Diagnostic accuracy and interobserver concordance:teledermoscopy of 600 suspicious skin lesions in Southern Denmark
| Autor: | Anette Bygum, Anette Schuster, Merethe Kirstine Kousgaard Andersen, Tine Vestergaard, Sumangali Chandra Prasad, Rasa Laurinaviciene |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Teledermatology Skin Neoplasms business.industry Concordance Denmark Significant difference Diagnostic accuracy Dermatology medicine.disease Triage Telemedicine Infectious Diseases stomatognathic system medicine Humans Prospective Studies Skin cancer Prospective cohort study business Skin lesion Early Detection of Cancer |
| Zdroj: | Vestergaard, T, Prasad, S C, Schuster, A, Laurinaviciene, R, Andersen, M K & Bygum, A 2020, ' Diagnostic accuracy and interobserver concordance : teledermoscopy of 600 suspicious skin lesions in Southern Denmark ', Journal of The European Academy of Dermatology and Venereology, vol. 34, no. 7, pp. 1601-1608 . https://doi.org/10.1111/jdv.16275 |
| Popis: | Background: Skin cancer incidences are increasing and early diagnosis, especially of malignant melanoma, is crucial. Teledermatology including teledermoscopy (TDS) can be used to triage referrals of suspicious skin lesions, however, this is not currently recommended in Denmark. Objectives: To evaluate diagnostic accuracy, sensitivity, specificity and interobserver concordance of TDS, and to evaluate the number of incidental lesions potentially missed by TDS. Methods: Fifty general practices were invited to send images of suspicious skin lesions for evaluation using smartphone TDS. Simultaneously, the patient was referred for a face-to-face (FTF) consultation. Images for TDS were independently evaluated by two dermatologists; a third dermatologist performed the FTF consultation. Diagnosis, management plan and level of diagnostic confidence were noted. For TDS photo quality was rated, and for FTF any incidental findings were described. Results: Six hundred lesions in 519 patients were included. The diagnostic accuracy was significantly higher on FTF evaluation than on TDS (P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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