1,148 results match your criteria Teledermatology


An Audit and Survey of Informal Use of Instant Messaging for Dermatology in District Hospitals in KwaZulu-Natal, South Africa.

Int J Environ Res Public Health 2022 Jun 17;19(12). Epub 2022 Jun 17.

Department of TeleHealth, School of Nursing & Public Health, College of Health Sciences, University of KwaZulu-Natal, Durban 4041, South Africa.

Background: In KwaZulu-Natal (KZ-N), South Africa, recent reports have indicated that spontaneous use of smartphones has occurred, providing access to specialist dermatological care to remote areas. This informal use has raised a number of practical, legal, regulatory, and ethical concerns.

Aim: To assess the nature and content of WhatsApp messages sent to dermatologists, to determine the referring doctors' reasons for, and satisfaction with, their interactions, as well as their knowledge of legal, regulatory, and ethical requirements. Read More

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Teledermoscopy in the Diagnosis of Melanocytic and Non-Melanocytic Skin Lesions: Nurugo Derma Smartphone Microscope as a Possible New Tool in Daily Clinical Practice.

Diagnostics (Basel) 2022 Jun 2;12(6). Epub 2022 Jun 2.

Department of Health Science, University of Eastern Piedmont, Via Solaroli 17, 28100 Novara, Italy.

Due to the COVID-19 pandemic, teledermoscopy has been increasingly used in the remote diagnosis of skin cancers. In a study conducted in 2020, we demonstrated a potential role of an inexpensive device (Nurugo Derma) as a first triage to select the skin lesions that require a face-to-face consultation with dermatologists. Herein, we report the results of a novel study that aimed to better investigate the performance of Nurugo. Read More

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A Pilot Study to Assess the Reliability of Digital Image-Based PASI Scores Across Patient Skin Tones and Provider Training Levels.

Dermatol Ther (Heidelb) 2022 Jun 21. Epub 2022 Jun 21.

Department of Dermatology, University of California, 2340 Sutter Street, Box 0808, San Francisco, CA, 94143, USA.

Introduction: The ability to perform psoriasis skin assessments remotely through digital image-based psoriasis area and severity index (DIB-PASI) would be a valuable tool for psoriasis clinical trials. An ideal teledermatological assessment would be robust across patients of diverse skin tones as well as across assessors of varying experience levels. In this pilot study, we evaluated the reliability of face-to-face (FTF) versus DIB-PASI scores determined by trained clinical assessors with a spectrum of experience and with patients of different skin tones. Read More

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Performance accuracy, advantages and limitations of a store-and-forward teledermatology platform developed for general practitioners: A retrospective study of 298 cases.

Ann Dermatol Venereol 2022 Jun 17. Epub 2022 Jun 17.

Sorbonne Université, Faculté de Médecine, Assistance publique-Hôpitaux de Paris, Service de dermatologie et allergologie, Hôpital Tenon, 75020 Paris, France.

Background: Store-and-forward (SAF) tele-dermatology (TD) platforms could help promote coordination between hospital and general practitioners (GPs). However, very little data exists on the performance accuracy and opinions of GPs participating in this type of project in France.

Methods: We report on the diagnostic and management plan accuracy of an SAF-TD platform developed for neighbouring GPs around our hospital compared with routine face-to-face (FTF) dermatological consultation in our department. Read More

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Using Implementation Science to Understand Teledermatology Implementation Early in the COVID-19 Pandemic: Cross-sectional Study.

JMIR Dermatol 2022 Apr-Jun;5(2):e33833. Epub 2022 Jun 9.

Division of Dermatology University of Washington Seattle, WA United States.

Background: Implementation science has been recognized for its potential to improve the integration of evidence-based practices into routine dermatologic care. The COVID-19 pandemic has resulted in rapid teledermatology implementation worldwide. Although several studies have highlighted patient and care provider satisfaction with teledermatology during the COVID-19 pandemic, less is known about the implementation process. Read More

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Challenges and limitations of teledermatology for skin and soft tissue infections: a real-world study of an expert center.

J Am Acad Dermatol 2022 Jun 13. Epub 2022 Jun 13.

Assistance Publique des Hôpitaux de Paris (AP-HP), Dermatology Department, Henri Mondor Hospital, France; UF Telemedecine, GHU Paris Saclay, Boulogne-Billancourt, France; Chaire Avenir Santé numérique, Équipe 8 IMRB U955 INSERM, Créteil, France.

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COVID-19 Pandemic Impact on Severe Alopecia Areata Patients.

Skin Appendage Disord 2022 May 20;8(3):195-199. Epub 2021 Dec 20.

Skin Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Introduction: The pandemic of COVID-19 has several implications for patients with chronic stress-sensitive diseases such as alopecia areata (AA). On the other hand, the vulnerability of AA patients using immunosuppressives to a more severe infection is in the shadow of ambiguity. This teledermatology study aimed to evaluate the course and outcome of AA in patients during this challenging period. Read More

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Assessing Patient Satisfaction with Teledermatology Implementation During the COVID-19 Pandemic.

Stud Health Technol Inform 2022 Jun;290:465-468

Carolina Health Informatics Program, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.

The aim of this study was to assess the patient experience with teledermatology among new versus existing clinic patients in the context of the rapid practice shift to teledermatology during the COVID-19 pandemic. We analyzed survey responses from 184 teledermatology patients seen during COVID-19 at a major Southeastern medical center from May 13th to June 5th 2020. Overall patient-reported satisfaction with teledermatology was high with the majority of respondents rating their overall satisfaction as excellent (68%) or very good (18%). Read More

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Accuracy of digital data-based diagnoses: a single center prospective comparative trial.

J Am Acad Dermatol 2022 Jun 3. Epub 2022 Jun 3.

Department of Dermatology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. Electronic address:

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Direct-to-Consumer Teledermatology Growth: A Review and Outlook for the Future.

Cutis 2022 Apr;109(4):211-217

Mr. Ranpariya and Dr. Kats are from Rutgers Robert Wood Johnson Medical School, Piscataway, New Jersey. Dr. Lipoff is from the Department of Dermatology, Perelman School of Medicine, University of Pennsylvania, Philadelphia.

The direct-to-consumer (DTC) telemedicine industry, including teledermatology, has seen rapid expansion in recent years, partly because of the COVID-19 pandemic. The shortage of dermatologists and the visual nature of dermatologic conditions attracted DTC companies to dermatology. As more patients continue to seek medical consultations and prescription medications from these for-profit companies, we must approach their growth with healthy skepticism. Read More

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Oral Isotretinoin for Acne in the US Military: How Accelerated Courses and Teledermatology Can Minimize the Duty-Limiting Impacts of Treatment.

Cutis 2022 Feb;109(2):75-78

Naval Medical Readiness and Training Command San Diego, California.

Acne vulgaris is a common dermatologic disease affecting 40 to 50 million individuals in the United States each year. It has a peak incidence in adolescents and young adults; however, for some patients, the disease may persist well into adulthood. These incidence peaks coincide with the age demographic of a large proportion of military service members. Read More

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February 2022

Video and telephone teledermatology visits during COVID-19 in comparison: patients' satisfaction, doubts, and concerns.

Clin Exp Dermatol 2022 Jun 3. Epub 2022 Jun 3.

Dermatology Unit, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy.

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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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Great hopes or disappointment - a survey-based study on patients' and doctors' perception of telemedicine during the COVID-19 pandemic in Poland.

Postepy Dermatol Alergol 2022 Apr 21;39(2):384-391. Epub 2022 Feb 21.

Department of Dermatology and Venereology, Medical University of Bialystok, Bialystok, Poland.

Introduction: During the COVID-19 pandemic health care systems worldwide rapidly implemented telemedicine solutions in order to avoid spreading the coronavirus among doctors and patients.

Aim: To analyse the knowledge, usage, and attitude towards telemedicine among patients, dermatologists, and other doctors during the COVID-19 pandemic.

Material And Methods: An original anonymous online survey was carried between 22 September 2020 and 29 December 2020 in Poland among 121 patients, 63 dermatologists, and 50 doctors of other specialties. Read More

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Challenges for dermatologists during the COVID-19 pandemic: A qualitative study.

Int J Womens Dermatol 2022 Mar 25;8(1):e013. Epub 2022 Mar 25.

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

Burnout is increasing in all fields of medicine, including dermatology. The coronavirus disease 2019 (COVID-19) pandemic presented new and additional challenges for dermatologists.

Objective: Dermatologists of different ages, areas of expertise, and practice settings were convened in 5 focus group to describe the impact of the COVID-19 pandemic on their clinical practice, working environment, and personal lives. Read More

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Teledermatology to reduce face-to-face appointments in general practice during the COVID-19 pandemic: a quality improvement project.

BMJ Open Qual 2022 05;11(2)

School of Medicine, University of St Andrews, St Andrews, UK.

Teledermatology is an important subspecialty of telemedicine that continues to evolve with advances in telecommunication and mobile phone technology. A 19-week primary care quality improvement project collected baseline data and tested three change ideas, using the Model for Improvement method, with primary and secondary aims: to increase the weekly percentage of remote dermatological consultations with supporting images that were successfully concluded remotely to greater than 80% and to reduce the weekly percentage of dermatological face-to-face consultations to less than 50%. We hypothesised that by improving the quality of patient images and the confidence of reception staff in triaging skin complaints, there would be a decrease in the weekly number of face-to-face dermatological appointments, thereby decreasing the risk of COVID-19 transmission within the practice and community. Read More

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German Mobile Apps for Patients With Psoriasis: Systematic Search and Evaluation.

JMIR Mhealth Uhealth 2022 May 26;10(5):e34017. Epub 2022 May 26.

Department of Dermatology, Venereology, and Allergology, University Hospital Würzburg, Würzburg, Germany.

Background: Psoriasis is a chronic inflammatory skin disease. The visibility of erythematous plaques on the skin as well as the pain and itchiness caused by the skin lesions frequently leads to psychological distress in patients. Smartphone apps are widespread and easily accessible. Read More

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Organizational Readiness for Patient-Facing Mobile Teledermatology to Care for Established Veteran Patients in the United States.

Telemed J E Health 2022 May 24. Epub 2022 May 24.

Dermatology Service, San Francisco VA Health Care System, San Francisco, California, USA.

To improve patient access to skin care, the Department of Veterans Affairs (VA) developed a patient-facing asynchronous mobile teledermatology application (app), which allows patients to follow up remotely with dermatologists. To understand how the app would be received in VA, we examined Organizational Readiness for Change (ORC), an important prelude to effective implementation, which includes the shared resolve and collective ability of organizational members to implement a change. We used a mixed-methods multiple case study approach to assess ORC at three VA facilities. Read More

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Teaching Teledermatology: A Simulation Pilot for Health Professional Students.

Stud Health Technol Inform 2022 May;294:953-954

University of Oklahoma-Tulsa, School of Community Medicine, USA.

We developed a teledermatology simulation to give medical and physician assistant students practice with live videoconferencing and store-and-forward workflows. The simulation included (1) pre-session reading; (2) a brief teledermatology didactic; (3) a simulated encounter with a standardized patient; and (4) faculty-led debriefs. The faculty observed students during the simulation and distributed a post-session learner satisfaction survey. Read More

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A Glance at the Practice of Pediatric Teledermatology Pre- and Post-COVID-19: Narrative Review.

JMIR Dermatol 2022 Apr-Jun;5(2):e34228. Epub 2022 May 17.

Division of Dermatology, Department of Medicine, National University Hospital National University Health System Singapore Singapore.

Background: The COVID-19 pandemic has accelerated the use of pediatric teledermatology, with centers showing increased uptake of teledermatology. Pediatric patients possess unique characteristics that pose different challenges with teledermatology compared to adults, in turn affecting the feasibility and uptake of pediatric teledermatology in the community.

Objective: This narrative review summarizes the evolution of pediatric teledermatology from pre-COVID-19 pandemic times to the post-COVID-19 period. Read More

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TELEDerm: Implementing store-and-forward teledermatology consultations in general practice: Results of a cluster randomized trial.

J Telemed Telecare 2022 May 16:1357633X221089133. Epub 2022 May 16.

Institute for General Practice and Interprofessional Care, 27203University Hospital Tübingen, Tübingen, Germany.

Background: Although teledermatology has been proven internationally to be an effective and safe addition to the care of patients in primary care, there are few pilot projects implementing teledermatology in routine outpatient care in Germany. The aim of this cluster randomized controlled trial was to evaluate whether referrals to dermatologists are reduced by implementing a store-and-forward teleconsultation system in general practitioner practices.

Methods: Eight counties were cluster randomized to the intervention and control conditions. Read More

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Treatment-resistant atopic dermatitis: novel therapeutics, digital tools, and precision medicine.

Authors:
Piyu Parth Naik

Asia Pac Allergy 2022 Apr 28;12(2):e20. Epub 2022 Apr 28.

Department of Dermatology, Saudi German Healthcare, Dubai, UAE.

Atopic dermatitis (AD) is a prevalent condition impacting up to 25% of children and 8% of adults worldwide. An estimated 20% of those with AD comprise a subset of patients with treatment-resistant AD, for whom traditional therapeutics and management strategies are unsuccessful. Physical symptoms significantly impact quality of life for patients and caregivers. Read More

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The effect of the COVID-19 pandemic on perceptions of teledermatology.

Dermatol Online J 2021 Dec 15;27(12). Epub 2021 Dec 15.

College of Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA Center for Dermatology Research, Department of Dermatology, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.

There is limited information of the effect of the COVID-19 pandemic on the general population's perceptions towards teledermatology. This study aims to assess the pandemic's impact on people's willingness to use teledermatology as well as to investigate influencing factors. We recruited 544 participants through Amazon Mechanical Turk (MTurk) and surveyed them using REDCap. Read More

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December 2021

Teledermatology during COVID-19: a comparison of video and telephone visits with patient-uploaded images at an urban academic medical center.

Dermatol Online J 2022 Jan 15;28(1). Epub 2022 Jan 15.

Department of Medicine, NorthShore University HealthSystem, Evanston, Illinois, USA.

The COVID-19 pandemic stimulated adoption of teledermatology via video and telephone modalities by outpatient dermatology clinics. However, it was unknown how patient-related factors may have impacted, whether video or phone visits were used, and if visit modality impacted management. Consequently, we conducted a retrospective cross-sectional study of teledermatology visits occurring between March 30, 2020 and May 30, 2020 at an urban tertiary care center. Read More

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January 2022

Home treatment of single cutaneous warts combining face-to-face and teledermatology consultation: A new perspective.

Dermatol Ther 2022 Apr 20:e15528. Epub 2022 Apr 20.

Dermatology Clinic, University of Catania, Catania.

During the COVID-19 pandemic, teledermatology services were set up and enhanced to take care of those benign conditions like cutaneous warts (CWs) which, if undiagnosed or treated with delay, could have worsened, enlarged, and potentially spread to the community. The aim of this hybrid exploratory trial was to combine face-to-face clinical and dermoscopic evaluation with teledermatology follow-up in the management of CWs with a cryogenic pen based on nitrous oxide for home treatment. Twelve adult patients affected by CWs were enrolled. Read More

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"Lockdown Dermatoses" during COVID-19-A Series of 127 Patients from the Indian Subcontinent.

Skinmed 2022 28;20(1):29-32. Epub 2022 Feb 28.

Department of Dermatology, University Hospital Basel, Basel, Switzerland, & University Medical Center Mainz, Mainz, Germany.

Lockdown was enforced in many countries across the globe to flatten the coronavirus disease (COVID-19) curve. In these difficult times, people with skin diseases faced unique challenge, as major clinical facilities came to a standstill. Teledermatology helped to an extent to bridge this provider-seeker gap to an extent. Read More

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Inpatient Teledermatology: a Review.

Curr Dermatol Rep 2022 2;11(2):52-59. Epub 2022 Apr 2.

Department of Dermatology, University of Pittsburgh, Wexford, PA 15090 USA.

Purpose Of Review: Inpatient teledermatology is a rapidly growing field with significant potential to add value and streamline patient care. This review summarizes the current literature on inpatient teledermatology, primarily focusing on its diagnostic and clinical management utility as compared to live dermatologic evaluation.

Recent Findings: The COVID-19 pandemic has accelerated the adoption of inpatient teledermatology, which has been shown to be comparable to live hospitalist evaluation for triage, diagnosis, and management of hospitalized patients for a wide variety of conditions. Read More

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