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    Usability, Acceptability, and Impact of a Pediatric Teledermatology Mobile Health Application.
    Telemed J E Health 2017 Jul 21. Epub 2017 Jul 21.
    1 Department of Pediatrics, The Children's Hospital of Philadelphia , Philadelphia, Pennsylvania.
    Objective: Pediatric dermatology appointment wait times often exceed several months. We evaluated the usability, acceptability, and clinical impact of a store-and-forward teledermatology mobile application (app) linking families with pediatric dermatologists.

    Methods: Parents of children age 6 weeks to 17 years or individuals 18-21 years old were invited (by e-mail or referral) to participate in this single group, prospective study. Read More

    Teledermatology and Mobile Applications in the Management of Patients with Skin Lesions.
    Acta Derm Venereol 2017 Jul 5. Epub 2017 Jul 5.
    Melanoma Clinic and Teledermatology Network, University Hospital Virgen Macarena, ES-41009 Seville, Spain.
    Teledermatology and smartphone mobile applications have been at the forefront of advances in the screening and management of patients with skin lesions over the past decade. The Spanish teledermatology network, established in 2004 in the area surrounding the dermatology clinic in Seville, has now managed over 50,000 teleconsultations and has led to validated improvements in waiting times for referral and surgery, allowed patients to be treated in local settings, and improved the early diagnosis and initial prognosis of patients diagnosed with melanoma. Both teledermatology and smartphone mobile applications can be used as training tools to improve the diagnostic skills of physicians and dermatologists. Read More

    Telemedicine Services for the Arctic: A Systematic Review.
    JMIR Med Inform 2017 Jun 28;5(2):e16. Epub 2017 Jun 28.
    Department of Computer Science, University of Tromsø - The Arctic University of Norway, Tromsø, Norway.
    Background: Telemedicine services have been successfully used in areas where there are adequate infrastructures such as reliable power and communication lines. However, despite the increasing number of merchants and seafarers, maritime and Arctic telemedicine have had limited success. This might be linked with various factors such as lack of good infrastructure, lack of trained onboard personnel, lack of Arctic-enhanced telemedicine equipment, extreme weather conditions, remoteness, and other geographical challenges. Read More

    Total-body photography in skin cancer screening: the clinical utility of standardized imaging.
    Cutis 2017 May;99(5):312-316
    Department of Dermatology, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
    Early detection of skin cancer is essential to reducing morbidity and mortality from both melanoma and nonmelanoma skin cancers. Total-body skin examinations (TBSEs) may improve early detection of malignant melanomas (MMs) but are controversial due to the poor quality of data available to establish a mortality benefit from skin cancer screening. Total-body photography (TBP) promises to provide a way forward by lowering the costs of dermatologic screening while simultaneously leveraging technology to increase patient access to dermatologic care. Read More

    Incidence of melanoma and keratinocytic carcinomas in patients evaluated by store-and-forward teledermatology vs. dermatology clinic.
    Int J Dermatol 2017 Jun 20. Epub 2017 Jun 20.
    Tufts Medical Center/Tufts University School of Medicine, Boston, MA, USA.
    Background: It is unclear whether incidence of detected skin cancer in patients evaluated by store-and-forward teledermatology (SAF) vs. face-to-face consultation (F2F) significantly differs, and whether such differences are because of variations in patient demographics, diagnostic accuracy, or both.

    Methods: This retrospective cohort study compares patient skin cancer risk profile, pre-post biopsy diagnostic accuracy, and detection rates of any skin cancer, melanoma, and keratinocytic carcinoma between all SAF teledermatology patients and a subset of randomly selected F2F consultations at VA-Boston Healthcare System in 2014. Read More

    Direct-Access Online Care for the Management of Atopic Dermatitis: A Randomized Clinical Trial Examining Patient Quality of Life.
    Telemed J E Health 2017 Jun 1. Epub 2017 Jun 1.
    4 Southern California Clinical and Translational Science Institute (CTSI) , Los Angeles, California.
    Background: Atopic dermatitis (AD) is a chronic disease requiring regular follow-up. To increase access to dermatological care, online management of AD is being studied. However, a critical knowledge gap exists in determining AD patients' quality of life in direct-to-patient online models. Read More

    Telemedicine in dermatology: findings and experiences worldwide - a systematic literature review.
    J Eur Acad Dermatol Venereol 2017 May 18. Epub 2017 May 18.
    Institute for Health Services Research in Dermatology and Nursing (IVDP), University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany.
    Telemedicine has become an important element of health care in many countries and profited from the technological progress of the last two decades. Due to the visual character of the dermatological specialty, teledermatology in particular participated in that development and is becoming a major tool in dermatological consultation. The objective of this article was to identify the use of teledermatology across the world based on published original articles. Read More

    Diagnosis and Management of Malignant Melanoma in Store-and-Forward Teledermatology.
    Telemed J E Health 2017 May 12. Epub 2017 May 12.
    5 VHA Puget Sound Health Care System , Seattle, Washington.
    Background: Published studies have led to concern that store-and-forward teledermatology (SFT) diagnosis and management of melanomas may be inferior to face-to-face (FTF) dermatology care.

    Introduction: To ascertain the frequency of correctly managed and diagnosed melanomas within a population of veterans in Veterans Integrated Service Network 20 SFT.

    Materials And Methods: We conducted a retrospective chart review of 7,960 veterans seen by SFT between July 1, 2009 and December 31, 2011. Read More

    Changing use and attitudes towards teledermatology in the UK over 10 years: results of the 2016 National Survey.
    Br J Dermatol 2017 Apr 26. Epub 2017 Apr 26.
    Medway NHS Foundation Trust, Kent.
    Dermatology has been described as a speciality in crisis in the UK, with a shortfall of 250 dermatologists nationally combined with steadily increasing referrals and skin cancer incidence(1) . This has fuelled interest in teledermatology (TD). TD utilises telecommunication technology at a distance to exchange medical information. Read More

    Creation of an Internal Teledermatology Store-and-Forward System in an Existing Electronic Health Record: A Pilot Study in a Safety-Net Public Health and Hospital System.
    JAMA Dermatol 2017 Jul;153(7):644-650
    Division of Information Technology, Parkland Health and Hospital Systems, Dallas, Texas5Departments of Dermatology and Internal Medicine, University of Texas Southwestern Medical Center, Dallas.
    Importance: External store-and-forward (SAF) teledermatology systems operate separately from the primary health record and have many limitations, including care fragmentation, inadequate communication among clinicians, and privacy and security concerns, among others. Development of internal SAF workflows within existing electronic health records (EHRs) should be the standard for large health care organizations for delivering high-quality dermatologic care, improving access, and capturing other telemedicine benchmark data. Epic EHR software (Epic Systems Corporation) is currently one of the most widely used EHR system in the United States, and development of a successful SAF workflow within it is needed. Read More

    Increasing Frequency of Seborrheic Keratosis Diagnoses as a Favorable Consequence of Teledermatology-Based Skin Cancer Screening: A Cross-sectional Study of 34,553 Patients.
    Am J Clin Dermatol 2017 Apr 10. Epub 2017 Apr 10.
    Chief of the Medical and Surgical Dermatology Unit, HUVM Teledermatology Network, Hospital Universitario Virgen Macarena, Avda. Dr. Fedriani s/n, 41009, Seville, Spain.
    Background: Screening of skin cancer by teledermatology (TD) has improved the early detection of skin cancer by enhancing access to skin cancer clinics.

    Objective: We sought to analyze how TD-based skin cancer screening has changed the frequency of consultations for benign lesions.

    Patients And Methods: A cross-sectional study including teleconsultations received during a 7-year period was conducted to analyze and compare the trendlines of each lesion type over the study period. Read More

    Patient and Provider Satisfaction with Teledermatology.
    Telemed J E Health 2017 Apr 4. 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

    A systematic review of satisfaction with teledermatology.
    J Telemed Telecare 2017 Jan 1:1357633X17696587. Epub 2017 Jan 1.
    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

    Propranolol for infantile hemangiomas in developing countries.
    Dermatol Online J 2017 Mar 15;23(3). Epub 2017 Mar 15.
    Department of Dermatology, Emory University School of Medicine, Atlanta, Georgia.
    Background: Propranolol is the treatment of choicefor complicated infantile hemangiomas (IH). However,in some locations, propranolol has not yet becomestandard of care. To our knowledge, until 2014,propranolol had not been used in Afghanistan totreat IH. Read More

    The Department of Defense: pioneers of early teledermatology.
    Dermatol Online J 2017 Feb 15;23(2). Epub 2017 Feb 15.
    Ronald O. Perelman Department of Dermatology, New York University School of Medicine, New York.
    The United States (US) Department of Defense(DoD) has been a leader in using telecommunicationstechnology to provide remote medical care. The DoDhas been using telemedicine for more than twentyyears to provide medical services to military personneldeployed throughout the world, and has largelyinfluenced the development of teledermatology. Theexperiences of early military teledermatology serviceshave yielded valuable lessons that have been essentialto the creation of successful civilian programs. Read More

    A Systematic Review of the Use of Telemedicine in Plastic and Reconstructive Surgery and Dermatology.
    Ann Plast Surg 2017 Jun;78(6):736-768
    From the *Division of Plastic Surgery, Department of Surgery, Mayo Clinic, Rochester, MN; †New York University School of Medicine, New York City, NY; ‡Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University, Palo Alto, CA; §Division of Plastic Surgery, Department of Surgery, University of Washington, Seattle, WA; ∥Stanford University School of Medicine, Stanford, CA; ¶Division of Plastic Surgery, Department of Surgery, University of Kentucky College of Medicine, Lexington, KY; #Division of Plastic Surgery, Department of Surgery, University of California San Diego, San Diego, CA; and **Division of Plastic Surgery, Department of Surgery, Rutgers New Jersey Medical School, Newark, NJ.
    Background: Telemedicine, the use of information technology and telecommunication to provide healthcare at a distance, is a burgeoning field with applications throughout medicine. Given the visual nature of plastic surgery and dermatology, telemedicine has a myriad of potential applications within the field.

    Methods: A comprehensive literature review of articles published on telemedicine since January 2010 was performed. Read More

    Teledermatology as a Means to Provide Multispecialty Care: A Case of Global Specialty Collaboration.
    Pediatr Dermatol 2017 Mar;34(2):e89-e92
    Department of Dermatology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
    Telemedicine can serve as a platform for specialty collaboration and potentially address the lack of specialized and subspecialized care globally. In this article we present a case in which the use of teledermatology facilitated global collaboration between multiple specialists and subspecialists, resulting in high-quality care of a child from a remote area of Botswana. We present the lessons learned and factors that should be considered when engaging in global specialty collaboration, especially between developed and developing countries. Read More

    Mobile teledermatology for skin cancer screening: A diagnostic accuracy study.
    Medicine (Baltimore) 2017 Mar;96(10):e6278
    aInstitute of primary care, University and University Hospital of Zürich, Zürich, Switzerland bDepartment of Dermatology, University and University Hospital of Zürich, Zürich, Switzerland.
    Skin cancer screening has undoubted potential to reduce cancer-specific morbidity and mortality. Total-body exams remain the prevailing concept of skin cancer screening even if effectiveness and value of this method are controversial. Meanwhile, store and forward teledermatology was shown to be a reliable instrument for several diagnostic purposes mostly in specialized dermatology settings. Read More

    Teledermatology in the inpatient setting.
    Semin Cutan Med Surg 2017 Mar;36(1):12-16
    Department of Dermatology and Pathology, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
    Teledermatology (TD) is a health care delivery modality that uses telecommunication technology to provide dermatologic care. It has grown to be a reliable and diagnostically accurate means of producing quality care while increasing access and reducing wait times in the outpatient setting. In the inpatient setting, TD may be an effective method to improve access to dermatologic care by remotely triaging, assisting, or providing dermatologic consultative services. Read More

    Smartphone use in dermatology for clinical photography and consultation: Current practice and the law.
    Australas J Dermatol 2017 Feb 28. Epub 2017 Feb 28.
    The Dermatology and Skin Cancer Centre, Gosford, New South Wales, Australia.
    Background: Smartphones are rapidly changing the way doctors capture and communicate clinical information, particularly in highly visual specialties such as dermatology. An understanding of how and why smartphones are currently used in clinical practice is critical in order to evaluate professional and legal risks, and to formulate policies that enable safe use of mobile technologies for the maximal benefit of practitioners and patients.

    Methods: Australian dermatologists and dermatology trainees were surveyed on their current practices relating to clinical smartphone use. Read More

    Proposed Technical Guidelines for the Acquisition of Clinical Images of Skin-Related Conditions.
    JAMA Dermatol 2017 May;153(5):453-457
    Dermatology Research Centre, The University of Queensland, School of Medicine, Translational Research Institute, Brisbane, Australia5Dermatology Department, Princess Alexandra Hospital, Brisbane.
    Importance: Standardizing dermatological imaging is important to improve monitoring of skin lesions and skin conditions, ensure the availability of high-quality images for teledermatology, and contribute to the development of a robust archive of skin images to be used for research.

    Objective: To provide guidelines for the clinical application of the Standards for Dermatological Imaging set forward by the ISIC.

    Evidence Review: The ISIC recommendations were developed through a hybrid Delphi methodology. Read More

    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 Mar/Apr;28(2):152-161
    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

    Teledermatology in Tijuana, Mexico.
    Cutis 2016 Dec;98(6):E20-E21
    Department of Dermatology, University of California, San Diego, USA.
    The Health Frontiers in Tijuana (HFiT) clinic is a binational partnership between the University of California, San Diego School of Medicine (San Diego, California); the Universidad Autónoma de Baja California School of Medicine (Tijuana, Mexico); and Desayunador Salesiano Padre Chava, a community grassroots organization in Tijuana, Mexico. Health Frontiers in Tijuana provides accessible quality health care for the underserved in Tijuana's Zona Norte. This article is a narrative meant to share my clinical experience as a dermatology resident who worked with HFiT to establish teledermatology services at this clinic. Read More

    Internet-based skin cancer screening using clinical images alone or in conjunction with dermoscopic images: A randomized teledermoscopy trial.
    J Am Acad Dermatol 2017 Apr 12;76(4):676-682. Epub 2017 Jan 12.
    Dermatology Unit and Teledermatology Network, Virgen Macarena University Hospital, Seville, Spain.
    Background: Teledermoscopy involves the use of dermoscopic images for remote consultation and decision-making in skin cancer screening.

    Objective: We sought to analyze the potential benefits gained from the addition of dermoscopic images to an internet-based skin cancer screening system.

    Methods: A randomized clinical trial assessed the diagnostic performance and cost-effectiveness of clinical teleconsultations (CTC) and clinical with dermoscopic teleconsultations. Read More

    Lakartidningen 2017 Jan 9;114. Epub 2017 Jan 9.
    - - Umeå, Sweden - - Umeå, Sweden.
    This study evaluates the use of teledermatology at Norrland University Hospital in Northern Sweden between 2009 and 2014. In total, there were 27 198 incoming referrals. Of these, 1504 had photo attachments, and could be answered directly without a face-to-face appointment. Read More

    The use of teledermoscopy in the accurate identification of cancerous skin lesions in the adult population: a systematic review.
    J Telemed Telecare 2017 Jan 1:1357633X16686770. Epub 2017 Jan 1.
    2 Department of Adult Health, West Virginia University School of Nursing, Morgantown, WV, USA.
    Background The use of teledermoscopy in the diagnostic management of pre-cancerous and cancerous skin lesions involves digital dermoscopic images transmitted over telecommunication networks via email or web applications. Teledermoscopy may improve the accuracy in clinical diagnoses of melanoma skin cancer if integrated into electronic medical records and made available to rural communities, potentially leading to decreased morbidity and mortality. Objective and method The purpose of this paper is to present a systematic review of evidence on the use of teledermoscopy to improve the accuracy of skin lesion identification in adult populations. Read More

    Rothmund-Thomson syndrome and osteoma cutis in a patient previously diagnosed as COPS syndrome.
    Eur J Pediatr 2017 Feb 30;176(2):279-283. Epub 2016 Dec 30.
    Department of Clinical genetics, Leiden University Medical Centre, Postzone K5-R, PO box 9600, 2300 RC, Leiden, The Netherlands.
    We present a patient with poikiloderma, severe osteoporosis and a mild intellectual disability. At the age of 9 years, this patient was proposed to suffer from a novel disease entity designated as calcinosis cutis, osteoma cutis, poikiloderma and skeletal abnormalities (COPS) syndrome. At the age of 35, he was diagnosed with Hodgkin's lymphoma. Read More

    Unimaged Melanomas in Store-and-Forward Teledermatology.
    Telemed J E Health 2017 Jun 8;23(6):517-520. 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

    Teledermatology for the Diagnosis and Management of Skin Cancer: A Systematic Review.
    JAMA Dermatol 2017 Mar;153(3):319-327
    Dermatology Research Centre, The University of Queensland, School of Medicine, Translational Research Institute, Brisbane, Australia5Dermatology Department, Princess Alexandra Hospital, Brisbane, Australia.
    Importance: As technology becomes more commonplace in dermatological practice, it is essential to continuously review the accuracy of teledermatology devices and services compared with in-person care. The last systematic review was conducted over 5 years ago.

    Objective: To synthesize and assess the quality of the evidence to address 3 research questions: (1) How accurate is teledermatology for skin cancer diagnosis compared with usual care (face-to-face [FTF] diagnosis)? (2) Does teledermatology save clinician and/or patient time, compared with usual care? (3) What are the enablers and barriers to adoption of teledermatology in clinical practice for the diagnosis of skin cancer?

    Evidence Review: The review protocol was registered in the PROSPERO database. Read More

    A Review and Critique of Teledermatology in the South African Public Health Sector.
    Stud Health Technol Inform 2016 ;231:143-151
    Department of Telehealth, University of KwaZulu-Natal, South Africa.
    Nearly 80% of the world's population live in developing countries in Asia, Africa, and Latin America. Many of these countries must face a triple or quadruple burden of disease with severely limited resources and health systems. South Africa (SA) is one such country, and recognises the potential for e-health to moderate these limitations. Read More

    Comparing High Definition Live Interactive and Store-and-Forward Consultations to In-Person Examinations.
    Telemed J E Health 2017 Mar 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

    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

    Practice Guidelines for Teledermatology.
    Telemed J E Health 2016 Dec 30;22(12):981-990. Epub 2016 Sep 30.
    23 Research and Development, Durham VA Medical Center , Durham, North Carolina.
    Previous American Telemedicine Association (ATA) Teledermatology Practice Guidelines were issued in 2007. This updated version reflects new knowledge in the field, new technologies, and the need to incorporate teledermatology practice in a variety of settings, including hospitals, urgent care centers, Federally Qualified Health Centers, school-based clinics, public health facilities, and patient homes. Read More

    Exposure to teledermatology and resident preparedness for future practice: results of a national survey.
    Dermatol Online J 2016 Jul 15;22(7). Epub 2016 Jul 15.
    Department of Dermatology, Brigham and Women's Hospital and Harvard Medical School, Boston, MA.
    Teledermatology (TD) is an emerging modality for providing remote dermatologic care with high diagnostic and management 25 concordance compared to face-to-face clinic dermatology. TD training among dermatology residency programs in the United 26 States has not been characterized. We disseminated a survey to all dermatology residents at ACGME accredited programs in the 27 United States to explore the prevalence and distribution of TD training and trainee perceptions of TD. Read More

    Integrated Health Care Barcelona Esquerra (Ais-Be): A Global View of Organisational Development, Re-Engineering of Processes and Improvement of the Information Systems. The Role of the Tertiary University Hospital in the Transformation.
    Int J Integr Care 2016 May 23;16(2). Epub 2016 May 23.
    Integrated Health Area "Barcelona Esquerra" (AIS-BE) Manager. Barcelona Health Consortium (CatSalut), Spain; Standing Committee of AIS-BE, Spain.
    The Integrated Health Area "Barcelona Esquerra" (Área Integral de Salud de Barcelona Esquerra - AIS-BE), which covers a population of 524,000 residents in Barcelona city, is running a project to improve healthcare quality and efficiency based on co-ordination between the different suppliers in its area through the participation of their professionals. Endowed with an Organisational Model that seeks decision-taking that starts out from clinical knowledge and from Information Systems tools that facilitate this co-ordination (an interoperability platform and a website) it presents important results in its structured programmes that have been implemented such as the Reorganisation of Emergency Care, Screening for Colorectal Cancer, the Onset of type 2 Diabetes Mellitus, Teledermatology and the Development of Cross-sectional Healthcare Policies for Care in Chronicity. Read More

    Direct-to-consumer teledermatology services for pediatric patients: Room for improvement.
    J Am Acad Dermatol 2016 Nov 7;75(5):887-888. Epub 2016 Sep 7.
    Dermatology, Stanford University School of Medicine, Stanford, California; Stanford University School of Medicine, Stanford, California. Electronic address:
    Direct-to-consumer teledermatology is radically changing the way some patients obtain dermatologic care. Many direct-to-consumer teledermatology services offer care to patients younger than 18 years, but policies and standards are nonuniform. For pediatric patients, direct-to-consumer teledermatology is a substantial departure from in-person care. 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

    A Systematic Review of the Economic Evaluation of Telemedicine in Japan.
    J Prev Med Public Health 2016 Jul;49(4):183-96
    Faculty of Environment and Information Studies, Keio University, Kanagawa, Japan.
    Objectives: There is no systematic review on economic evaluations of telemedicine in Japan, despite over 1000 trials implemented. Our systematic review aims to examine whether Japan's telemedicine is cost-saving or cost-effective, examine the methodological rigorousness of the economic evaluations, and discuss future studies needed to improve telemedicine's financial sustainability.

    Methods: We searched five databases, including two Japanese databases, to find peer-reviewed articles published between January 1, 2000 and December 31, 2014 in English and Japanese that performed economic evaluations of Japan's telemedicine programs. 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

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