Teledermatology with general practitioners and pediatricians during<scp>COVID</scp>‐19 outbreak in Italy: Preliminary data from a second‐level dermatology department in<scp>North‐Eastern</scp>Italy

Bergamo, Serena; Calacione, Roberta; Fagotti, Serena; Finizio, Luca; Scaini, MariaTeresa; Schiesari, Lorenzo; Gatti, Alessandro

doi:10.1111/dth.14040

Cited by 13 publications

(13 citation statements)

References 3 publications

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“…It is conceivable that an even larger proportion of patients could avoid FTF appointments for general dermatologic concerns. For instance, Bergamo et al [ 41 ] observed that 84% of teledermatology consultations from PCPs involved diagnostic and therapeutic recommendations that avoided FTF visits [ 41 ]. Similar to research involving patient-generated images, data on the clinical outcomes of postponing or avoiding dermatology clinic visits are needed.…”

Section: Resultsmentioning

confidence: 99%

Store-and-Forward Images in Teledermatology: Narrative Literature Review

Jiang¹,

Flynn²,

Kwock³

et al. 2022

JMIR Dermatol

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Background Store-and-forward (SAF) teledermatology uses electronically stored information, including patient photographs and demographic information, for clinical decision-making asynchronous to the patient encounter. The integration of SAF teledermatology into clinical practice has been increasing in recent years, especially during the COVID-19 pandemic. Despite this growth, data regarding the outcomes of SAF teledermatology are limited. A key distinction among current literature involves comparing the quality and utility of images obtained by patients and trained clinicians, as these metrics may vary by the clinical expertise of the photographer. Objective This narrative literature review aimed to characterize the outcomes of SAF teledermatology through the lens of patient- versus clinician-initiated photography and highlight important future directions for and challenges of the field. Methods A literature search of peer-reviewed research was performed between February and April 2021. Key search terms included patient-initiated, patient-submitted, clinician-initiated, clinician-submitted, store-and-forward, asynchronous, remote, image, photograph, and teledermatology. Only studies published after 2001 in English were included. In total, 47 studies were identified from the PubMed electronic database and Google Scholar after omitting duplicate articles. Results Image quality and diagnostic concordance are generally lower and more variable with patient-submitted images, which may impact their decision-making utility. SAF teledermatology can improve the efficiency of and access to care when photographs are taken by either clinicians or patients. The clinical outcomes of clinician-submitted images are comparable to those of in-person visits in the few studies that have investigated these outcomes. Coinciding with the onset of the COVID-19 pandemic, asynchronous teledermatology helped minimize unnecessary in-person visits in the outpatient setting, as many uncomplicated conditions could be adequately managed remotely via images captured by patients and referring clinicians. For the inpatient setting, SAF teledermatology minimized unnecessary contact during dermatology consultations, although current studies are limited by the heterogeneity of their outcomes. Conclusions In general, photographs taken by trained clinicians are higher quality and have better and more relevant diagnostic and clinical outcomes. SAF teledermatology helped clinicians avoid unnecessary physical contact with patients in the outpatient and inpatient settings during the COVID-19 pandemic. Asynchronous teledermatology will likely play a greater role in the future as SAF images become integrated into synchronous teledermatology workflows. However, the obstacles summarized in this review should be addressed before its widespread implementation into clinical practice.

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Section: Resultsmentioning

confidence: 99%

Store-and-Forward Images in Teledermatology: Narrative Literature Review

Jiang¹,

Flynn²,

Kwock³

et al. 2022

JMIR Dermatol

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“…There had been a significant increase in the uptake of TD in dermatology practice worldwide during the pandemic. [7][8][9][10][11] The prevalence of TD utilization across various institutions and countries was not consistently reported in most of the included articles. In a single-center study based in Texas, United States, Farshchian et al 11 reported that more than 77% of all routine consultations were performed via TD.…”

Section: Resultsmentioning

confidence: 99%

“…The conditions reported to be commonly managed through asynchronous TD are acne, 7,12 psoriasis, 7,8 oncodermatology cases, 13,14 hair disorders, 15 infantile haemangiomas, 16 tinea, eczema, intertrigo, photodermatitis, pityriasis rosea, and pyogenic granuloma. 8 Clinical photographs are essential to asynchronous TD. A triage system based on clinical photographs was reported to be useful in the management of routine dermatology conditions, reducing unnecessary face-to-face (FTF) consultations.…”

Section: Asynchronous Tdmentioning

confidence: 99%

“…7,16 17 However, clinical assessment can be limited by the suboptimal quality of photographs. 8,15 Cartron et al 18 found that only half of all photographs used for asynchronous TD were determined to be of high quality, resulting in 31.3% of all TD reviews being converted to FTF visits. Two other studies have reported that the quality of images used in asynchronous TD is low and nonstandardized, making it challenging to reach a diagnosis.…”

Section: Asynchronous Tdmentioning

confidence: 99%

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Teledermatology in the COVID-19 pandemic: A systematic review

Loh

Tam

2021

JAAD International

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Background Teledermatology (TD) has emerged as a critical way of delivering care remotely in the COVID-19 pandemic. Objective We conducted a systematic review to assess how TD has been implemented worldwide. Methods We searched PubMed, SCOPUS, EMBASE, Web of Science and Google Scholar for articles on the use of TD for patient care, written in English and published from December 1 st 2019 to October 15 th 2020. Results 27 studies were included, involving 16,981 patients. There was significant uptake of TD during the pandemic. Synchronous TD appeared to be more commonly implemented than asynchronous TD. Common ambulatory dermatoses such as acne or eczema were reported to be more amenable to TD assessment and management. TD also appeared to be useful for the diagnosis of cutaneous involvement of COVID-19 infection and follow-up of stable onco-dermatology cases. Limitations Pooled analysis of all relevant outcomes was not always possible due to the heterogeneity in methodologies of included studies. Conclusions TD is a useful and convenient tool for the management of common ambulatory dermatoses in the COVID-19 pandemic.

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“…However, the quality of photographs was frequently inadequate and the lack of proper physical examination and dermoscopy made it difficult to diagnose pigmented and nonpigmented lesions. 75 Furthermore, second-order analysis such as biopsies and swabs could not be performed. Most impacted were dermatologic oncology patients.…”

Section: Introductionmentioning

confidence: 99%

How Coronavirus Disease 2019 Changed Dermatology Practice in 1 Year Around the World

Sun

McMahon

Ugwu‐Dike

et al. 2021

Dermatologic Clinics

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Coronavirus disease 2019 (COVID-19) brought the world to its knees. As each nation grappled with launching an effective response while simultaneously minimizing repercussions on health care systems, economies, and societies, the medical and scientific landscape shifted forever. In particular, COVID-19 has challenged and transformed the field of dermatology and the way we practice. In this article, dermatologists from 11 countries share insights gained from local experience. These global perspectives will help provide a better framework for delivering quality dermatologic care and understanding how the field has evolved during this medical crisis.

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Teledermatology with general practitioners and pediatricians duringCOVID‐19 outbreak in Italy: Preliminary data from a second‐level dermatology department inNorth‐EasternItaly

Cited by 13 publications

References 3 publications

Store-and-Forward Images in Teledermatology: Narrative Literature Review

Store-and-Forward Images in Teledermatology: Narrative Literature Review

Teledermatology in the COVID-19 pandemic: A systematic review

How Coronavirus Disease 2019 Changed Dermatology Practice in 1 Year Around the World

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