Diagnostic Value and Cost-Effectiveness of Good Quality Digital Images Accompanying Electronic Referrals for Suspected Skin Malignancies

Ng, Michael; Stevenson, J.H.

doi:10.1097/sap.0b013e3181dc838e

Cited by 4 publications

(5 citation statements)

References 10 publications

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“…Images of high enough quality have been found to be important in order to make TD/TDS referrals useful as triaging tools . However, a few studies show that image quality does not correlate with diagnostic accuracy .…”

Section: Introductionmentioning

confidence: 99%

“…[4][5][6] Images of high enough quality have been found to be important in order to make TD/TDS referrals useful as triaging tools. 7,8 However, a few studies show that image quality does not correlate with diagnostic accuracy. 9,10 Image quality can be kept high using experienced dermatologists or staff with special training as photographers.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Teledermoscopy images acquired in primary health care and hospital settings – a comparative study of image quality

Gyllencreutz

Bäckman

Terstappen

et al. 2017

Acad Dermatol Venereol

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Teledermoscopy images acquired in primary health care and hospital settings – a comparative study of image quality

Gyllencreutz

Bäckman

Terstappen

et al. 2017

Acad Dermatol Venereol

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show abstract

“…Examples include psychiatry 133 (including depression [134][135][136] and dementia 137 ), dermatology, [138][139][140][141][142][143][144] sleep apnea, 145 The following analysis is based on 14 cost studies ( Table 4) dealing with one or more of the target chronic diseases in this article and is organized on the basis of the particular cost method used in the study.…”

Section: Cost Studiesmentioning

confidence: 99%

The Empirical Foundations of Telemedicine Interventions for Chronic Disease Management

Bashshur

Shannon

Smith

et al. 2014

Telemedicine and e-Health

310

210

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The telemedicine intervention in chronic disease management promises to involve patients in their own care, provides continuous monitoring by their healthcare providers, identifies early symptoms, and responds promptly to exacerbations in their illnesses. This review set out to establish the evidence from the available literature on the impact of telemedicine for the management of three chronic diseases: congestive heart failure, stroke, and chronic obstructive pulmonary disease. By design, the review focuses on a limited set of representative chronic diseases because of their current and increasing importance relative to their prevalence, associated morbidity, mortality, and cost. Furthermore, these three diseases are amenable to timely interventions and secondary prevention through telemonitoring. The preponderance of evidence from studies using rigorous research methods points to beneficial results from telemonitoring in its various manifestations, albeit with a few exceptions. Generally, the benefits include reductions in use of service: hospital admissions/readmissions, length of hospital stay, and emergency department visits typically declined. It is important that there often were reductions in mortality. Few studies reported neutral or mixed findings.

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“…Image quality is a concern for implementing TDS, thus making it a necessary area to study 14–17 . High image quality can be obtained by experienced staff at dermatology departments, 11,18 but on many occasions, it is more sensible to acquire TDS images in general practice by staff with little to no photography experience 7,14,19,20 .…”

Section: Introductionmentioning

confidence: 99%

“…5,6,13 Image quality is a concern for implementing TDS, thus making it a necessary area to study. [14][15][16][17] High image quality can be obtained by experienced staff at dermatology departments, 11,18 but on many occasions, it is more sensible to acquire TDS images in general practice by staff with little to no photography experience. 7,14,19,20 A previous study that compared the image quality of TDS images acquired in general practice with dermoscopic images acquired at a dermatology department showed no significant difference in image quality.…”

Section: Introductionmentioning

confidence: 99%

A comparative study of the image quality of dermoscopic images acquired in general practice versus at a dermatology department

Niklasson

Prasad

Schuster

et al. 2023

JEADV Clinical Practice

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BackgroundSkin cancer constitutes a significant and growing disease burden. To deal with this, teledermoscopy (TDS) can be useful. However, image quality is a concern for implementing TDS. High image quality can be obtained at a dermatology department, but in many occasions it is more sensible to acquire TDS images in general practice.ObjectivesTo compare image quality, diagnostic confidence, suggested management, sensitivity, specificity and diagnostic accuracy between two sets of dermoscopic images of the same skin tumour, where one set was acquired in general practice and the other was obtained at a dermatology department.MethodsTwo sets of dermoscopic images of 192 skin lesions were evaluated by the same dermatologist at two different occasions approximately four years apart (2018 versus 2022). At both occasions, the images were evaluated in regards to image quality, diagnostic confidence, whether the lesion was benign or malignant, primary diagnosis and suggested management.ResultsThere were statistically significant differences of diagnostic confidence and suggested management (P = 0.00 for respective parameter), but not for image quality (P = 0.37), sensitivity (P = 0.67), specificity (P = 0.66) and diagnostic accuracy (P = 0.81). The intraobserver agreements were slight for image quality (κ = 0.012), fair for diagnostic confidence (κ = 0.313) and moderate for suggested management (κ = 0.467).ConclusionsThe image quality of both sets of dermoscopic images was most often good. Although we did not find a statistically significant difference in image quality between the two sets of images, our minimal level of intraobserver agreement suggests otherwise. However, this should not hinder TDS image acquisition in general practice as our results indicate that with the availability of referral notes, TDS images taken in general practice can achieve a similar sensitivity, specificity and diagnostic accuracy as dermoscopic images obtained at a dermatology department.This article is protected by copyright. All rights reserved.

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Diagnostic Value and Cost-Effectiveness of Good Quality Digital Images Accompanying Electronic Referrals for Suspected Skin Malignancies

Cited by 4 publications

References 10 publications

Teledermoscopy images acquired in primary health care and hospital settings – a comparative study of image quality

Teledermoscopy images acquired in primary health care and hospital settings – a comparative study of image quality

The Empirical Foundations of Telemedicine Interventions for Chronic Disease Management

A comparative study of the image quality of dermoscopic images acquired in general practice versus at a dermatology department

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