Geriatric teledermatology: <i>store‐and‐forward</i> vs. <i>face‐to‐face</i> examination

Rubegni, Pietro; Nami, Niccolò; Cevenini, Gabriele; Poggiali, S; Hofmann‐Wellenhof, Rainer; Massone, Cesare; Bilenchi, Roberta; Bartalini, M; Cappelli, Roberto; Fimiani, Michele

doi:10.1111/j.1468-3083.2011.03986.x

Cited by 47 publications

(27 citation statements)

References 35 publications

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“…Specifically, surgery showed the highest concordance of the 3 types of therapy (133/147). This result, combined with the fact that the most frequent group of skin disorders was neoplasms, confirms that TD is a useful auxiliary and could be a valid alternative to conventional face-to-face examination for benign and other epithelial growths, which often require surgery (8,(33)(34)(35).…”

Section: Discussionsupporting

confidence: 74%

“…Many studies have demonstrated the feasibility and reliability of TD and shown that it reduces face-to-face examinations by 70-80%, with clear advantages for patients and healthcare systems (1,4,5,7,8). The results of these studies are so encouraging that new techniques and methods have recently been developed, e.g.…”

Section: Discussionmentioning

confidence: 94%

“…Table I shows that correct classification percentages were always above 90%, except for prurigo nodularis (7/8; 87.5%) and psoriasis (10/14; 71.4%). For prurigo nodularis, the correct classification percentage was just below 90% due to the small total number of cases observed (8). For psoriasis, however, the total number of cases was quite large (14) and out of 4 telemedicine errors, 3 were wrongly classified as contact dermatitis.…”

Section: Discussionmentioning

confidence: 97%

“…Dermatology, together with radiology and pathology, is one of the most visual specialties in medicine (1)(2)(3). Several recent studies demonstrate the feasibility and reliability of patient assessment by teledermatology (TD) (4)(5)(6)(7)(8)(9)(10)(11)(12). However, these studies also show that accurate medical history, clinical data and suitable equipment to reproduce visual perception are essential for successful teleconsultations (13,14).…”

mentioning

confidence: 99%

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Concordance and Time Estimation of Store-and-forward Mobile Teledermatology Compared to Classical Face-to-face Consultation

Nami

Massone²,

Rubegni³

et al. 2015

Acta Derm Venerol

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Smartphones have overcome the limitations of image quality seen in older devices and opened a new field of telemedicine called "mobile teledermatology". Technological advances and the need to reduce health service costs will strongly promote the development of telemedicine. For this reason, we evaluated the concordance between store-and-forward mobile teledermatology and the classical face-to-face dermatological visit. We also measured the time taken to submit a teleconsultation using a smartphone. Before conventional face-to-face visit, a final-year resident of the three-year course for general practitioners collected medical history, took digital images of skin diseases with a smartphone and, measuring the time required to complete this operation, transmitted them to an expert teledermatologist. In 391 patients we obtained a concordance between face-to-face and store-and-forward diagnosis of 91.05% (Cohen κ coefficient = 0.906). On average only few minutes needs to be added to a normal visit to transmit the cases to an expert teledermatologist.

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Section: Discussionsupporting

confidence: 74%

Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 97%

mentioning

confidence: 99%

See 2 more Smart Citations

Concordance and Time Estimation of Store-and-forward Mobile Teledermatology Compared to Classical Face-to-face Consultation

Nami

Massone²,

Rubegni³

et al. 2015

Acta Derm Venerol

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show abstract

“…Mobile teledermatology, which uses cellular phones for dermatology care, is a variant of store and forward technology and video conference and it differs in the additional requirement for net connectivity technology. Further, some studies have reported the advent of teledermatology in pediatric [10,11] and geriatric [12] dermatology. Division of various types of teledermatology practice helps to observe the diagnostic accuracy, patient-dermatologist satisfaction, economic analysis with respect to each type of teledermatology practice.…”

Section: Introduction Introductionmentioning

confidence: 97%

Patient-assisted teledermatology practice: What is it? When, where, and how it is applied?

Kanthraj¹

2015

Indian J Dermatol Venereol Leprol

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Recent teledermatology practice has been focused on different models made possible by robust advances in information technology leading to consistent interaction between the patient and health care professionals. Patient-assisted teledermatology practice also called patient-enabled teledermatology or home based teledermatology is one such novel model. There is a lack of scientific literature and substantive reviews on patient-assisted teledermatology practice. The present article reviews several studies and surveys on patient-assisted teledermatology practice and outlines its advantages and barriers to clinical utility and analyses the potentiality of this concept. Incorporating patient-assisted teledermatology practice as a novel model in the revised classification of teledermatology practice is proposed. In patient-assisted teledermatology, the patient can upload his/her clinical images as a first contact with the dermatologist or an initial face-to-face examination can be followed by teledermatology consultations. The latter method is well suited to chronic diseases such as psoriasis, vitiligo, and leg ulcers, which may need frequent follow-up entailing significant costs and time, particularly in the elderly. Teledermatology may also be used by the treating dermatologist to seek expert opinion for difficult cases. Studies have demonstrated the importance and usability of the concept of patient-assisted teledermatology practice. Various teledermatology care models are available and the appropriate model should be chosen depending on whether the clinical situation is that of easily diagnosed cases ("spotters"), chronic cases or doubtful cases and difficult-to-manage cases.

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Geriatric Dermatology

Endo

Peebles

Lloyd

2021

Geriatrics for Specialists

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Geriatric teledermatology: store‐and‐forward vs. face‐to‐face examination

Abstract: Store-and-forward teledermatology can improve diagnostic and therapeutic care for skin disease in elderly who lack easy and/or direct access to dermatologists.

Cited by 47 publications

References 35 publications

Concordance and Time Estimation of Store-and-forward Mobile Teledermatology Compared to Classical Face-to-face Consultation

Concordance and Time Estimation of Store-and-forward Mobile Teledermatology Compared to Classical Face-to-face Consultation

Patient-assisted teledermatology practice: What is it? When, where, and how it is applied?

Geriatric Dermatology

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