Systematic review of mobile phone-based teledermatology

Clark, Ashley K.; Bosanac, Suzana S.; Ho, Bruce Kuo Ting; Sivamani, Raja K

doi:10.1007/s00403-018-1862-4

Cited by 39 publications

(39 citation statements)

References 30 publications

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“…Medical apps can help doctors to offer personalized initial antidepressant drugs according to the patients' symptoms, conditions and other medications [40]. The use of medical apps has also been increased in specialities where clinical observation is a vital diagnostic tool such as Dermatology, Ophthalmology or Radiology [41][42][43]. Furthermore, the usefulness of smartphone apps in telecare was also reported, especially in the long-term management of diseases, with increase in medication adherence and easy patientdoctor communication, especially in the case of initiation of new treatments [44].…”

Section: Medical Applications and Professional Resourcesmentioning

confidence: 99%

Evidence-based medicine self-assessment, knowledge, and integration into daily practice: a survey among Romanian physicians and comparison between trainees and specialists

2020

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Background: A gap between the attitude towards evidence-based medicine (EBM), knowledge and awareness has been reported among physicians from different parts of the world. However, no investigation on Romanian physicians is available in the scientific literature. Our study aimed, firstly, to assess EBM awareness and the knowledge used by Romanian physicians, and, secondly, to compare resident trainees with specialists. Methods: Romanian trainee and specialist physicians were invited to participate in this cross-sectional study. The study tool was an online questionnaire designed to explore their awareness, knowledge, usefulness, the attitude in medical documentation, and the use of professional EBM resources. Data were collected by Google Form from January 1st to April 30th, 2017, respecting the responders' anonymity. Two groups of physicians were investigated as trainees and specialists, respectively. Descriptive statistics (number, percentage, median and interquartile range) was used to describe the survey-related variables. Statistical significance on qualitative data was calculated with the Chi-square test, Fisher's exact test, or the Z-test for proportions. Results: Two hundred and 50 physicians participated in this study (68% trainees vs. 32% specialists). In both groups, a significantly high percentage was represented by women as compared to men (trainees 72.4%, specialists 70%). The correct definition of EBM was identified by most respondents (75.6%). Affirmatively, both trainees and specialists always looked at levels of evidence when reading scientific literature, but a small percentage (6.5% trainees and 3% specialists) adequately identified the uppermost types of evidence in the hierarchy. Almost a quarter of the respondents shared the name of mobile EBM resources that they used to support the daily practice. Only six out of the 49 listed mobile resources met the EBM criteria. Conclusions: The participants proved to have limited knowledge of EBM and a positive attitude towards the concept. They made use of mobile medical resources without understanding which of these were evidence-based.

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Section: Medical Applications and Professional Resourcesmentioning

confidence: 99%

Evidence-based medicine self-assessment, knowledge, and integration into daily practice: a survey among Romanian physicians and comparison between trainees and specialists

2020

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“…However, quality assurance for teledermatology is vital to deliver adequate healthcare. This requires to test teledermatological applications for feasibility, quality, safety and accuracy …”

Section: Introductionmentioning

confidence: 99%

“…Various reviews on teledermatological applications have been published over the last years, but to our knowledge, no up‐to‐date review on LI teledermatology across different conditions has been published. Hence, an overview is lacking on the effectiveness, costs and accuracy of LI applications compared to standard in‐person care.…”

Section: Introductionmentioning

confidence: 99%

“…[7][8][9] Two different forms of teledermatological applications are distinguishable: 'store and forward' (S&F) applications describe applications in which data are stored and retrieved time and location independently, whereas 'live interaction' (LI) applications avail direct communication between at least two stakeholders using videoconferences. 8,10,11 Hybrid forms combine S&F and LI. 2 Due to the increased administrative effort in coordinating live conferences, S&F is the more frequently used method.…”

Section: Introductionmentioning

confidence: 99%

“…15 In addition, with the improvement in the quality of mobile phones, cameras and other technologies, such applications become technically more simple and more affordable. 16,17 Various reviews on teledermatological applications have been published over the last years, 2,8,10 but to our knowledge, no upto-date review on LI teledermatology across different conditions has been published. Hence, an overview is lacking on the effectiveness, costs and accuracy of LI applications compared to standard in-person care.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Live interactive teledermatology compared to in‐person care – a systematic review

Andrees

Klein

Augustin

et al. 2020

Acad Dermatol Venereol

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Teledermatology is a rapidly developing field of dermatological care, giving the opportunity to deliver more efficient healthcare to patients in remote areas. Live interactive (LI) teledermatology uses videoconferencing and, hence, allows for direct communication. A current overview on effectiveness, costs, feasibility and accuracy of LI applications compared to standard care is missing. The present systematic review provides this overview on LI teledermatology. Two databases were searched until April 2019, followed by title, abstract and full‐text screening. Additionally, reference lists of the detected eligible articles were screened for further eligible studies. Studies comparing LI applications with standard care were included. Data on study design, sample size, country, objectives, main findings and characteristics of LI applications were extracted. Results on time effectiveness, costs, accuracy and feasibility of LI applications were synthesized. Additionally, the quality of included studies was assessed. Twenty‐three publications were included in the final analysis: seventeen case–control studies and six randomized controlled trials. Included studies were published between 1997 and 2017. Study quality differed across studies. The studies were carried out in eight different countries. Eleven studies focused on patient consultation, three on patient organization and nine on combined applications of the aforementioned. Nine studies investigated applications facilitating patient–provider interaction. Fourteen studies evaluated applications combining patient–provider and provider–provider interaction, meaning the patient sits next to one provider while using LI applications to interact with another provider. This review reveals that LI applications can be a time effective substitute of or supplement to standard dermatological care. Results demonstrated that LI and standard care are comparable with regard to feasibility and accuracy. No clear tendencies can be reported with regard to costs. However, there is a lack of current comparative studies.

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Telemedicine and psoriasis: A review based on statements of the telemedicine working group of the International Psoriasis Council

El-Komy

Chiricozzi

Kerkhof

et al. 2022

JEADV Clinical Practice

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During the past few decades, classical in‐person communication has been enriched by opportunities for telemedicine. We are in a learning healthcare environment that takes advantage of the opportunities of telemedicine and in‐person consultations, reconciling the individuality of the patient and his/her psoriasis. A working group of experts in telemedicine was installed by the International Psoriasis Council (IPC) to formulate the opportunities and limitations of telemedicine in the diagnosis and treatment of psoriasis. The working group formulated statements on various aspects of telemedicine according to the nominal group technique to reach a consensus on these statements and explore the variation of opinions. Thirty‐six statements regarding teledermatology and psoriasis were agreed upon by the IPC working group. The value and necessity for the implementation of teledermatology in dermatologic healthcare practices for psoriasis are essential. Management of psoriasis through teledermatology is feasible with a few exceptions. In this communication, the statements are presented and discussed in the context of the available literature, and finally, a call to action by IPC is formulated related to these statements.

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Systematic review of mobile phone-based teledermatology

Cited by 39 publications

References 30 publications

Evidence-based medicine self-assessment, knowledge, and integration into daily practice: a survey among Romanian physicians and comparison between trainees and specialists

Evidence-based medicine self-assessment, knowledge, and integration into daily practice: a survey among Romanian physicians and comparison between trainees and specialists

Live interactive teledermatology compared to in‐person care – a systematic review

Telemedicine and psoriasis: A review based on statements of the telemedicine working group of the International Psoriasis Council

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