Pediatric teledermatology: A review of the literature

Cartron, Alexander M; Aldana, Paola C; Khachemoune, Amor

doi:10.1111/pde.14479

Cited by 21 publications

(36 citation statements)

References 29 publications

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“…Reviews of prior literature have shown that certain pediatric dermatologic conditions are well suited for remote diagnosis and management. 16,17 We report the experience with a physician-to-physician SAF consult service at the Massachusetts General Hospital (MGH), identifying patient and consult variables associated with successful diagnosis and management. Our results may be applied to improve existing and implement new SAF services.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of electronic consults for outpatient pediatric patients with dermatologic complaints

Pahalyants

Murphy

Gunasekera

et al. 2021

Pediatric Dermatology

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Background: Although dermatologic complaints are frequently encountered by pediatricians, access to pediatric dermatologists remains limited. Teledermatology has been proposed to expand access to dermatologic care for children. We report our experience with a physician-to-physician store-and-forward teledermatology service (eConsults), focusing on patient and consult characteristics and their relationship with teledermatologist confidence and follow-up recommendations as well as clinical outcomes. Methods:We reviewed electronic health records of all pediatric patients referred through eConsults at the Massachusetts General Hospital from 1/13/2020 to 7/17/2020. We assessed pediatrician and parental receptiveness with a confidential survey.Results: A total of 302 referrals (median patient age 4.6 years (IQR 0.6-12); 54% female) and 310 cases were completed in 1.8 days on average (SD = 1.2). Teledermatologists rated their confidence as definite and moderate in 51.3% and 39.4% cases, respectively. Teledermatologists felt comfortable managing rashes remotely, but patients with alopecia, pigmented and vascular lesions, and warts frequently required formal dermatology evaluation. Among patients seen subsequently, full concordance was seen for 70.1% of diagnoses and 74.4% of management recommendations. All responding pediatricians were satisfied with the service, and 97.5% felt that the parents were receptive to it. Conclusions:Our study supports the growing evidence that store-and-forward teledermatology can quickly and effectively provide the access to pediatric dermatologic care and is well received by pediatricians and parents. To maximize cost-effectiveness of store-and-forward teledermatology, dermatologists should work with referring providers to improve the quality of submitted photographs and patient history as well as advise in-person referrals for cases likely to require further follow-up.

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Section: Introductionmentioning

confidence: 99%

Evaluation of electronic consults for outpatient pediatric patients with dermatologic complaints

Pahalyants

Murphy

Gunasekera

et al. 2021

Pediatric Dermatology

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“…Pediatric teledermatology can be delivered via synchronous, asynchronous, and hybrid means [ 2 ]. Synchronous teledermatology involves real-time/live video teleconferencing, while asynchronous teledermatology, including direct-to-consumer applications, involves store-and-forward platforms transmitting submitted images from the patient, caregiver, or other nondermatological physicians.…”

Section: Discussionmentioning

confidence: 99%

“…Synchronous teledermatology involves real-time/live video teleconferencing, while asynchronous teledermatology, including direct-to-consumer applications, involves store-and-forward platforms transmitting submitted images from the patient, caregiver, or other nondermatological physicians. Hybrid platforms were a mix of the aforementioned modes [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

A Glance at the Practice of Pediatric Teledermatology Pre- and Post–COVID-19: Narrative Review

Long¹,

Chandran²

2022

JMIR Dermatol

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Background The COVID-19 pandemic has accelerated the use of pediatric teledermatology, with centers showing increased uptake of teledermatology. Pediatric patients possess unique characteristics that pose different challenges with teledermatology compared to adults, in turn affecting the feasibility and uptake of pediatric teledermatology in the community. Objective This narrative review summarizes the evolution of pediatric teledermatology from pre–COVID-19 pandemic times to the post–COVID-19 period. Methods A search of MEDLINE, PubMed, and Embase was performed for original articles written in English and published from December 1, 2019, to April 1, 2022. Results A total of 22 publications were included. Conclusions Teledermatology will continue to play an increasing role in the management of skin diseases. A mindset shift in the types of conditions deemed suitable for pediatric teledermatology is needed.

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“…A recent review of the available paediatric dermatology literature by Cartron et al . 6 suggested that in general, paediatric dermatologists appear optimistic about the utility of telemedicine for their practices 7 , 8 and that teledermatology has applications in both outpatient and inpatient paediatric medicine to increase efficiency and reduce costs. 6 Recommended considerations prior to a paediatric teledermatology encounter 6 , 9 included determining the appropriateness of a virtual consultation on a case‐by‐case basis and the subsequent need to be seen FTF; establishment of a doctor–patient relationship (either in person or via video conferencing), and obtaining informed consent from patients and/or parents, as appropriate.…”

Section: Discussionmentioning

confidence: 99%

Evaluating paediatric dermatology telephone clinics during COVID‐19 from a dual clinician and patient perspective: a prospective study

Lowe

Dawood

Altayeb

et al. 2021

Clin Experimental Derm

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Summary Background The landscape of dermatology services, already rapidly evolving into an increasingly digital one, has been irretrievably altered by the COVID‐19 (SARS‐CoV‐2) pandemic. Data are needed to assess how best to deliver virtual dermatology services in specific patient subgroups in an era of ongoing social distancing and beyond. Initial studies of teledermatology in paediatric populations suggest that many of the problems experienced in adult telemedicine are more apparent when treating children and come with additional challenges. Aim To evaluate the efficacy of a virtual paediatric dermatology telephone clinic in comparison to traditional face‐to‐face (FTF) clinics, both from the clinician and patient/parental perspective. Methods We carried out a prospective service evaluation examining a single centre cohort of paediatric dermatology patients managed during the COVID‐19 pandemic via a telephone clinic supported by images. The study period covered June–September 2020. Data on outcomes were collected from clinicians and a qualitative patient/parental telephone survey was undertaken separately. A five‐point Likert scale was used to assess both satisfaction and levels of agreement regarding whether a telephone clinic was more convenient than an FTF clinic. Results Of 116 patients included, 24% were new and 76% were follow‐up patients, with a mixture of inflammatory dermatoses (75%) and lesions (25%). From the clinician's perspective, most consultations (91%) were successfully completed over the telephone. However, qualitative patient and parent feedback paradoxically illustrated that although nearly all (98%) respondents had no outstanding concerns, 52% felt highly unsatisfied and only 22% agreed that telephone clinics were more convenient. Most (65%) preferred FTF follow‐up in the future. Statistical analysis using χ² test showed that among those with established follow‐ups, the preference for future consultation type was independent of specific reasons for follow‐up. Conclusions Our study demonstrates a clear discrepancy between the practical successes of a virtual service from the clinician’s perspective compared with the patient/parental perspective. Parental anxiety appears to be less effectively allayed virtually than with FTF. This raises the question of whether there is a role for virtual paediatric telephone clinics in the postpandemic future, which may be better left to patients/parents to decide on an individual basis.

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Pediatric teledermatology: A review of the literature

Cited by 21 publications

References 29 publications

Evaluation of electronic consults for outpatient pediatric patients with dermatologic complaints

Evaluation of electronic consults for outpatient pediatric patients with dermatologic complaints

A Glance at the Practice of Pediatric Teledermatology Pre- and Post–COVID-19: Narrative Review

Evaluating paediatric dermatology telephone clinics during COVID‐19 from a dual clinician and patient perspective: a prospective study

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