Fighting COVID-19: Early teledermatology lessons learned

McGee, Jean S.; Reynolds, Rachel V.; Olbricht, Suzanne M.

doi:10.1016/j.jaad.2020.06.027

Cited by 24 publications

(24 citation statements)

References 2 publications

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“…1 To illustrate, a single institutional study found that 75% of teledermatology visits with durations of >20 min were conducted through telephone rather than through videobased platform, suggesting the difficulty of providing patient care without visual cues in teledermatology visits. 10 Alternatively, patients are sometimes asked to submit photos before their telemedicine visit, which may even be of even high quality than visualization through video. We were unable to distinguish in our study whether patient images were submitted before nonvideo visits, representing a limitation of our study.…”

Section: Discussionmentioning

confidence: 99%

“…8,9 Within dermatology, studies of teledermatology adoption have largely been limited to single departments, and few have analyzed the demographics of patients. 1,[10][11][12] Small studies of single departments have observed decreased number of dermatology visits for elderly and non-English-speaking patients and have suggested that telemedicine can decrease no-show rates for minority populations. 10,11 In addition, although most literature has focused on video visits as the mainstay of virtual care, trends in other forms of visits such as telephone and asynchronous visits have not been as well characterized.…”

Section: Introductionmentioning

confidence: 99%

“…1,[10][11][12] Small studies of single departments have observed decreased number of dermatology visits for elderly and non-English-speaking patients and have suggested that telemedicine can decrease no-show rates for minority populations. 10,11 In addition, although most literature has focused on video visits as the mainstay of virtual care, trends in other forms of visits such as telephone and asynchronous visits have not been as well characterized. These modalities also merit exploration given their wide adoption during the pandemic.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Differences in Utilization of Nonvideo Telemedicine Visits for Dermatologic Concerns in Underserved Populations During the COVID-19 Pandemic

Lee

Guo

Wang

et al. 2021

Telemedicine and e-Health

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Background: Usage of telemedicine for virtual dermatology care during the COVID-19 pandemic on a national scale is poorly characterized, particularly for nonvideo encounters. Objective: We sought to compare utilization of telephone and asynchronous virtual care for dermatologic concerns 3 months before (December 2019-February 2020) and during the pandemic ( March-May 2020) across patient populations. Methods: A retrospective study was performed using a national claims database with >280 million patients within the COVID-19 Research Database to identify monthly telephone and asynchronous virtual visits by diagnosis, age, income, and patient race/ethnicity. Results: Although overall visits for dermatologic concerns decreased by 27.2% during the pandemic, telephone and asynchronous visits increased significantly. Patients most likely to use telephone visits during the pandemic were of older age (relative risk ratio [RRR] = 1.043, p < 0.001), African American race (RRR = 2.03, p < 0.001), and household income <$29,000 (RRR = 1.51, p < 0.001). Limitations: Racial and ethnic data were available for 39.04% of patients and income data for 38.1% of patients. Conclusions: Underserved populations including African Americans, elderly, and low-income patients were more likely to utilize telephone formats during the pandemic. Further studies are needed to determine the reasons for these observed differences and whether there is differential quality between nonvideo and video telemedicine encounters to ensure that all patients are given equal access to the highest quality of virtual care.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Differences in Utilization of Nonvideo Telemedicine Visits for Dermatologic Concerns in Underserved Populations During the COVID-19 Pandemic

Lee

Guo

Wang

et al. 2021

Telemedicine and e-Health

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“…Effect of antietumor necrosis factor therapy on the risk of respiratory tract infections and related symptoms in patients with psoriasis-A meta-estimate of pivotal phase 3 trials relevant to decision making during the COVID-19 pandemic To the Editor: The COVID-19 pandemic turned attention to how immune-targeted therapies affect respiratory tract infections (RTIs). We reported metaestimates of the risk of RTI associated with biologics that target interleukin (IL) 17 (odds ratio [OR], 1.56; 95% confidence interval [CI], 1.04-2.33) 1 and IL-23 (OR, 1.24; 95% CI, 0.98-1.56) 2 based on publicly available pivotal trial data. We now evaluate tumor necrosis factor inhibitors (TNFi) using a similar approach.…”

mentioning

confidence: 99%

Effect of anti–tumor necrosis factor therapy on the risk of respiratory tract infections and related symptoms in patients with psoriasis—A meta-estimate of pivotal phase 3 trials relevant to decision making during the COVID-19 pandemic

Syed

Shah

Shin

et al. 2021

Journal of the American Academy of Dermatology

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“… 1 Despite rapid large-scale implementation of teledermatology, the optimal use of telemedicine for specific dermatologic conditions remains unclear. 2 As clinics reopen, telemedicine use, although decreased, continues to account for a substantial proportion of overall visits. 3 This period of reopening provides an opportunity to monitor teledermatology trends when virtual and in-person visits are both available and have reimbursement parity.…”

mentioning

confidence: 99%