981 results match your criteria Teledermatology


Is prolonged monitoring necessary? An updated approach to infantile hemangioma treatment with oral propranolol.

Pediatr Dermatol 2021 Jun 11. Epub 2021 Jun 11.

Department of Dermatology, Emory University School of Medicine, Atlanta, GA, USA.

Background/objectives: Infantile hemangiomas (IH) are the most common soft-tissue tumors in childhood, occurring in up to 1 in 10 infants. Oral propranolol has been well established as the first-line treatment of complicated hemangiomas; however, variability in the administration protocol remains. We sought to evaluate our current propranolol treatment protocols to determine if the level of monitoring and follow-up predicts immediate or future adverse events by comparing one in-person visit vs two in-person visits versus teledermatology for treatment initiation and dose escalation. Read More

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Every cloud has a silver lining: the environmental benefit of teledermatology during the COVID-19 pandemic.

Clin Exp Dermatol 2021 Jun 11. Epub 2021 Jun 11.

Department of Dermatology, South Infirmary Victoria University Hospital, Cork, Ireland.

COVID-19 has transformed healthcare delivery globally. The main benefits of teledermatology are reported to be patient convenience and resource efficiency. The environmental benefits of teledermatology have rarely been considered. Read More

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Direct-to-consumer teledermatology platforms may have inherent conflicts of interest.

J Am Acad Dermatol 2021 Jun 5. Epub 2021 Jun 5.

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

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Continuing patient care to underserved communities and medical education during the COVID-19 pandemic through a teledermatology student-run clinic.

Pediatr Dermatol 2021 Jun 7. Epub 2021 Jun 7.

Dermatology Program, Boston Children's Hospital, Boston, MA, USA.

A virtual pediatric dermatology student-run clinic was initiated during the COVID-19 pandemic, when in-person educational opportunities were limited. The clinic's aim is to provide high-quality dermatologic care to a diverse, underserved pediatric patient population while teaching trainees how to diagnose and manage common skin conditions. In our initial eight sessions, we served 37 patients, predominantly those with skin of color, and had a low no-show rate of 9. Read More

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Long-Distance Dermatology: Lessons From an Interview on Remote Practice During a Pandemic and Beyond.

Authors:
W Hugh Lyford

Cutis 2021 Apr;107(4):E37-E39

Department of Dermatology, Naval Medical Center, San Diego, California.

The COVID-19 pandemic resulted in profound changes to most facets of medical practice. The field of dermatology has adapted by rapidly incorporating teledermatology as a means of evaluating, treating, and staying connected with our patients. Broader dermatology access, convenience to patients, and value to payers are benefits to this rapidly evolving practice model and suggest that teledermatology will be a part of day-to-day practice even as the worst of the pandemic is behind us. Read More

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Teledermatology during the COVID-19 pandemic: experience at a tertiary care center in north India.

Dermatol Ther 2021 Jun 5:e15022. Epub 2021 Jun 5.

Department of Dermatology, Venereology and Leprology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Background: Teledermatology has evolved as a valuable option to outpatient visits during the current pandemic. We set up a smartphone-based hybrid model of teledermatology services providing direct care to patients at our center.

Objective: To analyze patient and physician-experience and acceptability for teledermatology over a 6-month-period, along with clinicodemographic profile of patients. Read More

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Sociodemographic Determinants of Teledermatology Acceptability.

J Am Acad Dermatol 2021 May 31. Epub 2021 May 31.

Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, Florida. Electronic address:

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[Melanoma : the patient's care pathway. From diagnosis to therapy].

Rev Med Liege 2021 May;76(5-6):489-495

Service de Dermatologie, CHU Liège, Belgique.

The management of melanoma is a typical example of a pluridisciplinary approach, in order to provide the patient with a rapid and adequate treatment plan after the initial diagnosis. Both in the domains of dermatology, pathology and oncology, enormous progress has been made. Recent advances permit a rapid access to diagnostic techniques using teledermoscopy, an improved diagnostic accuracy using dermoscopy, pre-interventional high-frequency ultrasound and optical coherence tomography, a determination of risk factors using immunohistochemistry and genetic analyses on the pathology samples. Read More

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Reply to: "Direct-to-consumer teledermatology platforms may have inherent conflicts of interest".

J Am Acad Dermatol 2021 May 24. Epub 2021 May 24.

Division of Dermatology, Department of Internal Medicine, The Ohio State University, Columbus, Ohio; Division of Dermatology, Department of Internal Medicine, OhioHealth Riverside Methodist Hospital, Columbus, Ohio.

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Teledermatology in Primary Care in Singapore: Experiences of Family Doctors and Specialists.

Acta Derm Venereol 2021 May 27. Epub 2021 May 27.

Family Medicine and Primary Care, Lee Kong Chian School of Medicine, Nanyang Technological University Singapore, Singapore, Singapore.

Most teledermatology studies focus on patients' satisfaction; fewer focus on the experiences of healthcare professionals. This qualitative study explored healthcare professionals' perceptions of teledermatology used for linking public primary care clinics with the specialist dermatology centre in Singapore. Semi-structured in-depth interviews were conducted with 25 family physicians and dermatologists. Read More

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Can teledermatology meet the needs of the remote and rural population?

Authors:
Angela Woodley

Br J Nurs 2021 May;30(10):574-579

Dermatology Specialist Nurse, Western Isles Hospital.

Background: Teledermatology has been in use as a supplemental tool in dermatology for many years. This study will focus on its use for dermatology patients with suspected skin cancer, in the remote and rural setting.

Objectives: Evaluation of the efficacy and accuracy of skin cancer detection using teledermatology. Read More

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Evaluating the Experiences of New and Existing Teledermatology Patients During the COVID-19 Pandemic: Cross-sectional Survey Study.

JMIR Dermatol 2021 Jan-Jun;4(1):e25999. Epub 2021 May 5.

Carolina Health Informatics Program University of North Carolina at Chapel Hill Chapel Hill, NC United States.

Background: As teledermatology has been widely adopted during the COVID-19 pandemic, it is essential to examine patients' experiences and satisfaction with teledermatology.

Objective: We aimed to assess the teledermatology experiences of new and existing clinic patients in the context of the rapid shift toward teledermatology practices during the COVID-19 pandemic.

Methods: We conducted a cross-sectional study of 184 teledermatology patients who were assessed during the COVID-19 pandemic at a major southeastern medical center from May 13 to June 5, 2020. Read More

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Cutaneous metastatic esophageal adenocarcinoma diagnosed via inpatient teledermatology.

JAAD Case Rep 2021 Jun 9;12:51-53. Epub 2021 Apr 9.

Department of Dermatology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.

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Detection of a second outbreak of chilblain-like lesions during COVID-19 pandemic through teledermatology.

J Eur Acad Dermatol Venereol 2021 May 20. Epub 2021 May 20.

Chaire Avenir Santé numérique, Equipe 8 IMRB, Inserm, Université Paris Est Créteil, Créteil, France.

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Direct-to-Patient Teledermatology During COVID-19 Lockdown in a Health District in Madrid, Spain: The EVIDE-19 Pilot Study.

Actas Dermosifiliogr 2021 Apr 3;112(4):345-353. Epub 2021 Feb 3.

Servicio de Dermatología, Hospital Universitario La Paz, Madrid, Spain.

Background: Dermatologic care was halted because of the coronavirus disease 2019 pandemic, prompting us to study the usefulness of direct-to-patient teledermatology via a mobile application. We aimed to evaluate the service as a tool for avoiding face-to-face consultations, describe the main conditions diagnosed, and assess levels of patient and physician satisfaction.

Material And Method: Prospective descriptive study of new patients who met the inclusion criteria. Read More

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Medicolegal aspects of teledermatology.

Actas Dermosifiliogr 2020 Dec 2;111(10):815-821. Epub 2020 Nov 2.

Servicio de Responsabilidad Profesional, Área de Praxis, Colegio de Médicos de Barcelona, Consejo de Colegios de Médicos de Catalunya, Barcelona, Spain.

Teledermatology has facilitated specialist care during the crisis caused by the coronavirus disease 2019 pandemic, eliminating unnecessary office visits and the possible exposure of patients or dermatologists. However, teledermatology brings forward certain ethical and medicolegal questions. A medical consultation in which the patient is not physically present is still a medical act, to which all the usual ethical and medicolegal considerations and consequences apply. Read More

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December 2020

Assessment of teledermatology education during residency training: a nationwide survey of residents and program directors.

Dermatol Online J 2021 Apr 15;27(4). Epub 2021 Apr 15.

Division of Dermatology, Department of Internal Medicine, Dell Medical School at the University of Texas Austin, TX.

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Teledermatology after COVID-19: key challenges ahead.

Dermatol Online J 2021 Apr 15;27(4). Epub 2021 Apr 15.

University of Texas Southwestern Medical School, Dallas, TX.

Teledermatology has been leveraged during the COVID-19 pandemic as a means of adopting novel ways to treat patients while reducing the risk of viral transmission. Although teledermatology offers benefits related to patient convenience and improved access to care, key challenges in the areas of reimbursement, licensure, and diagnostic accuracy remain. In this commentary, we discuss these three obstacles and potential solutions. Read More

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Direct patient-to-physician teledermatology: Not a flash in the pan(demic).

Clin Dermatol 2021 Jan-Feb;39(1):45-51. Epub 2020 Dec 24.

Department of Dermatology and Venereology, Medical Faculty, Medical University, Sofia, Bulgaria.

Dermatology is a clinical and visual discipline, which makes it the quintessential medical specialty for spot diagnosis and telemedicine. The COVID-19 pandemic has led to an unprecedented worldwide renaissance of teledermatology (TD). It has helped deliver high-quality medical care, while protecting the medical personnel and vulnerable patients from potential infection. Read More

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Inspired by COVID-19 isolation: Evolving educational techniques in dermatology residency programs.

Clin Dermatol 2021 Jan-Feb;39(1):41-44. Epub 2020 Dec 16.

Department of Dermatology, University of Florida College of Medicine, Gainesville, Florida, USA.

The coronavirus disease 2019 (COVID-19) global pandemic has required dermatology residency programs to convert their learning environment largely to a virtual setting. The impromptu reliance on online lectures, videoconference didactics, and other digital educational resources during this time is welcomed by today's millennial generation of medical trainees and coincides with their learning preferences. Although hands-on direct patient care experiences are currently limited due to reservation of in-office visits for urgent care only, resident participation in teledermatology has permitted them to continue gaining valuable clinical training and may allow for enhanced evaluation of their performance in the future. Read More

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COVID-19: The experience from Iran.

Clin Dermatol 2021 Jan-Feb;39(1):23-32. Epub 2020 Dec 15.

Department of Dermatology, Tehran University of Medical Sciences, Tehran, Iran; Autoimmune Bullous Diseases Research Center, Razi Hospital, Tehran University of Medical Sciences, Tehran, Iran.

The first cases of coronavirus disease 2019 (COVID-19) in Iran were detected on February 19, 2020. Soon the entire country was hit with the virus. Although dermatologists were not immediately the frontline health care workers, all aspects of their practice were drastically affected. Read More

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Teledermatology in 2020: past, present and future perspectives.

Ital J Dermatol Venerol 2021 Apr;156(2):198-212

Unit of Dermatology, Department of Medical, Surgical and Neurosciences, University of Siena, Siena, Italy.

Born in 1995, teledermatology (TD) turns 25 years old today. Since then, TD evolved according to patients and physicians needs. The present review aimed to summarize all the efforts and experiences carried out in the field of TD and its subspecialties, the evolution and the future perspectives. Read More

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Acceptance of Teledermoscopy by General Practitioners and Dermatologists in Denmark.

Dermatol Pract Concept 2021 Mar 12;11(2):e2021033. Epub 2021 Apr 12.

Department of Dermatology and Allergy Centre, Odense University Hospital, Odense, Denmark.

Background: Teledermoscopy can be used to triage referrals of suspected skin cancers, thereby reducing waiting time and number of face-to-face consultations with a dermatologist. However, the success of the implementation of this technology in part relies on the acceptance of the providers.

Objectives: This study assessed the attitudes towards teledermoscopy of referring general practitioners and consultant dermatologists. Read More

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Development and Assessment of an Artificial Intelligence-Based Tool for Skin Condition Diagnosis by Primary Care Physicians and Nurse Practitioners in Teledermatology Practices.

JAMA Netw Open 2021 Apr 1;4(4):e217249. Epub 2021 Apr 1.

Google Health, Palo Alto, California.

Importance: Most dermatologic cases are initially evaluated by nondermatologists such as primary care physicians (PCPs) or nurse practitioners (NPs).

Objective: To evaluate an artificial intelligence (AI)-based tool that assists with diagnoses of dermatologic conditions.

Design, Setting, And Participants: This multiple-reader, multiple-case diagnostic study developed an AI-based tool and evaluated its utility. Read More

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Patient satisfaction of real-time teledermatology: a cross-sectional survey.

Int J Dermatol 2021 Apr 26. Epub 2021 Apr 26.

Department of Dermatology, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.

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From the Cochrane library: Teledermatology for diagnosing skin cancer in adults.

J Am Acad Dermatol 2021 Apr 21. Epub 2021 Apr 21.

Department of Dermatology, University of Colorado Anschutz Medical Campus, Aurora, Colorado; Rocky Mountain Regional VA Medical Center, Aurora, Colorado. Electronic address:

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Clinical interventions aimed at expanding access to dermatologic care.

Dermatol Online J 2021 Mar 15;27(3). Epub 2021 Mar 15.

Florida State University College of Medicine, Tallahassee, FL.

In the United States access to healthcare continues to be a major issue. Although "top down" public policy approaches hold promise for expanding access, a lack of political consensus has hindered progress. A review of the literature was conducted to investigate the efficacy of clinical interventions aimed at expanding access to care from the "bottom up. Read More

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