The reliability of diagnosis using store-and-forward teledermatology.

Autor: Du Moulin, M. F. M. T., Bullens-Goessens, Y. I. J. M., Henquet, C. J. M., Brunenberg, D. E. M., de Bruyn-Geraerds, D. P., Winkens, R. A. G., Dirksen, C. D., Vierhout, W. P. M., Neumann, H. A. M.
Předmět:
Zdroj: Journal of Telemedicine & Telecare; Sep2003, Vol. 9 Issue 5, p249-252, 4p, 2 Charts
Abstrakt: We compared diagnoses made by a teledermatologist from digital photographs and patient histories sent from general practitioners using a store-and-forward technique and those made by another dermatologist in a face-to-face consultation with the same patients. A total of 117 patients (mean age 47 years) were referred by 18 general practitioners for diagnosis of a skin condition. Between one and seven digital images were transmitted per case. In 31% of the cases, three images were transmitted. There was full concordance between store-and-forward and face-to-face diagnoses in 57 of 106 cases (54%); in 10 cases (9%) there was overlap between the differential diagnoses provided by the teledermatologist and the face-to-face consultant. Diagnostic categories with relatively high concordances were eczema and follicular eruptions. General practitioners need to be trained in the making of digital images and in giving a good patient history. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index