Teledermatology and In-Person Examinations

Lowitt, Mark H.; Kessler, Irving I.; Kauffman, C. Lisa; Hooper, Frank J.; Siegel, Eliot L.; Burnett, Joseph W.

doi:10.1001/archderm.134.4.471

Cited by 153 publications

(56 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Several studies showing the feasibility and usefulness of e-visits in dermatology have already been described in the literature, and a high accordance for diagnosis between live visits and e-consultations has been reported in all of them [2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16]. Most of these studies demonstrate high accordance for the diagnosis of inflammatory and neoplastic skin diseases [17, 18, 19, 20, 21], and particularly for the diagnosis of pigmented skin lesions (teledermoscopy) [22, 23, 24, 25, 26].…”

Section: Discussionmentioning

confidence: 99%

Wound Teleconsultation in Patients with Chronic Leg Ulcers

Salmhofer¹,

Hofmann‐Wellenhof²,

Gabler

et al. 2005

Dermatology

View full text Add to dashboard Cite

Background: The treatment of chronic leg ulcers requires frequent assessments of local wound status and adjustment of therapy. The availability of reasonably priced photographic equipment and quick electronic transfer of high-quality digital images should make it possible that the assessment of wound status can be made by remote experts. Objective: This study examines the feasibility of using teledermatology for wound assessment and therapeutic suggestions for patients with chronic leg ulcers. Methods: One hundred ten chronic leg ulcers of different origins were examined in face-to-face consultations. The examining doctor assessed the wound, made therapeutic recommendations and took 1–4 photographs of the wound using a digital camera. The digital images and relevant clinical information were then transmitted via a web application to an expert in wound care, who provided an independent teledermatological assessment of wound status and therapeutic recommendations. Results: In our study, a high accordance between direct consultations and electronic consultations was found in the assessment of chronic leg ulcers, especially for important features like slough (concordance: 84.6%), necrosis (concordance: 98.2%) and granulation tissue formation (concordance: 76.4%). Furthermore, the teledermatologist generally felt confident in recommending further treatment strategies and in planning further wound assessments via the internet. Conclusions: Our results suggest that teledermatology offers great potential for the future in chronic wound care. By reducing the need to travel long distances to the hospital or to consult a physician with expertise in wound care, wound teleconsultation might lower health care costs and improve the quality of life for patients with chronic wounds, while still maintaining a high quality of wound care.

show abstract

Section: Discussionmentioning

confidence: 99%

Wound Teleconsultation in Patients with Chronic Leg Ulcers

Salmhofer¹,

Hofmann‐Wellenhof²,

Gabler

et al. 2005

Dermatology

View full text Add to dashboard Cite

show abstract

“…Diagnostic reliability, using real time interactive technology has been calculated in a range 0.57 0.99 (6)(7)(8). "Store and forward" modality has shown reliability from 0.54 to 0.96 (9)(10)(11)(12).…”

Section: Methodsmentioning

confidence: 99%

Teledermatology

Kadurina

Mitoff

2005

Biotechnology & Biotechnological Equipment

View full text Add to dashboard Cite

Teledermatology has been the focus of much interest in recent years. It holds great potential for revolutionizing the delivery of dermatology services, providing equitable service to remote areas and allowing primary care physicians to refer patients todermatology centres of excellence at a distance. Teledermatology can be applied in one of two ways: it may be conducted in real-time, utilizing videoconferencing equipment, or by "store and forward" methods, when transmitted digital images or photographs are submitted with a clinical history. "Store and forward" teledermatology systems are easy to set up, cheaper and more convenient for the health care provider, but lack the immediacy of patient contact with the dermatologist, and involve a delay in obtaining the diagnosis and advice on management. Studies to date have generally found that real-time dermatology is likely to allow greater clinical information to be obtained from the patient. It must be recognized that teledermatology is potentially a useful communication tool for selected patients in primary care but is unlikely to solve waiting list problems or replace the need for local dermatology services. Before its routine application as a service tool, its reliability, accuracy and cost-effectiveness need to be verified by rigorous evaluation. It is increasingly likely that teledermatology will prove to be a significant tool in the provision of dermatology services in the future.

show abstract

“…"Face-toface"-Diagnosen untersucht. Die Bandbreite der diagnostischen Übereinstim-mung variiert zwischen 59% und 92%; im Durchschnitt werden etwa 80% erreicht [14,17,21,23,25,26,30,31,43]. Bei der relativ groß erscheinenden Bandbreite sind jedoch Studiendesign und Auswertungsmodalitäten zu berücksich-tigen.…”

Section: Teledermatologieunclassified

“…Die Akzeptanz der telemedizinischen Konsultationen ist bei den Patienten und Dermatologen im Allgemeinen sehr hoch [2,16,25]. Das Beurteilen einer solitären Läsion wird oftmals als einfacher angesehen als das disseminierter Hautveränderungen.…”

Section: Teledermatologieunclassified

See 1 more Smart Citation

Dermatologie in der Telemedizin

Düker¹,

Elsner²

2002

Der Hautarzt

View full text Add to dashboard Cite

Telemedicine including teledermatology is the application of telecommunication technology for the purpose of diagnostics, planning and guiding of therapy and education. With the possibility to gain fast access to specialty knowledge, telemedicine makes it possible to deliver health care to patients at distant sites. By participating in telemedical consultations, patients receive accurate diagnosis in a rapid manner and save travel costs and time. Due to recent advances in computing and telecommunications technology, telemedicine will assume a more and more important role in future health care delivery. Telemedicine is utilized by almost all medical specialties but to varying degrees. Dermatology as a visually based specialty is predestined to use the various capabilities of telemedicine. The main applications so far include teledermatohistology and clinical teledermatology. The objective of this paper is to present the current status of teledermatology as part of telemedicine with a look toward future applications.

show abstract

Teledermatology and In-Person Examinations

Cited by 153 publications

References 17 publications

Wound Teleconsultation in Patients with Chronic Leg Ulcers

Wound Teleconsultation in Patients with Chronic Leg Ulcers

Teledermatology

Dermatologie in der Telemedizin

Contact Info

Product

Resources

About