Derivación de pacientes en consulta de dermatología y de teledermatología en España. Estudio DIADERM

González-López, G.; Descalzo, Miguel Ángel; Arias‐Santiago, Salvador; Molina-Leyva, Alejandro; Ahmed, Hafiz; Viera-Ramírez, A.; Fernández‐Peñas, Pablo; Taberner, R.; García‐Doval, I.; Buendía‐Eisman, A.; Buendía, Agustín; Fernández‐Crehuet, Pablo; Husein‐ElAhmed, Husein; Vega, Jesús; Viera, Agustín; Carrascosa, J.M.; Ferrán, Marta; Gómez, Enrique Gómez; Ascanio, Lucia; Doval, Ignacio García; Arias, Salvador; Gilaberte, Yolanda; Sánchez, Juan A.; Serrano, Antonio Garrido; Castillo, Ruth; Fernández, Ramón Tena; Armario, J. Martín; Cantalejo, Carolina Lluc; Albarrán, Cristina; Martín, M. Cruz; Martín, J.A.; Barabash, Román; Pagani, Lara; Salamanca, Manuel; Hernández, Carlos; Millán, José Francisco; Ruíz, Inmaculada Simón; Armesto, Susana; González, Marta González; Beteta, Valia; Vallés, Concepción Cuadrado; Cristóbal, Pilar Pezzi; Roth, Maria Magdalena; Garcías, Juan Alemany; Misa, Ricardo; García, E. Crespillo; Rivero, María del Pino; Suárez, José; Farthmann, Birgit; Álvarez, Alba; García, Irene; Morales, Caridad Elena; Zemba, María Cristina; Repiso, T.; Sastre, Carmen; Ubals, María; Fernández, Alejandro; González, Urbà; Grimalt, Ramón; Gómez, Sara; López, Ingrid González; Gemigniani, Franco; Izquierdo, M J; Alfageme, Fernando; Barrientos, Nuria; Pericet, Laura María; Vidal, Santiago; Camarero, Celia; Lázaro, Pablo; García, Cristina; Pablo, María Pilar de; Pinto, Pedro Herranz; Olmo, Natalia; Castellanos, María; Jiménez, Natalia; Aboín, Sonsoles; Aldanondo, Isabel; Juanes, Adriana; Arranz, D.M.; González, Olga; Casas, Luis Manuel; Vázquez, Juan José; Peña, Carmen; Cubero, José Luis; Feal, Carlos; Mayo, María Eugenia; Iglesias, Nicolás; Rojo, Rafael Ibáñez; Aniz, Elfidia; Kindem, S.; Barrado, Nerea; Tirado, Marisa; Quecedo, Ester; Hernández, Isabel; Sahuquillo, Antonio; Bella, Rebeca; García, R.; Calle, Anaid; Messeguer, F.; Alfaro, Alberto; Casanova, Luisa; Aspe, Libe; Moreno, María Pilar; Trébol, Izaskun; Serrano, Gonzalo León; Alcalde, Víctor Manuel; García, Patricia; Coscojuela, C.

doi:10.1016/j.ad.2018.09.004

Cited by 14 publications

(3 citation statements)

References 13 publications

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“…10 To date, from the perspective of society and public health-care systems (PHS), economic analyses comparing the cost of asynchronous TD to that of conventional monitoring (CM) in hospitals have confirmed the efficiency and cost savings of this modality. 9, 11–14 However, the majority of these studies have been performed in densely populated areas with similar sociodemographic characteristics. Therefore, more studies are required to confirm the generalisability of results to scattered populations far from the reference centre.…”

Section: Introductionmentioning

confidence: 99%

Economic impact and cost savings of teledermatology units compared to conventional monitoring at hospitals in southern Spain

et al. 2020

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Introduction Asynchronous teledermatology (TD) has undergone exponential growth in the past decade, allowing better diagnosis. Moreover, it saves both cost and time and reduces the number of visits involving travel and opportunity cost of time spent on visits to the hospital. The present study performed a cost-saving analysis of TD units and assessed whether they offered a cheaper alternative to conventional monitoring (CM) in hospitals from the perspective of public health-care systems (PHS) and patients. Methods This study was a retrospective assessment of 7030 patients. A cost-saving analysis comparing TD units to CM for patients at the Hospital de Poniente was performed over a period of one year. The TD network covered the Hospital de Poniente reference area (Spain) linked to 37 primary care (PC) centres that belonged to the Poniente Health District of Almeria. Results We observed a significant cost saving for TD units compared to participants in the conventional follow-up group. From the perspective of a PHS, there was a cost saving of 31.68% in the TD group (€18.59 TD vs. €27.20 CM) during the follow-up period. The number of CM visits to the hospital reduced by 38.14%. From the patients’ perspective, the costs were lower, and the cost saving was 73.53% (€5.45 TD vs. €20.58 CM). Discussion The cost-saving analysis showed that the TD units appeared to be significantly cheaper compared to CM.

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Section: Introductionmentioning

confidence: 99%

Economic impact and cost savings of teledermatology units compared to conventional monitoring at hospitals in southern Spain

et al. 2020

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“…-Fácil acceso para la atención especializada desde localizaciones remotas. (4,6) Buendía-Eisman et al (7) muestran en su estudio (DIADERM) que el motivo más frecuente de consulta por TD es la enfermedad tumoral o premaligna. Esto puede ser debido al aumento actual que tiene el cáncer cutáneo, ya sea por la motivación del diagnóstico precoz o por la concienciación que se realiza desde las campañas de Salud Pública.…”

Section: Antecedentesunclassified

Eficacia de la teledermatología en la reducción del índice de breslow en el melanoma cutáneo

Espí¹,

Gutiérrez²,

Soldevilla

et al. 2022

ArchPat

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La teledermatología (TD) permite al médico de Atención Primaria hacer una consulta telemática al dermatólogo, adjuntando una breve descripción del caso junto a una o varias imágenes de la lesión. Nos planteamos si los melanomas derivados por vía TD presentaban un Breslow menor que los valorados por la vía convencional; dicho de otro modo, si esta herramienta permitía detectar de forma más veloz las lesiones melánicas malignas. Como objetivos secundarios, queríamos determinar si el proceso asistencial del paciente se veía acelerado por esta vía.Nuestros resultados determinaron que la profundidad de los melanomas derivados por la vía TD presentaban casi la mitad de la dimensión de aquellos derivados por vía convencional y, también, que la demora asistencial se vio reducida en este grupo.Por tanto, consideramos que estamos ante una herramienta que nos puede permitir diagnosticar melanomas en fases más iniciales, así como agilizar la lista de espera.

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“…Evaluation of the effectiveness and efficiency of this technology is essential to guarantee the objectives of its implementation [ 17 , 18 ]. In Spain, several studies have been carried out to evaluate the use of TD in clinical practice [ 19 – 21 ] with satisfactory results, but none in the Castilla y León region.…”

Section: Introductionmentioning

confidence: 99%

Store-and-forward teledermatology in a Spanish health area significantly increases access to dermatology expertise

Sánchez-Martín,

Moreno-Sánchez,

Morán-Sánchez

et al. 2024

BMC Prim. Care

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Introduction Teledermatology is the practice of dermatology through communication technologies. The aim of this study is to analyze its implementation in a Spanish health area during its first two years. Methods Cross-sectional descriptive study. It included interconsultations between dermatologists and family physicians in the Salamanca Health Area (Spain) after the implementation of the non-face-to-face modality over a period of two consecutive years. A total of 25,424 consultations were performed (20,912 face-to-face and 4,512 non-face-to-face); 1000 were selected by random sampling, half of each modality. Main measures: referral rate, response time and resolution time, type of pathology, diagnostic concordance, and quality of consultation. Results The annual referral rate was 42.9/1000 inhabitants (35.3 face-to-face and 7.6 non-face- to-face). The rate of face-to-face referrals was higher in urban areas (37.1) and the rate of non- face-to-face referrals in rural areas (10.4). The response time for non-face-to-face consultations was 2.4 ± 12.7 days and 56 ± 34.8 days for face-to-face consultations (p < 0.001). The resolution rate for non-face-to-face consultations was 44%. Diagnostic concordance, assessed by the kappa index, was 0.527 for face-to-face consultations and 0.564 for non-face-to-face consultations. Greater compliance with the quality criteria in the non-attendance consultations. Conclusions Teledermatology appears to be an efficient tool in the resolution of dermatological problems, with a rapid, effective, and higher quality response for attention to skin pathologies. Registry ClinicalTrials.gov Identifier: NCT05625295. Registered on 21 November 2022 (https://clinicaltrials.gov/ct2/show/ NCT05625295).

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Derivación de pacientes en consulta de dermatología y de teledermatología en España. Estudio DIADERM

Cited by 14 publications

References 13 publications

Economic impact and cost savings of teledermatology units compared to conventional monitoring at hospitals in southern Spain

Economic impact and cost savings of teledermatology units compared to conventional monitoring at hospitals in southern Spain

Eficacia de la teledermatología en la reducción del índice de breslow en el melanoma cutáneo

Store-and-forward teledermatology in a Spanish health area significantly increases access to dermatology expertise

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