Teledermatology application use in the COVID-19 era

Pulsipher, Kayd J.; Presley, Colby L.; Rundle, Chandler W.; Rietcheck, Hope R; Millitelo, Michelle; Dellavalle, Robert P.

doi:10.5070/d32612051350

Cited by 12 publications

(7 citation statements)

References 7 publications

(11 reference statements)

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“…Teledermatology for patient care became much more widely adopted, and traditionally in-person meetings turned virtual. 30 The reduction in emissions from these changes was remarkable. A recent study looking at the environmental impact of 3 months of teledermatology visits early during the COVID-19 pandemic found that 1476 teledermatology appointments saved 55,737 miles of car travel, equivalent to 15.37 metric tons of CO 2 .…”

Section: U T I S D O N O T C O P Ymentioning

confidence: 99%

Combatting Climate Change: 10 Interventions for Dermatologists to Consider for Sustainability

Sharma¹

2022

Cutis

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Section: U T I S D O N O T C O P Ymentioning

confidence: 99%

Combatting Climate Change: 10 Interventions for Dermatologists to Consider for Sustainability

Sharma¹

2022

Cutis

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“…Digital health applications have become profoundly important in medicine. Although the adoption of these technologies was already growing prior to the COVID‐19 pandemic, recent restrictions have catalyzed a substantial and potentially permanent increase in US telehealth volumes 1,2 . The use of digital health tools for web and mobile‐based imaging are particularly useful in specialties that rely on visual assessment, including dermatology, plastic surgery, and oral‐maxillofacial surgery 3 .…”

Section: Introductionmentioning

confidence: 99%

Digital skin imaging applications, part I: Assessment of image acquisition technique features

Sun

Kentley

Wilson

et al. 2022

Skin Research and Technology

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Background:The rapid adoption of digital skin imaging applications has increased the utilization of smartphone-acquired images in dermatology. While this has enormous potential for scaling the assessment of concerning skin lesions, the insufficient quality of many consumer/patient-taken images can undermine clinical accuracy and potentially harm patients due to lack of diagnostic interpretability. We aim to characterize the current state of digital skin imaging applications and comprehensively assess how image acquisition features address image quality. Materials and methods:Publicly discoverable mobile, web, and desktop-based skin imaging applications, identified through keyword searches in mobile app stores, Google Search queries, previous teledermatology studies, and expert recommendations were independently assessed by three reviewers. Applications were categorized by primary audience (consumer-facing, nonhospital-based practice, or enterprise/health system), function (education, store-and-forward teledermatology, live-interactive teledermatology, electronic medical record adjunct/clinical imaging storage, or clinical triage), inapp connection to a healthcare provider (yes or no), and user type (patient, provider, or both).Results: Just over half (57%) of 191 included skin imaging applications had at least one of 14 image acquisition technique features. Those that were consumer-facing, intended for educational use, and designed for both patient and physician users had significantly greater feature richness (p < 0.05). The most common feature was the inclusion of text-based imaging tips, followed by the requirement to submit multiple images and body area matching.

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“…2 Dermatology-related smartphone applications ("apps") grew by over 80% from 2014-2017 and COVID 19-related policy changes have catalyzed the widespread practice of teledermatology (TD) services. [3][4][5][6][7] TD is now cited as one of the most common uses of telemedicine and is an active area of clinical investigation. [8][9][10][11] Skin imaging and image utilization are central to the functionality of many dermatology applications.…”

Section: Introductionmentioning

confidence: 99%

Digital skin imaging applications, part II: a comprehensive survey of post‐acquisition image utilization features and technology standards

Sun

Kentley

Wilson

et al. 2022

Skin Research and Technology

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Background: Despite the increasing ubiquity and accessibility of teledermatology applications, few studies have comprehensively surveyed their features and technical standards. Importantly, features implemented after the point of capture are often intended to augment image utilization, while technical standards affect interoperability with existing healthcare systems. We aim to comprehensively survey image utilization features and technical characteristics found within publicly discoverable digital skin imaging applications. Materials and Methods:Applications were identified and categorized as described in Part I. Included applications were then further assessed by three independent reviewers for post-imaging content, tools, and functionality. Publicly available information was used to determine the presence or absence of relevant technology standards and/or data characteristics.Results: A total of 20 post-image acquisition features were identified across three general categories: (1) metadata attachment, (2) functional tools (i.e., those that utilized images or in-app content to perform a user-directed function), and (3) image processing. Over 80% of all applications implemented metadata features, with nearly half having metadata features only. Individual feature occurred and feature richness varied significantly by primary audience (p < 0.0001) and function (p < 0.0001). On average, each application included under three features. Less than half of all applications requested consent for user-uploaded photos and fewer than 10% provided clear data use and privacy policies. Conclusion:Post-imaging functionality in skin imaging applications varies significantly by primary audience and intended function, though nearly all applications implemented metadata labeling. Technical standards are often not implemented or reported

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Teledermatology application use in the COVID-19 era

Cited by 12 publications

References 7 publications

Combatting Climate Change: 10 Interventions for Dermatologists to Consider for Sustainability

Combatting Climate Change: 10 Interventions for Dermatologists to Consider for Sustainability

Digital skin imaging applications, part I: Assessment of image acquisition technique features

Digital skin imaging applications, part II: a comprehensive survey of post‐acquisition image utilization features and technology standards

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