Teledermatology in the COVID-19 pandemic: A systematic review

Loh, Chee Hoou; Tam, Steve Yew Chong; Oh, Choon Chiat

doi:10.1016/j.jdin.2021.07.007

Cited by 43 publications

(44 citation statements)

References 44 publications

(102 reference statements)

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“…17 Telehealth was used extensively during the COVID-19 pandemic, including in emergency care and specialty medicine, potentially offsetting in-person visits that had to be cancelled or postponed. [18][19][20] However, the increase in remote consultations only partially compensated for the decline in face-to-face appointments. 21 22 The question of the consequences of the non-provision of care resulting from the sanitary crisis remains open.…”

Section: Discussionmentioning

confidence: 99%

Early impact of the COVID-19 pandemic on in-person outpatient care utilisation: a rapid review

2022

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ObjectivesTo quantitatively assess the early impact of the COVID-19 pandemic on in-person outpatient care utilisation worldwide, as well as across categories of services, types of care and medical specialties.DesignRapid review.MethodA search of MEDLINE and Embase was conducted to identify studies published from 1 January 2020 to 12 February 2021, which quantitatively reported the impact of the COVID-19 pandemic on the amount of outpatient care services delivered (in-person visits, diagnostic/screening procedures and treatments). There was no restriction on the type of medical care (emergency/primary/specialty care) or target population (adult/paediatric). All articles presenting primary data from studies reporting on outpatient care utilisation were included. Studies describing conditions requiring hospitalisation or limited to telehealth services were excluded.ResultsA total of 517 articles reporting 1011 outpatient care utilisation measures in 49 countries worldwide were eligible for inclusion. Of those, 93% focused on the first semester of 2020 (January to June). The reported results showed an almost universal decline in in-person outpatient care utilisation, with a 56% overall median relative decrease. Heterogeneity across countries was high, with median decreases ranging from 10% to 91%. Diagnostic and screening procedures (−63%), as well as in-person visits (−56%), were more affected than treatments (−36%). Emergency care showed a smaller relative decline (−49%) than primary (−60%) and specialty care (−58%).ConclusionsThe provision of in-person outpatient care services has been strongly impacted by the COVID-19 pandemic, but heterogeneously across countries. The long-term population health consequences of the disruption of outpatient care service delivery remain currently unknown and need to be studied.PROSPERO registration numberCRD42021237366.

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Section: Discussionmentioning

confidence: 99%

Early impact of the COVID-19 pandemic on in-person outpatient care utilisation: a rapid review

2022

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“…55,56 A recent systematic review further demonstrated that the use of telemedicine in dermatology has been on the rise during the current pandemic and that a majority of studies found teledermatology to be a useful and convenient tool for managing common ambulatory dermatoses. 57 Finally, health care institutions can consider using quality-of-life measures, such as the dermatology life quality index, to evaluate the burden caused by occupational skin disease. The dermatology life quality index, in particular, has been validated and used in multiple studies, providing an alternative dimension to assess the impact on function.…”

Section: Long-term Preventionmentioning

confidence: 99%

Personal protective equipment-related occupational dermatoses during COVID-19 among health care workers: A worldwide systematic review

Keng¹,

Gan²,

Tam³

et al. 2021

JAAD International

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Background Occupational dermatoses caused by personal protective equipment (PPE) in the current COVID-19 pandemic are emerging occupational health challenges which must be promptly and effectively addressed to ease the burden on our healthcare workers (HCWs). Objective A systematic review was conducted to determine common PPE-related dermatoses, affected body sites, and implicated occupational contactants. We further proposed solutions to mitigate this problem. Methods Online databases were searched for articles on PPE-related dermatoses in HCWs during COVID-19, written in English and published from January 1, 2020 to January 30, 2021. Results 16 studies, involving a total of 3958 participants, were included. The most common dermatoses were xerosis, pressure-related erythema, and contact dermatitis, mainly affecting the face and hands. The most widely implicated contactants were increased frequency of hand hygiene, gloves, N95 masks, and goggles. Proposed solutions were categorized into individual self-care, protection of the workforce, and long-term preventative measures. Conclusion Through measures such as regular basic skincare education, early access to specialty clinics via telemedicine, and the design of better-fit PPE, the challenges posed by PPE-related occupational dermatoses can be significantly reduced.

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“…However, even if several studies reported the use of telemedicine in patients with acne, [ 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 ] the role of remote assessment for HS patients was not extensively investigated during the COVID-19 pandemic period [ 49 , 50 , 51 , 52 ].…”

Section: Resultsmentioning

confidence: 99%

“…In regards to acne disease, the role of telemedicine in acne management was also investigated before the COVID-19 pandemic period [ 40 ]. In fact, Frühauf et al reported the results of a randomized controlled trial with the purpose of assessing the superiority of mobile teledermatology in the care of patients with severe acne compared to outpatient services.…”

Section: Resultsmentioning

confidence: 99%

“…This trial showed that teledermatology was a useful, effective, safe, and well accepted tool [ 39 ]. This approach has been strongly investigated during the COVID-19 pandemic period since acne is the main condition reported to be managed through teledermatology [ 40 ]. The use of teledermatology impacted the therapies and clinical assessment of patients with acne as well as patients’ features, which affected the efficacy of this approach.…”

Section: Resultsmentioning

confidence: 99%

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Teledermatology and Inflammatory Skin Conditions during COVID-19 Era: New Perspectives and Applications

Marasca

Annunziata

Camela

et al. 2022

JCM

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Background: The most frequent inflammatory skin diseases are psoriasis, atopic dermatitis, hidradenitis suppurativa, and acne. Their management is challenging for dermatologists since their relapsing chronic clinical course is associated with a great impact on quality of life. Nevertheless, the recent introduction of novel therapies, such as biological drugs and small molecules has been changing the history of these diseases. Methods: A systematic review of the scientific literature of case reports, case series, epidemiological studies, reviews, and systematic reviews regarding teledermatology and inflammatory skin disease. Studies were identified, screened, and extracted for relevant data following the PRISMA (preferred reporting items for systematic reviews and meta-analyses) guidelines. Results: A total of 69 cases articles were included in the review. Conclusions: As we have shown in the review, several experiences of teledermatology for patients affected by inflammatory skin diseases have been demonstrated to increase due to clinical access to hospital and specialized health care services, allowing better access to specialized dermatology care for people living in remote areas, and saving costs and money with health care.

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Teledermatology in the COVID-19 pandemic: A systematic review

Cited by 43 publications

References 44 publications

Early impact of the COVID-19 pandemic on in-person outpatient care utilisation: a rapid review

Early impact of the COVID-19 pandemic on in-person outpatient care utilisation: a rapid review

Personal protective equipment-related occupational dermatoses during COVID-19 among health care workers: A worldwide systematic review

Teledermatology and Inflammatory Skin Conditions during COVID-19 Era: New Perspectives and Applications

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