Monitoring a Remote Phototherapy Unit via Telemedicine

Klotz, Jennifer; Muir, Linda; Cameron, Crystal; Delaney, Laura

doi:10.1177/120347540500900202

Cited by 7 publications

(12 citation statements)

References 6 publications

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“…164,165 A Canadian study provides evidence that monitoring a remote phototherapy clinic via teledermatology is effective. 166 In an area with a shortage of dermatologists, two groups of psoriasis patients received phototherapy with different monitoring methods. One group of psoriasis patients received phototherapy with on-site supervision, but not supervision by a dermatologist.…”

Section: Treatment Of Psoriasis In the Following Settingsmentioning

confidence: 99%

A series of critically challenging case scenarios in moderate to severe psoriasis: A Delphi consensus approach

Strober

Berger

Cather³

et al. 2009

Journal of the American Academy of Dermatology

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Section: Treatment Of Psoriasis In the Following Settingsmentioning

confidence: 99%

A series of critically challenging case scenarios in moderate to severe psoriasis: A Delphi consensus approach

Strober

Berger

Cather³

et al. 2009

Journal of the American Academy of Dermatology

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“…12 The dermatoses require MT for screening and triage, the purpose of diagnoses and screening a dermatoses needs SAFT, follow-up care can be provided by SAFT or MT and counseling and education needs VC or HT. [88][89][90][91][92][93][94][95] The most common purpose of teledermatology is diagnosis. The use of SAFT is common in all application areas of TDP.…”

Section: Design Of a Teledermatology Practicementioning

confidence: 99%

Classification and design of teledermatology practice: What dermatoses? Which technology to apply?

Kanthraj¹

2009

Acad Dermatol Venereol

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Dermatologists are mostly confined to urban regions and rural population is deprived of specialist care. Teledermatology Practice (TDP) is a solution to overcome this global problem. Tools for TDP includes video conference, store and forward, hybrid, mobile, satellite communication, integration model, nurse-led teledermatology, teledermatology focusing on difficult-to-manage cases, teledermoscopy, and teledermatopathology with combined applications. This article reviews the feasibility studies focusing teledermatology tools and analyses the possible options in designing TDP. Categorizing dermatoses for TDP depends on the purpose and types of technology. The dermatoses presenting from a remote geographic regions requires any of the following approaches (i) only TDP, (b) initial TDP followed by face-to-face, (iii) initial face-to-face followed by TDP and (iv) only face-to-face examination. The technology should suit the dermatoses, meet the purpose, be cost-effective and provide better management with follow-up care. We recommend store and forward as a basic TDP model as most dermatoses are diagnosed and follow-up care is delivered. Leprosy, pigmented skin lesions, leg ulcers, HIV and endemic dermatoses require screening and triage services using mobile teledermatology. Counselling and education require videoconference. Rural dermatology's camps require satellite communication mounted on a vehicle. Objective assessment (vitiligo and leg ulcer) after treatment requires integration model at a tertiary centre. Difficult-to-manage cases require second opinion using hybrid/store and forward TDP. Lower rural centre are provided with mobile/ store and forward teledermatology services. Selected or major community centre should be equipped with hybrid teledermatology and linked to a tertiary centre. This process helps healthcare administration to plan a TDP to cover all dermatoses, utilizing the available health care professional (HCP) and technology with minimum budget investment.

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“…14,[19][20][21][22] Previous studies of individuals with psoriasis have revealed widespread dissatisfaction with treatments received, as well as frustration with current management strategies, the need for more appropriate forms of therapy, [23][24][25] and improved health care access and coverage. 26,27 In view of the limited Canadian data available, this survey aimed to facilitate better understanding of the severity and impact of psoriasis on Canadian patients. The study details the therapies received, level of satisfaction, and awareness of current treatment options in a Canadian population of individuals with moderate to severe plaque psoriasis.…”

Section: Introductionmentioning

confidence: 99%

A Canadian online survey to evaluate awareness and treatment satisfaction in individuals with moderate to severe plaque psoriasis

et al. 2010

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A total of 514 panelists completed the survey; 65% reported current moderate/severe/very severe psoriasis. Awareness of available treatment options ranged from 98% for prescription topical agents to 75% for photo/light therapy, and < 50% for prescription oral (49%) or injectable (35%) medications. A total of 92% of respondents had been treated with and 61% were currently taking prescription topical agents. Photo/light therapy had been used by 38% and was currently used by 7% of respondents. Prescribed oral medication had been taken by 25% and was currently used by 8%. Few subjects had been treated with injectables in the past (10%) or currently (5%). Overall, 24% of respondents were very satisfied with their current treatment. A total of 63% of respondents taking injectables were very satisfied, compared with 38% of those taking prescribed oral medication and 21% of those receiving photo/light therapy.Conclusions Most respondents with moderate to severe psoriasis were unaware of all treatment options; systemic treatments were not commonly utilized. Treatment satisfaction rates were low, highlighting the need to ensure greater patient education on and use of available therapeutic options.

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Monitoring a Remote Phototherapy Unit via Telemedicine

Abstract: Telemedicine provided an excellent way to monitor patients receiving phototherapy in an area without a dermatologist. Overall, patient care improved: More patients were treated effectively with better outcomes and fewer side effects.

Cited by 7 publications

References 6 publications

A series of critically challenging case scenarios in moderate to severe psoriasis: A Delphi consensus approach

A series of critically challenging case scenarios in moderate to severe psoriasis: A Delphi consensus approach

Classification and design of teledermatology practice: What dermatoses? Which technology to apply?

A Canadian online survey to evaluate awareness and treatment satisfaction in individuals with moderate to severe plaque psoriasis

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