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Prospective evaluation of the store-and-forward teledermatology service (eConsult) delivery at Townsville Hospital: A pilot study.
Australas J Dermatol
December 2024
Department of Dermatology, Townsville University Hospital, Douglas, Queensland, Australia.
Article Synopsis
- There is a significant shortage of dermatologists in rural Australia, especially in north Queensland, where the population faces a high risk of skin cancer and related skin issues.
- A store-and-forward teledermatology system called eConsult was piloted in 2022 to improve access to dermatology care for the Townsville community, focusing on clinician experiences and service outcomes over a 9-month period.
- Results showed that clinicians found the service beneficial for diagnosing and managing skin conditions, highlighting the potential for sustainable teledermatology services to enhance care in rural areas and suggesting further research into broader applications and cost-effectiveness.
Pediatric teledermatology: Evaluation of a store-and-forward network in Ile-de-France from 2013 to 2022: Pediatric teledermatology, a store-and-forward network.
Arch Pediatr
November 2024
Service de pédiatrie, Hôpital André Mignot, Centre hospitalier de Versailles, Groupement Hospitalier de Territoire Yvelines Sud, 177 Rue de Versailles, 78150 Le Chesnay-Rocquencourt, France.
Background: Teledermatology has been widely deployed over the past decade in France, becoming an indispensable tool in daily practice. Pediatric dermatology is a subspecialty of dermatology limited to a small number of specialists. In 2013, the Argenteuil Hospital developed a structured store-and-forward (SAF) service that is particularly well-suited for the field of pediatric dermatology.
View Article and Find Full Text PDFRemote cutaneous confocal microscopy: A multicentric prospective study evaluating diagnostic accuracy for melanoma and keratinocyte carcinoma in tertiary settings.
J Am Acad Dermatol
October 2024
Melanoma Institute Australia, The University of Sydney, Sydney, Australia; Faculty of Medicine and Health, The University of Sydney, Sydney, Australia; Sydney Melanoma Diagnostic Centre, Royal Prince Alfred Hospital, Sydney, Australia.
Article Synopsis
- Cutaneous confocal microscopy (CCCM) is a technique that allows for detailed imaging of the skin at a cellular level, and this study tested a remote version (Remote-CCM) to enhance access to skin cancer diagnoses.
- In the study, 201 lesions were assessed, with Remote-CCM showing a sensitivity of 89% for detecting skin malignancies and a specificity of 64%, effectively reducing unnecessary biopsies in 90% of benign cases.
- The findings suggest that while Remote-CCM is accurate and can lower biopsy rates, it may not be suitable for potential cases of squamous cell carcinoma (SCC), indicating a need for follow-up on uncertain melanoc
Optimizing Dermatological Care Triage in a Safety-Net Hospital: Retrospective Analysis of Diagnoses and In-Person Referrals.
South Med J
October 2024
From the Department of Dermatology, Boston University Chobanian & Avedisian School of Medicine, Boston, Massachusetts.
Article Synopsis
- Teledermatology offers a cost-effective solution for patients with limited access to dermatological care, needing assessment of its optimization in safety-net hospitals.
- A study reviewed 1502 e-consultations over two years, involving a diverse patient group, with a significant portion being Medicaid recipients and Black or African American individuals.
- Results indicated that most patients were managed via e-consultation without needing in-person visits, although children and those with specific complaints like hair loss required more face-to-face evaluations.
Developing and evaluating a mobile-based teledermatology system for skin lesion diagnosis in Iran.
Sci Rep
September 2024
School of Allied Medical Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Article Synopsis
- Asynchronous teledermatology (TD) has the potential to enhance access to dermatological care, but studies show mixed outcomes and methods.* -
- This research developed a mobile app that enables the collection of patient histories and skin images using a store-and-forward model, involving 89 patients at a dermatology clinic in Iran.* -
- The study found excellent agreement in diagnoses made through the app compared to in-person assessments, suggesting the app could effectively support dermatological services in underserved areas, while further research is needed for wider implementation.*
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