| Autor: |
Oztas, Murat Orhan, Calikoglu, Emel, Baz, Kiymet, Birol, Ahu, Onder, Meltem, Calikoglu, Tamer, Kitapci, Mehmet T. |
| Předmět: |
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| Zdroj: |
Journal of Telemedicine & Telecare; Feb2004, Vol. 10 Issue 1, p25-28, 4p, 5 Charts |
| Abstrakt: |
We studied the reliability of teledermatology diagnoses made using a Web-based system. Clinical photographs and information relating to 125 patients were placed on a Web server. Three dermatologists made the most likely diagnosis via a Web interface. The reference diagnosis was made in a face-to-face consultation with a fourth dermatologist; where appropriate it was confirmed histologically. The teledermatologists were correct in 57% of cases when viewing the images alone. Their diagnostic accuracy improved to 70% when additional clinical information was available. The rate of agreement between the teledermatologists ranged from 44% to 70% (kappa= 0.22–0.32). Seventy-seven per cent of the patients were correctly diagnosed by at least two dermatologists when clinical information was provided. A Web-based system appears to be reliable for teledermatology. A single well trained teledermatologist may give better results than a group of less well trained clinicians. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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