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    159 results match your criteria Store-and-Forward Teledermatology

    1 OF 4

    Practical and Sustainable Teledermatology and Teledermatopathology: Specialty Care in Cameroon Africa.
    J Clin Aesthet Dermatol 2017 Jan 1;10(1):47-56. Epub 2017 Jan 1.
    Harbor UCLA Department of Dermatology, Torrance, California.
    Teledermatology is a rapidly expanding niche within telemedicine still in its infancy. It has become increasingly more feasible in recent years with the expansion of information and communication technologies. Here, the authors present the details of their collaboration and propose a model for constructing a teledermatology network. Read More

    Utility of Store and Forward Teledermatology for Skin Patch Test Readings.
    Dermatitis 2017 Feb 6. Epub 2017 Feb 6.
    From the *University of Minnesota Medical School; †HCMC Parkside Occupational and Contact Dermatitis Clinic; ‡Department of Dermatology, Minneapolis Veterans Affairs Medical Center; and §Department of Dermatology, University of Minnesota Medical School, Minneapolis.
    Background: Teledermatology (TD) is the use of imaging technology to provide dermatology services at a distance. To date, studies assessing its application for grading skin patch test reactions have been lacking.

    Objectives: The aim was to compare conventional, in-person (IP) grading of skin patch test reactions with store-forward TD. Read More

    Unimaged Melanomas in Store-and-Forward Teledermatology.
    Telemed J E Health 2016 Dec 8. Epub 2016 Dec 8.
    5 VHA Puget Sound Health Care System, Seattle, Washington.
    Background: Store-and-forward teledermatology (SFT) readers can only diagnose what is imaged. This limitation has caused concern regarding the ability of primary care to direct imaging of lesions suspicious for melanoma. Melanomas not imaged by primary care providers (PCPs) are termed unimaged melanomas. Read More

    Comparing High Definition Live Interactive and Store-and-Forward Consultations to In-Person Examinations.
    Telemed J E Health 2016 Oct 5. 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

    Telediagnosis with Confocal Microscopy: A Reality or a Dream?
    Dermatol Clin 2016 Oct;34(4):505-512
    Dermatology Research Centre, Translational Research Institute, School of Medicine, The University of Queensland, 37 Kent Street Woolloongabba QLD 4102, Australia.
    Reflectance confocal microscopy (RCM) is becoming more popular among dermatologists aiming to improve their bedside diagnostic accuracy and reduce unnecessary removal of benign cutaneous lesions. With increased interest in the field, limitation of experts, and dedicated training programs, telemedicine application to RCM (teleconfocal) helps to connect patients with experts at a distance. Diagnostic accuracy of store-and-forward telemedicine review of RCM images, patient safety, and cost-effectiveness are important considerations for proper acceptance and usage of the technology in the medical community. Read More

    [Development of a teledermatology system for the melanoma diagnosis. The pilot experience of the project Clicca il neo].
    Recenti Prog Med 2016 Aug;107(8):440-3
    Centro Studi GISED, Bergamo - USC Dermatologia, ASST Ospedale Papa Giovanni XXIII, Bergamo.
    Introduction: Cutaneous melanoma is a significant cause of mortality, and since the skin is easily accessible for inspection, it is amenable to interventions of education and promotion of early diagnosis through the use of telemedicine systems.

    Methods: Clicca il neo is a programme for the early diagnosis of skin cancer employing tools of teledermatology with a store-and-forward modality. The system uses a web form for data collection and upload of skin photographs taken by users. Read More

    Impact of a store-and-forward teledermatology intervention versus usual care on delay before beginning treatment: A pragmatic cluster-randomized trial in ambulatory care.
    J Telemed Telecare 2016 Aug 5. Epub 2016 Aug 5.
    Department of General Medicine, Paris Diderot University, Paris, France Sorbonne Paris Cité University, Paris, France Centre de recherche en Epidémiologie et Statistiques, INSERM U1153, Paris, France
    Introduction: In France, 66% of patients forego getting specialized care by dermatologists because of difficulty obtaining appointments. Store-and-forward teledermatology could improve how promptly treatment begins by reducing the delay in obtaining a specialist's opinion. In this study, we compared the delay before care between general practitioners (GPs) using a store-and-forward teledermatology intervention and GPs addressing their patients with a standard referral letter. Read More

    Tele-aesthetics in South Asia.
    J Cosmet Dermatol 2016 Jul 11. Epub 2016 Jul 11.
    Singapore General Hospital, Singapore, Singapore.
    Background: Telemedicine is becoming increasingly popular. The best use for it is in the field of aesthetic dermatology - where conditions are not life-threatening, and treatments can be topical and very safe.

    Aims: In this study, we demonstrate that a simple store-and-forward telemedicine system can be applied safely to the field of aesthetic dermatology. Read More

    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

    Cost-effectiveness of Store-and-Forward Teledermatology: A Systematic Review.
    JAMA Dermatol 2016 Jun;152(6):702-8
    School of Pharmacy, The University of Queensland, Brisbane, Australia.
    Importance: Teledermatology is a topical clinical approach being tested in Australia and elsewhere. With most dermatologists residing in metropolitan areas, teledermatology provides an apparent low-cost and convenient means of access for individuals living outside these areas. It is important that any proposed new addition to a health care system is assessed on the grounds of economic cost and effectiveness. Read More

    Teledermoscopy in doubtful melanocytic lesions: is it really useful?
    Int J Dermatol 2016 Oct 7;55(10):1119-23. Epub 2016 Apr 7.
    Department of Human Pathology and Oncology, University of Florence, Florence, Italy.
    Introduction: The diagnosis of cutaneous pigmented lesions remains a challenge for both dermatologists and pathologists. Our aim was to determine the diagnostic concordance between the conventional face-to-face diagnosis and the telediagnosis of 10 dermatologists with expertise in dermato-oncology of 10 challenging pigmented lesions.

    Methods: Using a store-and-forward teledermatology method, clinical and dermoscopic digital images of all selected lesions were transmitted via e-mail to 10 dermatologists. Read More

    Teledermatology and clinical photography: safeguarding patient privacy and mitigating medico-legal risk.
    Med J Aust 2016 Mar;204(5):198-200e1
    University of Queensland, Brisbane, QLD.
    Capturing clinical images is becoming more prevalent in everyday clinical practice, and dermatology lends itself to the use of clinical photographs and teledermatology. "Store-and-forward", whereby clinical images are forwarded to a specialist who later responds with an opinion on diagnosis and management is a popular form of teledermatology. Store-and-forward teledermatology has proven accurate and reliable, accelerating the process of diagnosis and treatment and improving patient outcomes. Read More

    Use of Smartphones in Telemedicine: Comparative Study Between Standard and Teledermatological Evaluation of High-Complex Care Hospital Inpatients.
    Telemed J E Health 2016 Sep 9;22(9):755-60. Epub 2016 Mar 9.
    1 Department of Dermatology, Hospital das Clinicas, University of São Paulo, São Paulo, Brazil .
    Background: It is estimated that there are around 7 billion mobile phone subscriptions worldwide. Considering the availability and convenience, it appears to be a suitable device for store-and-forward (SF) consultations.

    Introduction: Although teledermatology has been suggested as an effective way of reducing costs and providing otherwise inaccessible expert evaluation, most studies have relied on high cost and high technological means. Read More

    Can teledermatology be a useful diagnostic tool in dermatology practice in remote areas? An Egyptian experience with 600 patients.
    J Telemed Telecare 2017 Feb 9;23(2):233-238. Epub 2016 Jul 9.
    Dermatology Department, Faculty of Medicine, Cairo University, Egypt.
    Introduction The paucity of studies evaluating teledermatology (TD) in developing countries was the impetus behind conducting this work. We aimed to evaluate the feasibility and reliability of TD in remote areas where medical facilities and consultant dermatologists are not available, through measurement of diagnostic concordance rates between face-to-face diagnosis and store-and-forward (SAF) TD diagnosis. Methods A total of 600 patients with dermatological ailments who attended Abshway Hospital were recruited into the study, examined by an on-site dermatology resident, and offered a diagnosis. Read More

    Diagnostic value of telecytology in tertiary teledermatological consultation: a retrospective analysis of 75 cases.
    Int J Dermatol 2016 Jul 12;55(7):e392-8. Epub 2016 Feb 12.
    Department of Dermatology, Dicle University Faculty of Medicine, Diyarbakır, Turkey.
    Background: The addition of dermatoscopic images to clinical images is reported to increase the diagnostic value of teledermatology. No study has investigated the contribution of telecytology to teledermatology. We aimed to assess the diagnostic accuracy of telecytology in tertiary teledermatological evaluation. Read More

    Experience with Quality Assurance in Two Store-and-Forward Telemedicine Networks.
    Front Public Health 2015 26;3:261. Epub 2015 Nov 26.
    Department of Dermatology, Waikato Hospital, Hamilton, New Zealand; Waikato Clinical Campus, University of Auckland, Hamilton, New Zealand.
    Despite the increasing use of telemedicine around the world, little has been done to incorporate quality assurance (QA) into these operations. The purpose of the present study was to examine the feasibility of QA in store-and-forward teleconsulting using a previously published framework. During a 2-year study period, we examined the feasibility of using QA tools in two mature telemedicine networks [Médecins Sans Frontières (MSF) and New Zealand Teledermatology (NZT)]. Read More

    Interobserver reliability of teledermatology across all Fitzpatrick skin types.
    J Telemed Telecare 2017 Jan 9;23(1):68-73. Epub 2016 Jul 9.
    4 Department of Dermatology, University of Southern California, USA.
    Introduction Demand for dermatologic services in safety net hospitals, which disproportionately serve patients with darker coloured skin, is growing. Teledermatology has the potential to increase access and improve outcomes, but studies have yet to demonstrate the reliability of teledermatology for all Fitzpatrick skin types. Methods We assessed the reliability of teledermatologists' diagnoses and management recommendations for store-and-forward teledermatology in patients with lightly pigmented (Fitzpatrick skin types I-III) versus darkly pigmented (Fitzpatrick skin types IV-VI) skin, when compared to in-person diagnosis and management decisions. Read More

    Impact of store-and-forward (SAF) teledermatology on outpatient dermatologic care: A prospective study in an underserved urban primary care setting.
    J Am Acad Dermatol 2016 Mar 8;74(3):484-90.e1. Epub 2015 Dec 8.
    Department of Dermatology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania; Department of Internal Medicine, Division of Infectious Diseases, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania. Electronic address:
    Background: The clinical value of teledermatology in the primary care setting remains relatively unknown.

    Objective: We sought to determine the impact of teledermatology on outpatient diagnosis, management, and access to dermatologic care in a resource-poor primary care setting.

    Methods: We performed a prospective study of store-and-forward teledermatology consults submitted between January and November 2013 from 11 underserved clinics in Philadelphia to the University of Pennsylvania using mobile devices and the Internet. Read More

    Smartphones Enable Teledermatology in South Dakota: An Overview and Primer for Primary Care Providers.
    S D Med 2015 Oct;68(10):449-53, 455
    Timely access to specialty care by dermatologists is a significant problem in South Dakota. This is especially germane to patients in rural areas, the elderly, and those with socioeconomic barriers. Implementation of a modality utilizing smartphone technology called mobile teledermatology (MTD) should improve access to dermatologic care. Read More

    Teledermatology: diagnostic reliability in 383 children.
    Eur J Dermatol 2015 Nov-Dec;25(6):563-9
    Department of Dermatology, University Hospital of La Coruña, Xubias de Arriba, 84, 15006, La Coruña, Spain.
    Background: There are few studies of teledermatology focused on the pediatric age group. The aim of this study was to assess the validity and reliability of store-and-forward teledermatology (STD) as a diagnostic tool for pediatricians and to reduce face-to-face consultations.

    Material And Methods: A retrospective, observational study of 383 children and adolescents under 15 years of age, referred from primary care to Dermatology Department of University Hospital of La Coruña, Spain, between 2011 and 2013, using a STD consult system. Read More

    Primary care providers' perceptions of mobile store-and-forward teledermatology.
    Dermatol Online J 2015 Aug 15;21(8). Epub 2015 Aug 15.
    Perelman School of Medicine at the University of Pennsylvania.
    Introduction: Although teledermatology offers promise as a tool to increase access to care, adoption has been limited. Understanding the perspectives and experiences of key stakeholders, such as primary care providers (PCPs) and patients, is important to identify opportunities to reduce barriers to adoption and to improve teledermatology programs. Although many studies have examined patients' experiences and satisfaction with teledermatology, few have examined referring PCPs' perspectives. Read More

    Teledermatology Implementation in a VHA Secondary Treatment Facility Improves Access to Face-to-Face Care.
    Telemed J E Health 2016 Jan 22;22(1):12-7. Epub 2015 Sep 22.
    1 VA Puget Sound Health Care System , Seattle, Washington.
    Background: Teledermatology is a mainstream modality for delivering care in the Veterans Health Administration, especially in rural areas where access to traditional dermatology care is constrained. Previous investigations of the effect of teledermatology on improving patient access have focused largely on the metrics of visits avoided. However, the effect of teledermatology on improving patient access to face-to-face dermatology has not been well documented. Read More

    Cost and Utility Analysis of a Store-and-Forward Teledermatology Referral System: A Randomized Clinical Trial.
    JAMA Dermatol 2015 Dec;151(12):1323-1329
    Research and Development, Durham Veterans Affairs Medical Center, Durham, North Carolina2Division of General Internal Medicine, Duke University Medical Center, Durham, North Carolina.
    Importance: The costs and utility of teledermatology are important features of implementation. Such an analysis requires a description of the perspective of the entity that will bear the cost.

    Objective: To assess the costs and utility of a store-and-forward teledermatology referral process compared with a conventional referral process from the perspectives of the Department of Veterans Affairs (VA) and society. Read More

    [Teledermatology in Paediatrics. Observations in daily clinical practice].
    An Pediatr (Barc) 2016 Jun 10;84(6):324-30. Epub 2015 Aug 10.
    Servicio de Dermatología, Complejo Hospitalario de Pontevedra, Pontevedra, España.
    Introduction: Teledermatology is a technique that is increasingly being developed. There are many studies that assess this discipline in the general population, but few studies analyse the paediatric population exclusively. The aims of this study are to describe the distribution of diseases consulted through teledermatology, the use of this technique to avoid face-to-face consultations, and the agreement between virtual and face-to-face diagnoses, in the paediatric population. Read More

    Validation of a Skin-Lesion Image-Matching Algorithm Based on Computer Vision Technology.
    Telemed J E Health 2016 Jan 28;22(1):45-50. Epub 2015 Jul 28.
    4 The Manor Hospital , Oxford, United Kingdom .
    Background: Melanoma incidence is increasing globally, but consistently accurate skin-lesion classification methods remain elusive. We developed a simple software system to classify potentially all types of skin lesions. In the current study, we evaluated the system's ability to identify melanomas with a diameter of 10 mm or larger. Read More

    Teledermatology Within the Veterans Health Administration, 2002-2014.
    Telemed J E Health 2015 Oct 17;21(10):769-73. Epub 2015 Jun 17.
    1 Providence VA Medical Center , Providence, Rhode Island.
    Background: In order to increase veterans' access to dermatologic care, the Veterans Health Administration (VHA) has developed one of the largest teledermatology programs in the United States. This article describes the recent expansion of the VHA's teledermatology program after local and national initiatives and resource allocation.

    Materials And Methods: This report describes routinely collected VHA data. Read More

    Waikato Teledermatology: a pilot project for improving access in New Zealand.
    J Telemed Telecare 2015 Oct 1;21(7):414-9. Epub 2015 Jun 1.
    Waikato Clinical Campus, University of Auckland, New Zealand Department of Dermatology, Waikato Hospital, New Zealand.
    Introduction: Teledermatology can improve access to specialist dermatological advice. We describe a retrospective review of the first 12 months of Waikato Teledermatology (WT), a low-cost, secure, website-based, store-and-forward teledermatology network using the Collegium Telemedicus platform.

    Methods: We determined specialist response time, referral metrics, patient diagnosis and progress reports from the network's database. Read More

    Teledermatology: from historical perspective to emerging techniques of the modern era: part II: Emerging technologies in teledermatology, limitations and future directions.
    J Am Acad Dermatol 2015 Apr;72(4):577-86; quiz 587-8
    Department of Dermatology, Weill Cornell Medical College, New York, New York. Electronic address:
    Telemedicine is the use of telecommunications technology to support health care at a distance. Dermatology relies on visual cues that are easily captured by imaging technologies, making it ideally suited for this care model. Advances in telecommunications technology have made it possible to deliver high-quality skin care when patient and provider are separated by both time and space. Read More

    Teledermatology: from historical perspective to emerging techniques of the modern era: part I: History, rationale, and current practice.
    J Am Acad Dermatol 2015 Apr;72(4):563-74; quiz 575-6
    Department of Dermatology, Weill Cornell Medical College, New York, New York. Electronic address:
    Telemedicine is the use of telecommunications technology to support health care at a distance. Technological advances have progressively increased the ability of clinicians to care for diverse patient populations in need of skin expertise. Dermatology relies on visual cues that are easily captured by imaging technologies, making it ideally suited for this care model. Read More

    Telehealth: the specialist perspective.
    Aust Fam Physician 2014 Dec;43(12):828-30
    MBBS FACD FACRRM (Hon), Director of the Department of Dermatology, Mater Misericordiae Hospital, South Brisbane, and Dermatologist, Telederm National, QLD.
    Background: Tele-Derm National is an online consultation and educational service in dermatology designed to meet the needs of doctors working in rural and remote Australia. In existence since 2003, it is hosted on the Rural and Remote Medical Education Online site, which is run by the Australian College of Rural and Remote Medicine.

    Objective: This article aims to explore the use and potential of store-and-forward teledermatology in the Australian context. Read More

    Reliability of store and forward teledermatology for skin neoplasms.
    J Am Acad Dermatol 2015 Mar 15;72(3):426-35. Epub 2015 Jan 15.
    Minneapolis Veterans Affairs Medical Center, Center for Chronic Disease Outcomes Research, Minneapolis, Minnesota; Department of Medicine, University of Minnesota School of Medicine, Minneapolis, Minnesota.
    Background: Teledermatology may be less optimal for skin neoplasms than for rashes.

    Objectives: We sought to determine agreement for skin neoplasms.

    Methods: This was a repeated measures study. Read More

    Teledermatology: its use in the detection and management of actinic keratosis.
    Curr Probl Dermatol 2015 18;46:101-7. Epub 2014 Dec 18.
    School of Public Health, Queensland University of Technology, Brisbane, Qld., Australia.
    Teledermatology can profoundly improve access to medical services for those who may have limited access to dermatology due to workforce shortages or limitations in their mobility or who are located far from providers. Two common methods of teledermatology are synchronous live methods, where the patient and doctor directly communicate, and asynchronous store-and-forward methods, where the patient and doctor independently provide and assess the medical information. Teledermatology has been tested for its safety, feasibility and accuracy for a number of dermatological conditions, including the early detection of skin cancer, and is considered safe, feasible and accurate. Read More

    Store-and-forward teledermatology: a case report.
    BMC Res Notes 2014 Sep 1;7:588. Epub 2014 Sep 1.
    1 King's College Circle, M5S 1A8 Toronto, ON, Canada.
    Background: Telemedicine is increasingly being used as part of routine practice for many physicians and healthcare providers across the country. Due to its visual nature, dermatology is ideally suited to benefit from this new technology. The use of teledermatology (telemedicine in dermatology) in a primary care setting allows for an expert opinion without the need for an in-person referral. Read More

    Concordance and time estimation of store-and-forward mobile teledermatology compared to classical face-to-face consultation.
    Acta Derm Venereol 2015 Jan;95(1):35-9
    Department of Medical, Surgical and Neuro Sciences, Dermatology Section, University of Siena, Policlinico.
    Smartphones have overcome the limitations of image quality seen in older devices and opened a new field of telemedicine called "mobile teledermatology". Technological advances and the need to reduce health service costs will strongly promote the development of telemedicine. For this reason, we evaluated the concordance between store-and-forward mobile teledermatology and the classical face-to-face dermatological visit. Read More

    Teledermatology: key factors associated with reducing face-to-face dermatology visits.
    J Am Acad Dermatol 2014 Sep 3;71(3):570-6. Epub 2014 Apr 3.
    Dermatoepidemiology Unit, Providence Veterans Affairs Medical Center, Providence, Rhode Island; Department of Dermatology, Warren Alpert Medical School of Brown University, Providence, Rhode Island; Department of Epidemiology, Warren Alpert Medical School of Brown University, Providence, Rhode Island.
    Teledermatology makes 3 promises: better, cheaper, and faster dermatologic care. It is "better" because, although it cannot offer as much to the patient as a traditional visit, it extends the dermatologist's reach to places and in ways not previously possible as a result of time and place limitations; it is "cheaper and faster" because it has the potential to reduce costs and increase efficiency for both patients and providers. For teledermatology to fulfill these promises, it must enable dermatologists to improve access by increasing the number of patients evaluated and treated. Read More

    Interobserver reliability of store-and-forward teledermatology in a clinical practice setting.
    Actas Dermosifiliogr 2014 Jul-Aug;105(6):605-13. Epub 2014 Mar 11.
    Servicio de Dermatología, Hospital General Universitario de Ciudad Real, Ciudad Real, España.
    Introduction And Objectives: Although many studies have evaluated the diagnostic reliability of store-and-forward (SF) teledermatology, the reliability of the technique for the diagnosis of general skin conditions in a clinical practice setting has never been demonstrated. We evaluated the reliability of SF teledermatology in clinical practice by analyzing the diagnostic agreement achieved in a subgroup of patients from the DERMATEL-2 study.

    Material And Methods: Patients referred from primary care settings were randomized to 3 groups: SF, a combination of videoconferencing and SF technology (VC-SF), and a control group. Read More

    The reliability of teledermatology to triage inpatient dermatology consultations.
    JAMA Dermatol 2014 Apr;150(4):419-24
    Department of Dermatology, Perelman School of Medicine at the University of Pennsylvania , Philadelphia.
    Importance: Many hospitals do not have inpatient dermatologic consultative services, and most have reduced availability of services during off-hours. Dermatologists based in outpatient settings can find it challenging to determine the urgency with which they need to evaluate inpatients when consultations are requested. Teledermatology may provide a valuable mechanism for dermatologists to triage inpatient consultations and increase efficiency, thereby expanding access to specialized care for hospitalized patients. Read More

    Teledermatology for skin cancer prevention: an experience on 690 Austrian patients.
    J Eur Acad Dermatol Venereol 2014 Aug 24;28(8):1103-8. Epub 2013 Dec 24.
    Department of Dermatology, Medical University of Graz, Graz, Austria.
    Background: Recent studies investigated the value of teledermatology (TD) as a valid tool for a dermatologist-directed triage systems.

    Objective: To investigate the feasibility of a store-and-forward TD triage system in a large number of patients.

    Methods: Previously trained general practitioners selected suspicious skin tumours in the setting of a general preventive medicine screening programme and transmitted their dermoscopic images via virtual private network for decision-making. Read More

    Audit of a state-wide store and forward teledermatology service in Australia.
    J Telemed Telecare 2013 Oct;19(7):362-6
    Dermatology Research Centre, School of Medicine, University of Queensland, Brisbane, Australia.
    In 2008, the Skin Emergency Telemedicine Service was established at the Princess Alexandra Hospital (PAH) in Brisbane. We conducted an audit by evaluating all email communication during 2012, and administering a clinician questionnaire. A total of 167 cases were discussed via 685 email communications (46 being in-house PAH referrals). Read More

    Mobile teledermatology: a promising future in clinical practice.
    J Cutan Med Surg 2013 Nov-Dec;17(6):387-91
    Background: As a product of electronic health, teledermatology is a cost-effective means of improving access to care, facilitating specialist consultations, and supporting patient self-management. Even so, use of traditional teledermatology services is limited by infrastructure and costs in the form of digital cameras, computers, and Internet access.

    Methods: Considering the significant improvement in smartphone camera resolution and the rapidly increasing number of physicians using smartphones, we explored the use of smartphones as reliable, effective clinical tools in store-and-forward teledermatology. Read More

    Evaluation of skin cancer in Northern California Kaiser Permanente's store-and-forward teledermatology referral program.
    Telemed J E Health 2013 Oct;19(10):780-5
    1 Department of Dermatology, Emory University School of Medicine , Atlanta, Georgia .
    Objective: To determine whether teledermatology referrals yield a shorter time to biopsy of the most common types of skin cancer versus conventional dermatology referrals.

    Subjects And Methods: A retrospective chart review was performed of California's Central Valley Kaiser Permanente conventional dermatology or teledermatology referrals that yielded a positive skin cancer biopsy over a 7-month period. Four primary care clinics at Kaiser Permanente's Stockton Medical Center in California's Central Valley were included. Read More

    A longitudinal study of consistency in diagnostic accuracy of teledermatology tools.
    Indian J Dermatol Venereol Leprol 2013 Sep-Oct;79(5):668-78
    Department of Dermatology, Venereology and Leprosy, J. S. S. Medical College Hospital, J. S. S. University, Mysore, Karnataka, India.
    Background: Diagnostic accuracy (DA) is an outcome measure to assess the feasibility of teledermatology tools. Despite ample data with variable DA values, no study has examined the aggregate DA value obtained from the available studies and observed its consistency over a period of time. This kind of a longitudinal study about teledermatology will be necessary to check its usefulness and plan for further implementation. Read More

    Clinical course outcomes for store and forward teledermatology versus conventional consultation: a randomized trial.
    J Telemed Telecare 2013 Jun 23;19(4):197-204. Epub 2013 May 23.
    Durham Veterans Affairs Medical Center, Durham, North Carolina, USA (current affiliation).
    We assessed the clinical course of patients after store and forward teledermatology in comparison with conventional consultations. Patients being referred from primary care to dermatology clinics were randomly assigned to teledermatology or a conventional consultation. A total of 392 patients were randomized; 261 patients completed the study and were included in the analysis. Read More

    Effect of store and forward teledermatology on quality of life: a randomized controlled trial.
    JAMA Dermatol 2013 May;149(5):584-91
    Harry S Truman Memorial Veterans' Hospital, Columbia, USA.
    Importance: Although research on quality of life and dermatologic conditions is well represented in the literature, information on teledermatology's effect on quality of life is virtually absent.

    Objective: To determine the effect of store and forward teledermatology on quality of life.

    Design: Two-site, parallel-group, superiority randomized controlled trial. Read More

    The contribution of teledermatoscopy to the diagnosis and management of non-melanocytic skin tumours.
    J Telemed Telecare 2013 Jan 19;19(1):60-3. Epub 2013 Feb 19.
    Dermatology Clinic, Çankiri State Hospital, Aksu Mah, Ogretmenler Sokak, 18100 Çankiri, Turkey.
    We examined the contribution of dermatoscopy to the reliability of the diagnosis and management of non-melanocytic skin tumours using store-and-forward teledermatology. A total of 150 patients with non-melanocytic skin tumours were enrolled into the study. The reliability of the diagnoses and management plans was measured by comparing teledermatology with face-to-face examination; the effect of adding dermatoscopy images was also analysed. Read More

    A teledermatology care management protocol for tracking completion of teledermatology recommendations.
    J Telemed Telecare 2012 Oct 19;18(7):374-8. Epub 2012 Oct 19.
    University of Washington School of Medicine, Seattle, Washington, USA.
    In July 2009 we implemented a 3-year store-and-forward teledermatology project to provide dermatology care to veterans living in rural and underserved areas of the US Pacific Northwest. We also developed a follow-up protocol and tracking system. Information about all completed teledermatology consultations was entered into a database, and major procedures and select medications were tracked. Read More

    Development of a mobile teledermatology system.
    Telemed J E Health 2012 Nov 10;18(9):668-73. Epub 2012 Oct 10.
    Infokom GmbH, Neubrandenburg, Germany.
    Objective: The increasing number of elderly and chronically ill patients is currently stressing healthcare systems. One of the solutions for reaching an economically and socially viable solution is exploiting the benefits of modern technologies. This article presents an innovative mobile teledermatology program for assisting both the therapy and the aftercare of patients suffering from skin diseases. Read More

    Effect of teledermatology on the prognosis of patients with cutaneous melanoma.
    Arch Dermatol 2012 Sep;148(9):1025-8
    Dermatology Unit, Hospital Universitario Virgen Macarena, Seville, Spain.
    Objective: To evaluate differences in the initial prognosis of patients with cutaneous melanoma managed by teledermatology (TD) vs other non-TD referral systems.

    Design: Descriptive and longitudinal study of a store-and-forward TD system aimed at the triage of patients with suspicious pigmented lesions.

    Setting: In 2003, a store-and-forward TD triage system aimed at the selection of patients with skin growths suggestive of cancer was implemented at a skin cancer clinic. Read More

    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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