Identifying trends in patient characteristics and visit details during the transition to teledermatology: Experience at a single tertiary referral center

Krueger, Steven K.; Leonard, Nicholas; Modest, Nicholas; Flahive, Julie; Guilarte-Walker, Yurima; Rashighi, M.; LaChance, Avery

doi:10.1016/j.jaad.2020.11.040

Cited by 6 publications

(9 citation statements)

References 3 publications

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“…Patients registered from as far as 2000 km, highlighting the improved accessibility to health care. A retrospective review by Krueger et al 7 also reported increased utilization of services by patients living out‐of‐state via teleconsultations as compared to in‐person visits.…”

Section: Discussionmentioning

confidence: 99%

Teledermatology during the COVID ‐19 pandemic: Experience at a tertiary care centre in North India

Handa

Mehta

Bishnoi

et al. 2021

Dermatologic Therapy

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BACKGROUND Teledermatology has evolved as a valuable option to outpatient visits during the current pandemic. We set up a smartphone‐based hybrid model of teledermatology services providing direct care to patients at our center. To analyse patient and physician‐experience and acceptability for teledermatology over a 6‐month‐period, along with clinicodemographic profile of patients. METHODOLOGY Single‐center, retrospective study conducted from May 20, 2020 to October 31, 2020. Patient satisfaction level for teledermatology was assessed on a 4‐point scale and compared with the satisfaction level during their previous physical visits prior to COVID‐19 pandemic. A physician assessment form was utilised to record the experience of dermatologists while providing teledermatology services. RESULTS Of 7530 patients registered, a successful consult was provided to 6125 patients (81.34%). Average number of teleconsultations/day rose from 23.60 in May 2020 to 77.96 in October 2020. Mean age of patients availing teledermatology services was 33.60 ± 16.99 years. Average distance to care and travel time were 100.90 ± 171.77 km and 135 ± 222.32 min, respectively. A definitive diagnosis could be ascertained in 5724 patients (93.45%) and in‐person visit was recommended to 133 patients (2.2%). Out of 6125 patients, 5229 could be contacted for feedback, 935 (18.18%), 2230 (42.65%), 1749 (33.45%), and 300 patients (5.70%) reported being very satisfied, satisfied, partially satisfied, and unsatisfied, respectively. Of 1914 patients, who had availed in‐person OPD facilities prior to the pandemic, 914 patients (49.62%) preferred in‐person visits. Of 34 dermatologists surveyed, 88.2% felt comfortable providing teleconsultations and 82.4% felt the need to continue teledermatology services in the upcoming months. CONCLUSIONS Overall, teledermatology is a valid alternative for in‐person dermatology visits during the current crisis; helping with initial triage and further patient management. Further refinement of the process could lead to even more acceptability.

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Section: Discussionmentioning

confidence: 99%

Teledermatology during the COVID ‐19 pandemic: Experience at a tertiary care centre in North India

Handa

Mehta

Bishnoi

et al. 2021

Dermatologic Therapy

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“…Krueger et al . [ 8 ] retrospectively compared the trends seen in teledermatology and in-person visits. They found that patients in the teledermatology cohort were younger with a mean age of 41 years.…”

Section: Discussionmentioning

confidence: 99%

“…Krueger et al . [ 8 ] found that in the teledermatology group inflammatory dermatoses (49%) like acne, rosacea, eczemas, psoriasis etc., and hair disorders (4.8%) were the main group of disorders whereas skin cancer and other neoplastic disorders (21%) were less frequently encountered. Su et al .…”

Section: Discussionmentioning

confidence: 99%

Teledermatology Services during COVID-19 Pandemic: Experience of a Tertiary Care center in Western India

Bains

Alam

Singh

et al. 2022

Indian Dermatol Online J

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Background: Telemedicine has emerged as an important tool in providing patient care during the COVID-19 pandemic. Hence, we aimed to study the clinico-epidemiological profile of patients seen in the teledermatology outpatient department (OPD) during the COVID-19 pandemic. Material and Methods: Retrospective data analysis of records of patients, who consulted in telemedicine OPD from 20 April 2020 to 5 Feb 2021 was done. Results: Out of 2524 patients registered for teledermatology consultation, 2117 completed the process of teleconsultation. The mean age of patients was 35.59 ± 15.60 years. There was a male preponderance with 1372 (64.81%) patients while females were 745 (35.19%). 1773 (83.75%) patients were managed on telemedicine alone and 344 (17.42%) patients required face to face physical consultation. The most common disorder was dermatophytosis seen in 316 (17.82%) followed by hair disorders like androgenetic alopecia and telogen effluvium in 239 (13.48%), acne in 238 (13.42%) and dermatitis in 196 (11.05%). Blood investigations were advised in 365 (17.24%) patients and skin biopsy was advised in 23 (1.09%) patients. The major causes for incomplete teleconsultation procedure were no response to telephone calls in 207 (8.2%), 76 (3.01%) patients had taken a prior consultation and 60 (2.37%) patients didn’t give consent for teleconsultation. Conclusion: Common dermatological diseases like tinea, acne, hair disorders and dermatitis can be managed on telemedicine alone. In India, there are fewer dermatologists per population, therefore telemedicine can be continued even after the pandemic is over in cases where diagnoses and treatment are straight forward.

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“…Beyond broadening overall access to dermatologic care, the recent rise in teledermatology has particularly improved access for rural and minority populations, as observed in a retrospective study comparing telehealth to in-person visits [53]. Additionally, teledermatology has been associated with decreased patient no-show rates when compared to in-person visits, especially in Black or African American, LatinX, and primary non-English speaking patients [31].…”

Section: Introductionmentioning

confidence: 99%

“…At the start of the pandemic, recommendations for outpatient teledermatology practices included using existing platforms, prioritizing high-risk or urgent visits, and deferring non-essential visits [52]. Now, most ambulatory practices have transitioned to more hybrid practices, offering both in person and virtual visits, allowing dermatologists to focus virtual visits on specific skin conditions (i.e., acne, psoriasis, eczema, rashes, and rosacea) that have been shown to be more amenable to teledermatology [53,54]. In terms of inpatient dermatology, telehealth may be valuable in determining those who need an in-person visit versus those who can be successfully seen through telehealth, which can also help to conserve personal protective equipment [55].…”

Section: Introductionmentioning

confidence: 99%

Teledermatology Before, During, and After Covid-19: A Vital Tool to Improve Access and Equity in Specialty Care

Kassamali¹,

Tan²,

Franciosi³

et al. 2021

Journal of Cellular Immunology

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Identifying trends in patient characteristics and visit details during the transition to teledermatology: Experience at a single tertiary referral center

Cited by 6 publications

References 3 publications

Teledermatology during the COVID ‐19 pandemic: Experience at a tertiary care centre in North India

Teledermatology during the COVID ‐19 pandemic: Experience at a tertiary care centre in North India

Teledermatology Services during COVID-19 Pandemic: Experience of a Tertiary Care center in Western India

Teledermatology Before, During, and After Covid-19: A Vital Tool to Improve Access and Equity in Specialty Care

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