TY - JOUR
T1 - Store-and-forward teledermatology versus in-person visits
T2 - A comparison in pediatric teledermatology clinic
AU - Heffner, Viday A.
AU - Lyon, Valerie B.
AU - Brousseau, David C.
AU - Holland, Kristin E.
AU - Yen, Kenneth
PY - 2009/6
Y1 - 2009/6
N2 - Background: The role of teledermatology in the diagnosis of pediatric skin conditions has not been studied exclusively. Objective: To determine the ability of a pediatric dermatologist to correctly diagnose rashes by history and digital images. Methods: Consecutive, new referrals to the pediatric dermatology clinic with a rash were enrolled in the study. A history, demographic data, and digital photographs were obtained from each patient. The data were reviewed by a pediatric dermatologist who made a preliminary diagnosis. The child was then seen in person and a final diagnosis was made. Concordance and kappa values were calculated. Cases of diagnostic disagreement were analyzed for their effect on management. Results: One hundred thirty-five patients were enrolled. Diagnostic concordance was 82% (95% confidence interval [CI], 73%-88%), and the kappa value was 0.80. Clinically relevant disagreement occurred in 12% of cases. Limitations: The study was performed at a single site, theoretically limiting generalizability. Conclusion: Teledermatology appears to have a useful role in the care of children with rashes.
AB - Background: The role of teledermatology in the diagnosis of pediatric skin conditions has not been studied exclusively. Objective: To determine the ability of a pediatric dermatologist to correctly diagnose rashes by history and digital images. Methods: Consecutive, new referrals to the pediatric dermatology clinic with a rash were enrolled in the study. A history, demographic data, and digital photographs were obtained from each patient. The data were reviewed by a pediatric dermatologist who made a preliminary diagnosis. The child was then seen in person and a final diagnosis was made. Concordance and kappa values were calculated. Cases of diagnostic disagreement were analyzed for their effect on management. Results: One hundred thirty-five patients were enrolled. Diagnostic concordance was 82% (95% confidence interval [CI], 73%-88%), and the kappa value was 0.80. Clinically relevant disagreement occurred in 12% of cases. Limitations: The study was performed at a single site, theoretically limiting generalizability. Conclusion: Teledermatology appears to have a useful role in the care of children with rashes.
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U2 - 10.1016/j.jaad.2008.11.026
DO - 10.1016/j.jaad.2008.11.026
M3 - Article
C2 - 19362751
AN - SCOPUS:67349196747
SN - 0190-9622
VL - 60
SP - 956
EP - 961
JO - Journal of the American Academy of Dermatology
JF - Journal of the American Academy of Dermatology
IS - 6
ER -