39 results match your criteria Interactive Teledermatology


Digital skin imaging applications, part I: Assessment of image acquisition technique features.

Skin Res Technol 2022 Jun 2. Epub 2022 Jun 2.

Icahn School of Medicine at Mount Sinai, New York, New York, USA.

Background: The rapid adoption of digital skin imaging applications has increased the utilization of smartphone-acquired images in dermatology. While this has enormous potential for scaling the assessment of concerning skin lesions, the insufficient quality of many consumer/patient-taken images can undermine clinical accuracy and potentially harm patients due to lack of diagnostic interpretability. We aim to characterize the current state of digital skin imaging applications and comprehensively assess how image acquisition features address image quality. Read More

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A Desperate Need for Psoriasis Health Care in Remote Regions as Revealed by a Live Interactive Teledermatology Program Serving Penghu Islands in Taiwan Strait.

Telemed J E Health 2021 Dec 23. Epub 2021 Dec 23.

Department of Dermatology, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan.

Several studies indicated that teledermatology is good for people living on offshore islands. However, what disease benefits the most from interactive dermatology geographically in offshore islands remain uncertain. This study aimed to investigate the seasonal and geographical distribution with different diseases in remote regions of Penghu islands in Taiwan Strait, thus to study the medical needs for specific disease in remote islands. Read More

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December 2021

The Utilization and Impact of Live Interactive and Store-and-Forward Teledermatology in a Veterans Affairs Medical Center During the COVID-19 Pandemic.

Telemed J E Health 2021 Dec 17. Epub 2021 Dec 17.

Department of Dermatology, University of California, San Francisco School of Medicine, San Francisco, California, USA.

Teledermatology has emerged as a promising method of continuing dermatologic care during the coronavirus 2019 (COVID-19) pandemic, including in the Department of Veterans Affairs (VA). Analysis of the utilization and impact of teledermatology within the San Francisco Veterans Affairs Health Care System (SFVAHCS) may elucidate the ways that teledermatology programs can continue to be optimized. We conducted a retrospective analysis of live interactive encounters, Veterans Affairs Video Connect (VVC), store-and-forward telehealth (SFT), and face-to-face (FTF) consultations, performed within the SFVAHCS from March 2020 to December 2020. Read More

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December 2021

The Impact of COVID-19 on Teledermatology: A Review.

Dermatol Clin 2021 Oct 28;39(4):599-608. Epub 2021 May 28.

Department of Dermatology, Perelman School of Medicine, University of Pennsylvania, 4170 City Avenue, Philadelphia, PA 19131, USA; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, USA. Electronic address:

The accelerated implementation and use of teledermatology during the coronavirus disease 2019 pandemic has met with successes and challenges. This review explores how telemedicine was used in dermatology before the pandemic, the regulatory adaptions made in response to the pandemic, and the effectiveness of the rapid implementation of teledermatology during the coronavirus disease 2019 pandemic, and, finally, how teledermatology has expanded in response to the pandemic. This review examines lessons learned and how teledermatology's reliance on digital technologies might paradoxically exacerbate health care disparities, and finally, considers the future outlook. Read More

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October 2021

Assessing Patient Satisfaction with Live-Interactive Teledermatology Visits During the COVID-19 Pandemic: A Survey Study.

Telemed J E Health 2022 04 21;28(4):591-596. Epub 2021 Jun 21.

The Ronald O. Perelman Department of Dermatology, NYU Grossman School of Medicine, New York, New York, USA.

Coronavirus disease 2019 (COVID-19) has brought teledermatology to the forefront. Understanding patients' experiences will clarify its benefits and limitations. Patients evaluated through live-interactive teledermatology at New York University Langone Health March-June 2020 were surveyed. Read More

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Definitions, survey methods, and findings of patient satisfaction studies in teledermatology: a systematic review.

Arch Dermatol Res 2021 May 28;313(4):205-215. Epub 2020 Jul 28.

Miller School of Medicine Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery, University of Miami, 1600 NW 10th Ave #1140, Miami, FL, 33136, USA.

Remote consultations likely will grow in importance if the COVID-19 pandemic continues. This review analyzes which methods of teledermatology patients prefer by categorizing how recent studies have defined satisfaction, conducted surveys and concluded patients respond to the different modalities of teledermatology. Using PubMed and Cochrane databases, we reviewed studies from April 5th, 2010 to April 5th, 2020 that included the search terms patient satisfaction and teledermatology. Read More

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Egyptian dermatologists attitude toward telemedicine amidst the COVID19 pandemic: a cross-sectional study.

J Dermatolog Treat 2022 Mar 4;33(2):1067-1073. Epub 2020 Aug 4.

Mansoura Dermatology, Venerology and Leprology Hospital, Mansoura, Egypt.

Background: Telemedicine involves distant exchange of medical information between health providers and patients a telecommunication device with/without the aid of an audiovisual interactive assistance. The current COVID 19 pandemic impact on health services mandated an utmost readiness to implement telemedicine which in part is dependent on health care providers willingness to adopt such platforms.

Aim: The aim of this cross sectional study was to assess knowledge and attitude toward telemedicine Egyptian dermatologists amidst the COVID 19 pandemic. Read More

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Live-interactive teledermatology program in Taiwan: One-year experience serving a district hospital in rural Taitung County.

J Formos Med Assoc 2021 Jan 17;120(1 Pt 2):422-428. Epub 2020 Jun 17.

Department of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan. Electronic address:

Background/purpose: Population aging and unequal accessibility of health care are increasingly important in developed countries. One strategy to overcome these issues is utilizing telemedicine, which is recently made possible technologically by the advancement of internet speed, high speed zooming cameras, and the information storages. In Taiwan, the telemedicine is granted legally by the amendment for Taiwan's Physician Act in 2018. Read More

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January 2021

Critical analysis of features and quality of applications for clinical management of acne.

Dermatol Online J 2019 10 15;25(10). Epub 2019 Oct 15.

Schulich School of Medicine and Dentistry-Western University, London, Ontario University of Windsor, Windsor, Ontario.

Background: Mobile medical applications (apps) for clinical management of medical conditions are increasing in prevalence. Our aim was to identify features and overall quality of acne apps that could facilitate clinical management.

Methods: We established 10 pertinent features (6 essential and 4 desirable) for an acne app through literature search and nominal group discussion. Read More

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October 2019

Live interactive teledermatology compared to in-person care - a systematic review.

J Eur Acad Dermatol Venereol 2020 Apr 29;34(4):733-745. Epub 2020 Jan 29.

Institute for Health Services Research in Dermatology and Nursing (IVDP), University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany.

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. Read More

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Live, remote control of an in vivo reflectance confocal microscope for diagnosis of basal cell carcinoma at the bedside of a patient 2500 miles away: A novel tele-reflectance confocal microscope approach.

J Am Acad Dermatol 2019 08 13;81(2):e41-e42. Epub 2019 Feb 13.

Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York. Electronic address:

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Teledermatology for diagnosing skin cancer in adults.

Cochrane Database Syst Rev 2018 12 4;12:CD013193. Epub 2018 Dec 4.

Institute of Applied Health Research, University of Birmingham, Birmingham, UK, B15 2TT.

Background: Early accurate detection of all skin cancer types is essential to guide appropriate management and to improve morbidity and survival. Melanoma and squamous cell carcinoma (SCC) are high-risk skin cancers which have the potential to metastasise and ultimately lead to death, whereas basal cell carcinoma (BCC) is usually localised with potential to infiltrate and damage surrounding tissue. Anxiety around missing early curable cases needs to be balanced against inappropriate referral and unnecessary excision of benign lesions. Read More

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December 2018

Teledermatology: Comparison of Store-and-Forward Versus Live Interactive Video Conferencing.

J Med Internet Res 2018 10 24;20(10):e11871. Epub 2018 Oct 24.

Department of Dermatology, University Hospital Heidelberg, University of Heidelberg, Heidelberg, Germany.

A decreasing number of dermatologists and an increasing number of patients in Western countries have led to a relative lack of clinicians providing expert dermatologic care. This, in turn, has prolonged wait times for patients to be examined, putting them at risk. Store-and-forward teledermatology improves patient access to dermatologists through asynchronous consultations, reducing wait times to obtain a consultation. Read More

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October 2018

Teledermatology in the US military: a historic foundation for current and future applications.

Cutis 2018 May;101(5):335;337;345

Center for Skin Diseases and Laser Aesthetics, Coronado, California, USA.

Historically, the US military has utilized centralized store-and-forward (S&F) telemedicine programs for health care providers in remote locations worldwide. In the civilian community, new methods and platforms for teledermatology have been created based largely on those used by the military to maximize access to and the efficiency of health care, including secure direct-to-consumer (DTC) mobile applications for patients, live interactive methods, and integrated S&F platforms for dermatology services within electronic health record (EHR) systems. By incorporating similar innovative teledermatology methods and platforms, the US military health care system may benefit from increased accessibility and productivity. Read More

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Analysis of live interactive teledermatologic consultations for prisoners in Korea for 3 years.

J Telemed Telecare 2018 Oct 27;24(9):623-628. Epub 2017 Sep 27.

Department of Dermatology, Busan Paik Hospital, Busan, Korea.

Introduction Teledermatology has contributed to the enhanced accessibility of underserved populations. This study investigated the prevalence and clinical outcomes of dermatologic diseases in prisoners in Korea through live interactive teledermatology (LITD) Method The medical records of patients in a Busan prison, who interacted with a dermatologist using LITD from July 2013 to August 2016, were reviewed retrospectively. Results The mean age of the 406 patients enrolled in the study was 39. Read More

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October 2018

Patient and Provider Satisfaction with Teledermatology.

Telemed J E Health 2017 08 4;23(8):684-690. Epub 2017 Apr 4.

2 National Library of Medicine, National Institutes of Health , Bethesda, Maryland.

Background: There is little research comparing dermatologist and patient satisfaction with in-person, store-and-forward, and live interactive examinations.

Objective: To compare satisfaction with in-person examinations to store-and-forward and live interactive consultations having two types of video.

Methods: A controlled study was conducted where patients referred for dermatology consultations were examined in-person, by video, and by store-and-forward methods. Read More

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A systematic review of satisfaction with teledermatology.

J Telemed Telecare 2018 May 28;24(4):263-270. Epub 2017 Mar 28.

1 Department of Dermatology, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.

Background The two most commonly used modalities of teledermatology (TD) are store-and-forward (SF) and live-interactive (LI) TD. Existing studies have not compared these tools with respect to patient and provider satisfaction. Objective To systematically review all published studies of patient and provider satisfaction with SF and LI TD. Read More

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Comparing High Definition Live Interactive and Store-and-Forward Consultations to In-Person Examinations.

Telemed J E Health 2017 03 5;23(3):213-218. Epub 2016 Oct 5.

2 National Library of Medicine, National Institutes of Health , Bethesda, Maryland.

Background: There is little teledermatology research directly comparing remote methods, even less research with two in-person dermatologist agreement providing a baseline for comparing remote methods, and no research using high definition video as a live interactive method.

Objective: To compare in-person consultations with store-and-forward and live interactive methods, the latter having two levels of image quality.

Methods: A controlled study was conducted where patients were examined in-person, by high definition video, and by store-and-forward methods. Read More

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Two Decades of Teledermatology: Current Status and Integration in National Healthcare Systems.

Curr Dermatol Rep 2016;5:96-104. Epub 2016 Mar 28.

Department of Medical Informatics, Academic Medical Center, Amsterdam, The Netherlands ; KSYOS Health Management Research, Amstelveen, The Netherlands.

Teledermatology, originating in 1995, has been one of the first telemedicine services to see the light of day. Two decades of teledermatology research is summarized in this review. A literature search was conducted in PubMed. Read More

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A prospective study on the use of teledermatology in psychiatric patients with chronic skin diseases.

Australas J Dermatol 2015 Aug 5;56(3):170-4. Epub 2015 Mar 5.

National Skin Centre, Singapore.

Background: To compare the use of live interactive teledermatology versus conventional face-to-face consultation in long-term, institutionalised psychiatric patients with chronic skin diseases.

Methods: All institutionalised psychiatric patients at the Institute of Mental Health with follow-up appointments at the National Skin Centre were assessed for eligibility and invited to participate. Recruited patients were first seen by a dermatologist via videoconferencing, and then by another dermatologist in person, within 1 week. Read More

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Training of beauty salon professionals in disease prevention using interactive tele-education.

Telemed J E Health 2015 Jan 17;21(1):55-61. Epub 2014 Nov 17.

1 Pathology Department, São Paulo University , São Paulo, Brazil .

Background: Infectious diseases can be acquired in places where invasive procedures are often performed without the proper care of hand washing and material sterilization. There are approximately 500,000 beauty and esthetics centers in Brazil, which are visited by thousands of people every day. Many diseases, including sexually transmitted infections, are still highly prevalent in Brazil, such as warts caused by human papillomavirus, hepatitis B and C, and human immunodeficiency virus infection, and can be transmitted in beauty salons. Read More

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January 2015

Teledermatology operational considerations, challenges, and benefits: the referring providers' perspective.

Telemed J E Health 2012 Oct 10;18(8):580-4. Epub 2012 Aug 10.

Department of Dermatology, University of California at Davis School of Medicine, Sacramento, California 95816, USA.

Background: Teledermatology has been used to provide increased specialty access for medically underserved communities. In California, policies enable the California Medicaid (Medi-Cal) program to provide reimbursement for both store-and-forward (S&F) and live-interactive teledermatology consultations. To assess the effectiveness of teledermatology operations for this population, understanding the referring providers' perspective is crucial. Read More

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October 2012

Impact of live interactive teledermatology on diagnosis, disease management, and clinical outcomes.

Arch Dermatol 2012 Jan;148(1):61-5

Department of Dermatology, University of California, Davis, 3301 C St, Sacramento, CA 95816, USA.

Objective: To assess the impact of live interactive teledermatology consultations on changes in diagnosis, disease management, and clinical outcomes.

Design: We conducted a retrospective analysis of 1500 patients evaluated via live interactive teledermatology between 2003 and 2005 at the University of California, Davis. We compared diagnoses and treatment plans between the referring physicians and the teledermatologists. Read More

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January 2012

Practice models and challenges in teledermatology: a study of collective experiences from teledermatologists.

PLoS One 2011 14;6(12):e28687. Epub 2011 Dec 14.

Department of Dermatology, University of California Davis School of Medicine, Sacramento, California, United States of America.

Background: Despite increasing practice of teledermatology in the U.S., teledermatology practice models and real-world challenges are rarely studied. Read More

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Teledermatology: from prevention to diagnosis of nonmelanoma and melanoma skin cancer.

Int J Telemed Appl 2011 11;2011:125762. Epub 2011 Jul 11.

Section of Dermatology, Department of Systematic Pathology, University of Naples Federico II, 80131 Naples, Italy.

Telemedicine is a rapidly developing application of clinical medicine where medical information is transferred through interactive audiovisual media for the purpose of consulting remote medical procedures or examinations, reducing the time of consultation for patients. Teledermatology as an application of telemedicine was developed in 1995: it turns out to be a gradually more ordinary mean of delivering dermatologic healthcare worldwide and will almost certainly have a greater medical function in the future. In particular, teledermatology can aid in the prevention and diagnosis of nonmelanoma and melanoma skin cancer; telemedicine and teledermatology offer the opportunity to make available consultations with experts also by long distance. Read More

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November 2011

Newer insights in teledermatology practice.

Indian J Dermatol Venereol Leprol 2011 May-Jun;77(3):276-87

Department of Dermatology, Venereology and Leprosy, Jagadguru Sri Shivarathreshwara University Medical College Hospital, Mahatma Gandhi Road, Mysore-570 004, Karnataka, India.

The study and practice of dermatology care using interactive audio, visual, and data communications from a distance is called teledermatology. A teledermatology practice (TP) provides teleconsultation as well tele-education. Initially, dermatologists used videoconference. Read More

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Usefulness and economic evaluation of ADSL-based live interactive teledermatology in areas with shortage of dermatologists.

Int J Dermatol 2010 Nov;49(11):1272-5

Department of Dermatology, Faculty of Medicine, Shimane University, Izumo, Japan.

Background: To overcome the problem of maldistribution of dermatologists in rural areas, live interactive teleconsultation systems are being used in some countries. However, these systems are not in common use because few evaluations on their efficiency and economic viability were reported.

Methods: We constructed an easy-to-use asymmetric digital subscriber line (ADSL)-based live interactive teleconsultation system and conducted 150 trial sessions between two rural hospitals and Shimane University Hospital. Read More

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November 2010

Teledermatology for diagnosis and management of skin conditions: a systematic review.

J Am Acad Dermatol 2011 Apr 30;64(4):759-72. Epub 2010 Oct 30.

Minneapolis Veterans Affairs Medical Center, Center for Chronic Disease Outcomes Research, Minneapolis, Minnesota 55417, USA.

Objective: We performed a systematic review of the literature addressing teledermatology: (1) diagnostic accuracy/concordance; (2) management accuracy/concordance; (3) clinical outcomes; and (4) costs.

Methods: Peer-reviewed controlled trials published in English between 1990 and 2009 were identified through MEDLINE and PubMed searches.

Results: Of 78 included studies, approximately two-thirds comparing teledermatology and clinic dermatology found better diagnostic accuracy with clinic dermatology. Read More

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Virtual Grand Rounds in Dermatology: an 8-year experience in web-based teledermatology.

Int J Dermatol 2009 Dec;48(12):1313-9

Harvard Medical School, Boston, Massachusetts, USA.

Background: Teledermatology utilizes telecommunication technologies for the exchange of dermatologic information across distances. In 2000, we developed the Virtual Grand Rounds in Dermatology (VGRD) as a free, user-friendly platform for dermatologists to present complex dermatologic cases to the international community for clinical feedback, consultation, and continuing education.

Methods: VGRD was designed using simple graphics to facilitate access in remote and developing geographic regions. Read More

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December 2009