Pilot Teledermatology Service for Assessing Solitary Skin Lesions in a Tertiary London Dermatology Center

Cheung, Chung-mei Maggie; Muttardi, Kayria; Chinthapalli, Suchitra; Ismail, Ferina

doi:10.1097/jhq.0000000000000142

Cited by 11 publications

(12 citation statements)

References 24 publications

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“…Although almost half of our TDS recruitment is generated outside our region, this high number is explained by the high proportion of nail conditions for which biopsy is difficult to conduct in home offices. Cheung et al also demonstrated that TD avoided FTF consultation in 68% of cases with good-quality pictures [22]. Dermoscopy picture quality was good in 89.7% of cases in our study, similar to Massone et al (88%) [14].…”

Section: Discussionsupporting

confidence: 89%

Diagnostic Concordance in Tertiary (Dermatologists-to-Experts) Teledermoscopy: A Final Diagnosis-Based Study on 290 Cases

Marchetti

Dalle

Maucort‐Boulch

et al. 2020

Dermatol Pract Concept

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Background: Teledermoscopy (TDS) improves diagnostic accuracy and decreases the number of unnecessary consultations. Objectives: To determine the diagnostic concordance in tertiary (dermatologist-to-experts) TDS with histopathology/follow-up–based diagnosis. Methods: A descriptive retrospective cohort study including 290 requests. Results: Perfect diagnostic concordance was found in 202 (69.7%) cases and partial agreement in 29 (10%). Disagreement was found in 59 (20.3%) cases. Perfect concordance on the benign/malignant nature of the lesion was found in 227 (78.3%) cases and disagreement in 63 (21.7%). In onychology, diagnostic concordance was perfect in 43 (76.8%) cases, partial in 7 (12.5%), and there was disagreement in 6 (10.7%). Final concordance on the benign/malignant nature of the lesion was perfect in 48 (85.7%) and there was disagreement in 8 (14.3%) nail cases. For pediatric requests, diagnostic concordance was perfect in 29 (65.9%) cases, partial in 5 (11.4%), and there was disagreement in 10 (22.7%). Final concordance on the benign/malignant nature of the lesion was observed in 34 (77.3%) cases, disagreement in 10 (22.7%). Conclusions: This study confirms that tertiary TDS improves diagnostic accuracy of pigmented skin lesions. Moreover, it shows encouraging results in unusual conditions such as ungual and pediatric skin tumors. The main limitation was the retrospective nature and the “real-life” setting of our study that could have created a selection bias toward inclusion of the most difficult cases.

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Section: Discussionsupporting

confidence: 89%

Diagnostic Concordance in Tertiary (Dermatologists-to-Experts) Teledermoscopy: A Final Diagnosis-Based Study on 290 Cases

Marchetti

Dalle

Maucort‐Boulch

et al. 2020

Dermatol Pract Concept

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“…The factors related to service providers are also among other variables affecting the establishment of teledermatology in Iran. Young (2018) [29], Chang (2018) [33], Tol (2017) [34], Agnisarman (2017) [35], Van Derberg (2012) [32], and Oikonomu (2009) 19| Jorjani Biomedicine Journal. 2020; 8(1): P 11-23 [27] reported that the factors related to service providers affect the establishment of teledermatology.…”

Section: Discussionmentioning

confidence: 99%

“…Another variable affecting the establishment of teledermatology in Iran are the factors related to service recipients. The studies conducted by Rajda [15], Chang [33], Manarao (2018) [22], Tol (2017) [34], Campaigna (2017) [36], Livit (2016) [35], and Neuilu (2016) [30] showed that the factors related to service recipients also affect the establishment of teledermatology. The results of this study indicated that the most important factor in this regard was patient satisfaction.…”

Section: Discussionmentioning

confidence: 99%

Factors Affecting the Establishment of Teledermatology in Iran; A Mixed-Method Study

et al. 2020

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Background and objective: One of the important and common applications of telemedicine is the diagnosis and treatment of skin diseases. However, teledermatology requires further commitments to provide standard services and appropriate electronic data transfer for reliable diagnostics to comply with technical standards and legal requirements. The present study aimed to determine the factors affecting the establishment of Teledermatology in the qualitative and quantitative sections. Methods: A mixed-method study (including quantitative and qualitative sections) was conducted in 2018. In the qualitative section, experts were selected by purposive sampling and the data were collected through 2 focus group discussions and 6 semi-structured interviews. The content of sessions and interviews were transcribed and then analyzed by the content analysis method. In the quantitative section, 384 participants were selected randomly. The data were collected using a researcher-made questionnaire whose validity and reliability were confirmed. Data analyses were performed in SPSS. Results: A total of 8 categories and 58 subcategories were extracted. The 8 categories of the factors affecting the establishment of teledermatology in Iran included service provider, service recipient, structural, technological, economic, policymaking, legal, and cultural. Cultural factors (3.95±0.77) and policymaking factors (3.22±0.84), respectively, had the highest and the lowest effects on the establishment of teledermatology in Iran. Conclusion: Factors affecting the establishment of Teledermatology are diverse and extensive, which the most effective factors were cultural factors, technological factors and factors related to service providers. These findings can help the policymakers and managers interested in the establishment of teledermatology in Iran.

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“…Teledermatology has consistently been reported to be highly effective for triage and subsequently reducing time to treatment for urgent cases and reducing unnecessary referrals for patients whose skin condition can be effectively managed by primary care . In a recent primary study, 68% of in‐person appointments were avoided using teledermatology for triage to identify patients that had a benign lesion . Other primary studies have found similar results identifying potentially between 40‐66% of in‐person visits as avoidable as a result of teledermatology triage …”

Section: Evidence For Teledermatologymentioning

confidence: 91%

“…Mobile phone applications are increasingly being used for SAF teledermatology . Secure email and integrated electronic medical records to share images between the referrer and provider are alternative methods of implementing SAF teledermatology. To facilitate SAF, the Guidelines describe minimum technical standards for clinical photography and dermoscopy.…”

Section: Teledermatology Practicementioning

confidence: 99%

A review of literature supporting the development of practice guidelines for teledermatology in Australia

et al. 2020

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Despite the potential of teledermatology to increase access to dermatology services and improve patient care, it is not widely practised in Australia. In an effort to increase uptake of teledermatology, Australian-specific practice guidelines for teledermatology are being developed by the Australasian College of Dermatologist. This paper reports finding from literature reviews that were undertaken to inform the development of these guidelines. Results cover the following sections: Modalities of teledermatology; Patient selection and consent; Imaging; Quality and safety; Privacy and security; Communication; and Documentation and retention. The document educates providers about the benefits and limitations of telehealth while articulating how to enhance patient care and reduce risk when practicing teledermatology.

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Pilot Teledermatology Service for Assessing Solitary Skin Lesions in a Tertiary London Dermatology Center

Abstract: Teledermatology can significantly reduce the number of urgent referrals necessitating FTF appointments, therefore providing a new solution to streamline care delivery.

Cited by 11 publications

References 24 publications

Diagnostic Concordance in Tertiary (Dermatologists-to-Experts) Teledermoscopy: A Final Diagnosis-Based Study on 290 Cases

Diagnostic Concordance in Tertiary (Dermatologists-to-Experts) Teledermoscopy: A Final Diagnosis-Based Study on 290 Cases

Factors Affecting the Establishment of Teledermatology in Iran; A Mixed-Method Study

A review of literature supporting the development of practice guidelines for teledermatology in Australia

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