dc.contributor.author |
Tan, E |
|
dc.contributor.author |
Yung, A |
|
dc.contributor.author |
Jameson, M |
|
dc.contributor.author |
Oakley, A |
|
dc.contributor.author |
Rademaker, M |
|
dc.coverage.spatial |
England |
|
dc.date.accessioned |
2022-05-06T04:55:37Z |
|
dc.date.available |
2022-05-06T04:55:37Z |
|
dc.date.issued |
2010-04 |
|
dc.identifier.citation |
(2010). British Journal of Dermatology, 162(4), 803-811. |
|
dc.identifier.issn |
0007-0963 |
|
dc.identifier.uri |
https://hdl.handle.net/2292/59042 |
|
dc.description.abstract |
<h4>Background</h4>Teledermatology is a rapidly growing field with studies showing high diagnostic accuracy when compared with face-to-face diagnosis. Teledermoscopy involves the use of epiluminescence microscopy to increase diagnostic accuracy. The utility of teledermoscopy as a triage tool has not been established.<h4>Objectives</h4>To assess teledermoscopy as a triage tool for a hospital skin lesion clinic.<h4>Methods</h4>Patients referred to a dermatology skin lesion clinic were recruited. Digital and dermoscopic photographs were taken of skin lesions of concern and the patients were then seen independently face-to-face by two out of three dermatologists. The digital images were evaluated 4 weeks later, as a teledermoscopy consultation, by two of these dermatologists. The diagnosis and management from both types of consultation were compared.<h4>Results</h4>Two hundred patients with a total of 491 lesions were seen. There was excellent agreement between teledermoscopy and face-to-face diagnosis with only 12.3% of lesions having disparate diagnoses of clinical significance. Twelve of 491 (2.4%) lesions appeared to have been under-reported by teledermoscopy when compared with face-to-face diagnosis. However, when histopathology became available, only one malignant lesion had been missed (a basal cell carcinoma diagnosed as solar keratosis) by teledermoscopy. Teledermoscopy approximated 100% sensitivity and 90% specificity for detecting melanoma and nonmelanoma skin cancers. Importantly, 74% of all lesions were determined to be manageable by the general practitioner without needing to be seen face-to-face by a dermatologist.<h4>Conclusions</h4>This use of teledermoscopy as a triage tool offers the potential to shorten waiting lists and thus improve healthcare access and delivery. |
|
dc.format.medium |
Print-Electronic |
|
dc.language |
eng |
|
dc.publisher |
Wiley |
|
dc.relation.ispartofseries |
The British journal of dermatology |
|
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
|
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
|
dc.subject |
Humans |
|
dc.subject |
Skin Diseases |
|
dc.subject |
Early Diagnosis |
|
dc.subject |
Reproducibility of Results |
|
dc.subject |
Dermatology |
|
dc.subject |
Telemedicine |
|
dc.subject |
Image Processing, Computer-Assisted |
|
dc.subject |
Adolescent |
|
dc.subject |
Adult |
|
dc.subject |
Aged |
|
dc.subject |
Aged, 80 and over |
|
dc.subject |
Middle Aged |
|
dc.subject |
Child |
|
dc.subject |
Triage |
|
dc.subject |
Referral and Consultation |
|
dc.subject |
Female |
|
dc.subject |
Male |
|
dc.subject |
Young Adult |
|
dc.subject |
Clinical Research |
|
dc.subject |
Cancer |
|
dc.subject |
4.2 Evaluation of markers and technologies |
|
dc.subject |
3 Good Health and Well Being |
|
dc.subject |
1103 Clinical Sciences |
|
dc.subject |
1112 Oncology and Carcinogenesis |
|
dc.title |
Successful triage of patients referred to a skin lesion clinic using teledermoscopy (IMAGE IT trial). |
|
dc.type |
Journal Article |
|
dc.identifier.doi |
10.1111/j.1365-2133.2010.09673.x |
|
pubs.issue |
4 |
|
pubs.begin-page |
803 |
|
pubs.volume |
162 |
|
dc.date.updated |
2022-04-18T21:51:06Z |
|
dc.rights.holder |
Copyright: The author |
en |
dc.identifier.pmid |
20222920 (pubmed) |
|
pubs.author-url |
https://www.ncbi.nlm.nih.gov/pubmed/20222920 |
|
pubs.end-page |
811 |
|
pubs.publication-status |
Published |
|
dc.rights.accessrights |
http://purl.org/eprint/accessRights/RestrictedAccess |
en |
pubs.subtype |
Clinical Trial |
|
pubs.subtype |
Research Support, Non-U.S. Gov't |
|
pubs.subtype |
Journal Article |
|
pubs.elements-id |
602899 |
|
pubs.org-id |
Medical and Health Sciences |
|
pubs.org-id |
School of Medicine |
|
pubs.org-id |
Medicine Department |
|
pubs.org-id |
Waikato Clinical school |
|
dc.identifier.eissn |
1365-2133 |
|
dc.identifier.pii |
BJD9673 |
|
pubs.record-created-at-source-date |
2022-04-19 |
|
pubs.online-publication-date |
2010-03-05 |
|