Teledermatology: diagnostic reliability in 383 children

Paradela, Sabela; Fernández‐Torres, Rosa; Gómez, Walter Martínez; Fonseca, Eduardo

doi:10.1684/ejd.2015.2658

Cited by 21 publications

(25 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Additionally, the program served as a triage and screening tool to reduce FTF dermatology visits and empowered pediatricians with diagnostic and management recommendations. This was demonstrated by a true 90‐day post‐eConsult visit avoidance of 53.7%, and a theoretical visit avoidance of 68.1% based on teledermatologist recommendation, comparable to FTF avoidance among other pediatric teledermatology programs 2,6,7,14 …”

Section: Discussionmentioning

confidence: 77%

“…This promising tool may increase access to and reduce wait times for specialist guidance, enhance primary care management of skin disease, and triage complex cases for face‐to‐face (FTF) evaluation in dermatology clinic 3,4 . While SAF teledermatology may improve the accuracy of diagnosis and treatment of skin disease in children, 5‐9 little is known about the operational efficiencies and potential cost savings in the pediatric population.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Pediatric dermatology eConsults: Reduced wait times and dermatology office visits

Seiger

Hawryluk

Kroshinsky

et al. 2020

Pediatric Dermatology

View full text Add to dashboard Cite

Background/Objectives: Store-and-forward teledermatology provides pediatricians with specialist guidance in managing skin disease. This study evaluates wait times and face-to-face (FTF) dermatology visit avoidance associated with a pediatric dermatology eConsult program at an urban academic medical center. Methods: In this retrospective cohort study, electronic medical records were reviewed for patients under age 18 for whom a dermatology eConsult was completed between November 1, 2014, and December 31, 2017. Wait times for eConsult completion and initial FTF dermatology appointments were calculated and compared to average wait times for new patient dermatology office appointments from 2016 to 2017. Recommendations for FTF dermatology visits were assessed, along with FTF visit attendance and potential cost savings. Results: One hundred eighty pediatric patients with 188 unrelated skin conditions ("cases") were referred to the program. Of 188 cases, FTF dermatology visits were recommended for 60 (31.9%). Actual FTF dermatology visit avoidance was 53.7% of total cases (n = 101 for whom FTF visit was not recommended and no dermatology visit occurred within 90 days after eConsult submission). The program generated potential savings of $24 059 ($9840 out-of-pocket) in 2016 dollars. Average turnaround for eConsult completion was 1.8 calendar days (median: 1 calendar day, target: 2 business days). Average wait time to initial FTF dermatology evaluation was 37.3 calendar days (versus 54.1 days for pediatric patients referred directly to dermatology clinic between 2016 and 2017). Conclusion: Pediatric dermatology eConsults reduce wait times for specialist care, triage cases for in-office evaluation, reduce need for FTF dermatology visits, and offer potential cost savings for payers and patients. K E Y W O R D S eConsults, health care delivery, store-and-forward teledermatology | 805 Pediatric Dermatology SEIGER Et al.

show abstract

Section: Discussionmentioning

confidence: 77%

Section: Introductionmentioning

confidence: 99%

Pediatric dermatology eConsults: Reduced wait times and dermatology office visits

Seiger

Hawryluk

Kroshinsky

et al. 2020

Pediatric Dermatology

View full text Add to dashboard Cite

show abstract

“…15 Teledermatology has demonstrated accuracy in all Fitzpatrick skin types and the pediatric population, although older age and atypical nevi have been reported to be associated with higher rates of discordant diagnoses. [15][16][17] Despite increasing clinical volume, teledermatology preserves clinical accuracy.…”

Section: Introductionmentioning

confidence: 99%

Teledermatology in the United States: An Update in a Dynamic Era

Yim

Florek

et al. 2018

Telemedicine and e-Health

View full text Add to dashboard Cite

show abstract

“…En casos complejos existe preocupación acerca del buen manejo del paciente 7 . La necesidad de derivación al especialista tras la consulta por vía telemática suele ser por la mala calidad de las imágenes o bien aquellos casos con dermatosis más complejas 8 .…”

Section: Discussionunclassified

Teledermatología en atención primaria

Rubio¹,

Zamora²,

Fernández³

2019

FMC - Formación Médica Continuada en Atención Primaria

View full text Add to dashboard Cite

Teledermatology in Primary CareLas nuevas tecnologías son una herramienta cada vez más utilizada en el desarrollo de la asistencia clínica. La teledermatología pretende establecer una comunicación rápida y eficaz entre el facultativo de Atención Primaria y el especialista en Dermatología. Se expone una muestra del proyecto de calidad llevado a cabo entre los pediatras de un centro de salud del sector 1 de Zaragoza y un especialista en Dermatología del Hospital Royo Villanova. Se describe el cuadro clínico y las imágenes realizadas en la consulta de Atención Primaria de cinco pacientes en edad pediátrica, así como la respuesta por parte del especialista. La teledermatología es un proyecto con buena aceptación por parte de pacientes y profesionales; disminuye listas de espera, evita derivaciones innecesarias y fomenta el aprendizaje por parte del pediatra.New technologies are an increasingly used tool in the development of clinical care. Teledermatology aims to establish a fast and efficient communication between the primary care physician and the specialist in dermatology. We exposed a sample of the quality project carried out between the pediatricians at a health centre in sector 1 in Zaragoza and a specialist in dermatology of the Hospital Royo Villanova. Is describes the picture clinical and the images made in the consultation of attention primary of 5 patients in age Pediatric, as well as the response from the specialist. Teledermatology is a project with good acceptance by patients and professionals; decreases waiting lists, avoids unnecessary referrals and encourages learning by the pediatrician.

show abstract

Teledermatology: diagnostic reliability in 383 children

Cited by 21 publications

References 38 publications

Pediatric dermatology eConsults: Reduced wait times and dermatology office visits

Pediatric dermatology eConsults: Reduced wait times and dermatology office visits

Teledermatology in the United States: An Update in a Dynamic Era

Teledermatología en atención primaria

Contact Info

Product

Resources

About