Evaluation of Teledermatology Practice Guidelines and Recommendations for Improvement

Dovigi, Edwin; Lee, Ivy; Tejasvi, Trilokraj

doi:10.1089/tmj.2021.0011

Cited by 12 publications

(4 citation statements)

References 24 publications

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“…Sources searched on November 21, 2022, included PROSPERO [ 11 ], Epistemonikos [ 12 ], Cochrane Library [ 13 ], and CINAHL Complete (EBSCOhost) [ 14 ]. One closely related review is that recently published by Dovigi et al [ 15 ], which focuses on quality assessment.…”

Section: Methodsmentioning

confidence: 99%

Consensus Guidelines for Teledermatology: Scoping Review

Cummins¹,

Ong²,

Ivanova³

et al. 2023

JMIR Dermatol

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Background Consensus guidelines and recommendations play an important role in fostering quality, safety, and best practices, as they represent an expert interpretation of the biomedical literature and its application to practice. However, it is unclear whether the recent collective experience of implementing telemedicine and the concurrent growth in the evidence base for teledermatology have resulted in more robust guidance. Objective The objective of this review was to describe the extent and nature of currently available guidance, defined as consensus guidelines and recommendations available for telemedicine in dermatology, with guidance defined as consensus or evidence-based guidelines, protocols, or recommendations. Methods We conducted a single-reviewer scoping review of the literature to assess the extent and nature of available guidance, consensus guidelines, or recommendations related to teledermatology. We limited the review to published material in English since 2013, reflecting approximately the past 10 years. We conducted the review in November and December of the year 2022. Results We identified 839 potentially eligible publications, with 9 additional records identified through organizational websites. A total of 15 publications met the inclusion and exclusion criteria. The guidelines focused on varied topics and populations about dermatology and skin diseases. However, the most frequent focus was general dermatology (8/15, 53%). Approximately half of the telemedicine guidance described in the publications was specific to dermatology practice in the context of the COVID-19 pandemic. The publications were largely published in or after the year 2020 (13/15, 87%). Geographical origin spanned several different nations, including Australia, the United States, European countries, and India. Conclusions We found an increase in COVID-19–specific teledermatology guidance during 2020, in addition to general teledermatology guidance during the period of the study. Primary sources of general teledermatology guidance reported in the biomedical literature are the University of Queensland’s Centre for Online Health and Australasian College of Dermatologists E-Health Committee, and the American Telemedicine Association. There is strong evidence of international engagement and interest. Despite the recent increase in research reports related to telemedicine, there is a relative lack of new guidance based on COVID-19 lessons and innovations. There is a need to review recent evidence and update existing recommendations. Additionally, there is a need for guidance that addresses emerging technologies.

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Section: Methodsmentioning

confidence: 99%

Consensus Guidelines for Teledermatology: Scoping Review

Cummins¹,

Ong²,

Ivanova³

et al. 2023

JMIR Dermatol

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“… 1 , 2 , 3 , 4 Teledermatology helps to enable earlier assessment and treatment. 5 Professional organizations suggest teledermatoscopy for pigmented lesions for everyday care, 6 although most research relies on experimental setting studies where the service is provided for a limited time and to a limited patient population in specially controlled environments. 7 , 8 , 9 , 10 , 11 , 12 , 13 Financially self-sustainable teledermatoscopy services have been evaluated 14 ; however, research on melanoma management plan and diagnostic accuracy in these regular clinical practice settings is lacking because of methodological difficulties, such as the need for patient follow-up or excision of all suspicious lesions for histopathology.…”

Section: Introductionmentioning

confidence: 99%

A country-wide teledermatoscopy service in Estonia shows results comparable to those in experimental settings in management plan development and diagnostic accuracy: A retrospective database study

Koop¹,

Kruus²,

Hallik³

et al. 2023

JAAD International

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“…In relation to different specialties, a profusion of articles has been published, analyzing specific matters such as adaptation of telemedicine for use in different fields like dermatology, 6 neurosurgery, 7 cardiology 8 and allergology, 9 among others. Almost all of them come to similar conclusions: that telemedicine has become an important tool during the period of the pandemic and that its development should continue after the pandemic.…”

mentioning

confidence: 99%