The majority of skin lesions in pediatric primary care attention could be managed by Teledermatology

Giavina-Bianchi, Mara; Santos, Angelo; Cordioli, Eduardo

doi:10.1371/journal.pone.0225479

Cited by 26 publications

(25 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Up to one‐third of patients with neoplasms required an in‐person visit, while none of the patients with acne, dermatophyte or ectoparasitic infections had to be seen in person. Previous studies have also reported conditions such as acne, atopic dermatitis, seborrheic dermatitis, xerosis and dermatophytosis to be particularly suited for telemedicine 12–14 . Two retrospective studies from Brazil reported high degree of accuracy with teledermatology in inflammatory dermatoses and moderate accuracy for neoplasms 15,16 …”

Section: Discussionmentioning

confidence: 99%

Teledermatology during the COVID ‐19 pandemic: Experience at a tertiary care centre in North India

Handa

Mehta

Bishnoi

et al. 2021

Dermatologic Therapy

View full text Add to dashboard Cite

BACKGROUND Teledermatology has evolved as a valuable option to outpatient visits during the current pandemic. We set up a smartphone‐based hybrid model of teledermatology services providing direct care to patients at our center. To analyse patient and physician‐experience and acceptability for teledermatology over a 6‐month‐period, along with clinicodemographic profile of patients. METHODOLOGY Single‐center, retrospective study conducted from May 20, 2020 to October 31, 2020. Patient satisfaction level for teledermatology was assessed on a 4‐point scale and compared with the satisfaction level during their previous physical visits prior to COVID‐19 pandemic. A physician assessment form was utilised to record the experience of dermatologists while providing teledermatology services. RESULTS Of 7530 patients registered, a successful consult was provided to 6125 patients (81.34%). Average number of teleconsultations/day rose from 23.60 in May 2020 to 77.96 in October 2020. Mean age of patients availing teledermatology services was 33.60 ± 16.99 years. Average distance to care and travel time were 100.90 ± 171.77 km and 135 ± 222.32 min, respectively. A definitive diagnosis could be ascertained in 5724 patients (93.45%) and in‐person visit was recommended to 133 patients (2.2%). Out of 6125 patients, 5229 could be contacted for feedback, 935 (18.18%), 2230 (42.65%), 1749 (33.45%), and 300 patients (5.70%) reported being very satisfied, satisfied, partially satisfied, and unsatisfied, respectively. Of 1914 patients, who had availed in‐person OPD facilities prior to the pandemic, 914 patients (49.62%) preferred in‐person visits. Of 34 dermatologists surveyed, 88.2% felt comfortable providing teleconsultations and 82.4% felt the need to continue teledermatology services in the upcoming months. CONCLUSIONS Overall, teledermatology is a valid alternative for in‐person dermatology visits during the current crisis; helping with initial triage and further patient management. Further refinement of the process could lead to even more acceptability.

show abstract

Section: Discussionmentioning

confidence: 99%

Teledermatology during the COVID ‐19 pandemic: Experience at a tertiary care centre in North India

Handa

Mehta

Bishnoi

et al. 2021

Dermatologic Therapy

View full text Add to dashboard Cite

show abstract

“…Advanced cell-phone camera technology has made it easy for taking and sending quality photographs. Studies have demonstrated that most skin lesions in pediatric primary care attention could be managed by tele-dermatology (31,32).…”

Section: Discussionmentioning

confidence: 99%

COVID-19 Era Effect on Pandemic and Post-pandemic Pediatric Telemedicine Use: A Survey of the European Academy of Pediatrics Research in Ambulatory Settings Network

Reingold

Hadjipanayis

Esso³

et al. 2021

Front. Pediatr.

View full text Add to dashboard Cite

Background: During the COVID-19 pandemic, telemedicine use has increased within community pediatrics. This trend runs counter to reluctance to adaptation of the new mode of healthcare that existed prior to the pandemic. Little is known about what we can expect after the pandemic: if physicians will opt for telemedicine modalities and if tele-pediatrics will continue to be a significant mode of community pediatric care.Objective: The goal of this study was to survey primary pediatric care providers as to their experiences and clinical decision making with telemedicine modalities prior to and during the COVID-19 pandemic, as well as their projected use after the pandemic ends.Material and methods: Using the EAPRASnet database we surveyed pediatricians throughout Europe, using a web-based questionnaire. The survey was performed during the COVID-19 pandemic (June–July 2020), assessed telemedicine use for several modalities, prior to and during the pandemic as well as predicted use after the pandemic will have resolved. Participants were also surveyed regarding clinical decision making in two hypothetical clinical scenarios managed by telemedicine.Results: A total of 710 physicians participated, 76% were pediatricians. The percentage of respondents who reported daily use for at least 50% of all encounters via telemedicine modalities increased during the pandemic: phone calls (4% prior to the pandemic to 52% during the pandemic), emails (2–9%), text messages (1–6%), social media (3–11%), cell-phone pictures/video (1–9%), and video conferencing (1–7%) (p < 0.005). The predicted post-pandemic use of these modalities partially declined to 19, 4, 3, 6, 9, and 4%, respectively (p < 0.005), yet demonstrating a prospectively sustained use of pictures/videos after the pandemic. Reported high likelihood of remotely treating suspected pneumonia and acute otitis media with antibiotics decreased from 8 to 16% during the pandemic to an assumed 2 and 4% after the pandemic, respectively (p < 0.005).Conclusions: This study demonstrates an increased utilization of telemedicine by pediatric providers during the COVID-19 pandemic, as well as a partially sustained effect that will promote telemedicine use as part of a hybrid care provision after the pandemic will have resolved.

show abstract

“… 11 Previously, we showed that telemedicine was efficient for triage and management of dermatoses in the pediatric age group. 12 In the present study, the majority of patients with atopic dermatitis did not require an in-person visit with the dermatologist or allergist (72%), presumably because they had mild disease. Patients with more severe atopic dermatitis were probably sent for in-person appointments (28%).…”

Section: Discussionmentioning

confidence: 51%

Accuracy and efficiency of telemedicine in atopic dermatitis

et al. 2020

Self Cite

View full text Add to dashboard Cite

Background: Telemedicine provides accurate diagnoses for skin disorders and has gained emphasis. It may be used for the triage and management of common skin diseases in primary care, improving patients' access and reducing time to treatment. Objective: To evaluate the proportion of atopic dermatitis patients who could be managed with the support of telemedicine and its accuracy. Second, we aimed to assess the frequency of atopic dermatitis, demographics, clinical features, and therapies dispensed in relation to the disease. Methods: Retrospective study in a population of 30,976 individuals, assisted by telemedicine. We assessed patients with the diagnosis of atopic dermatitis and evaluated the proportion of cases referred to biopsy, inperson dermatologists, or to be managed by primary care; the treatments suggested; and telemedicine accuracy to diagnose atopic dermatitis. Results: Atopic dermatitis was diagnosed in 1648 patients (5.3%), the sixth most common dermatosis, with 2058 lesions (3.7%) analyzed. Primary care physicians were able to manage 72% of the atopic dermatitis patients, whereas 28% of them were referred to in-person dermatologists. Accuracy for atopic dermatitis diagnosis was 84.4%. Conclusion: Telemedicine was an accurate method and helped primary care physicians to treat 72% of the atopic dermatitis lesions, thereby optimizing the availability of in-person appointments with dermatologists for more severe cases.

show abstract

The majority of skin lesions in pediatric primary care attention could be managed by Teledermatology

Cited by 26 publications

References 19 publications

Teledermatology during the COVID ‐19 pandemic: Experience at a tertiary care centre in North India

Teledermatology during the COVID ‐19 pandemic: Experience at a tertiary care centre in North India

COVID-19 Era Effect on Pandemic and Post-pandemic Pediatric Telemedicine Use: A Survey of the European Academy of Pediatrics Research in Ambulatory Settings Network

Accuracy and efficiency of telemedicine in atopic dermatitis

Contact Info

Product

Resources

About