 teledermoscopy referrals (0.4%) had to be excluded due to poor image quality. Smartphone teledermoscopy referrals allow for faster and more efficient management of patients with skin cancer as compared to traditional paper referrals.

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Section: Discussionmentioning

confidence: 91%

Smartphone Teledermoscopy Referrals: A Novel Process for Improved Triage of Skin Cancer Patients

Börve¹,

Gyllencreutz²,

Terstappen³

et al. 2015

Acta Derm Venerol

111

157

View full text Add to dashboard Cite

show abstract

“…While the present study authors [17, 18] and others [19-21] have conducted successful feasibility studies of mobile teledermoscopy-enhanced SSE and have shown excellent diagnostic agreement between teledermatological and clinical diagnosis (κ = 0.90) [17-19, 21], no study has compared directly whether adding mobile teledermoscopy to SSE can improve outcomes compared to naked-eye SSE, whether accuracy improves over time and how to best integrate mobile teledermoscopy-enhanced SSE into consumer instructions and materials, and clinical practice. Integration also includes assessing costs of the two approaches.…”

Section: Introductionmentioning

confidence: 73%

Redesigning Skin Cancer Early Detection and Care Using a New Mobile Health Application: Protocol of the SKIN Research Project, a Randomised Controlled Trial

et al. 2018

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Patients often detect melanoma themselves; therefore, regular skin self-examinations (SSEs) play an important role in the early detection and prompt treatment of melanoma. Mobile teledermoscopy is a technology that may facilitate consumer SSEs and rapid communication with a dermatologist. This paper describes the planned randomised controlled trial of an intervention to determine whether mobile technologies can help improve the precision of SSE in consumers. A randomised controlled trial will be conducted to evaluate mobile teledermoscopy-enhanced SSE versus naked-eye SSE. Participants in each group will conduct three home whole-body SSEs at baseline, 1 and 2 months, then present for a clinical skin examination (CSE) by a doctor after the 2-month SSE. Specifically, participants will identify skin lesions that meet the AC (asymmetry and colour) rule for detecting a suspicious skin spot. The primary outcomes are sensitivity and specificity of the skin lesions selected by the participants as needing attention by a doctor, compared to the clinical diagnosis by the dermatologist that will serve as the reference standard for this analysis. For the mobile teledermoscopy-enhanced SSE group, researchers will assess the number, location and type of lesions (1) sent by the participant via mobile teledermoscopy, (2) found at CSE or (3) missed by the participant. For the naked-eye SSE group, researchers will assess the number, location and type of lesions (1) recorded on their body chart by the participant, (2) found at CSE or (3) missed by the participant. Secondary outcomes are based on participants’ self-reported data via online questionnaires.

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“…There are already several well-established virtual clinics running in the world. A good example is that of the Department of Dermatology in Waikato, New Zealand [160].…”

Section: Teledermoscopymentioning

confidence: 99%

Dermoscopy: distinguishing malignant tumors from benign

Gulia

Brunasso

Massone³

2012

Expert Review of Dermatology

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Dermoscopy has dramatically developed, becoming a well-established routine technique in many countries in the mid-1980s. Dermoscopy allows physicians to observe structures and colors otherwise not visible to unaided eyes, increasing melanoma diagnostic accuracy by up to 35%. Moreover, dermoscopy allows for increases in the number of diagnosed and excised melanomas together with a reduction in the number of unnecessary excisions. New data are continuously acquired mostly on melanoma diagnosis, follow-up of melanocytic lesions and nevogenesis. Short-term 3-month follow-up is the optimum time interval for identifying minimal changes in featureless melanomas. Nevertheless, long-term follow-up is similarly useful for the recognition of changes in melanomas with very low rates of growth. In the last few years a huge number of publications on dermoscopy have been published. The aim of this review is to summarize the most important recent advances in dermoscopy.

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Better, sooner, more convenient: A successful teledermoscopy service

Abstract: A community-based teledermoscopy service may allow improved management of outpatient referrals while providing a better, quicker and more convenient service. It may also provide cost savings, as teledermoscopy assessment can be cheaper than traditional assessment.

Cited by 72 publications

References 7 publications

Smartphone Teledermoscopy Referrals: A Novel Process for Improved Triage of Skin Cancer Patients

Smartphone Teledermoscopy Referrals: A Novel Process for Improved Triage of Skin Cancer Patients

Redesigning Skin Cancer Early Detection and Care Using a New Mobile Health Application: Protocol of the SKIN Research Project, a Randomised Controlled Trial

Dermoscopy: distinguishing malignant tumors from benign

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