Store-and-forward teledermatology versus in-person visits: a comparison in pediatric teledermatology clinic.
Publication/Presentation Date
6-1-2009
Abstract
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.
Volume
60
Issue
6
First Page
956
Last Page
961
ISSN
1097-6787
Published In/Presented At
Heffner, V. A., Lyon, V. B., Brousseau, D. C., Holland, K. E., & Yen, K. (2009). Store-and-forward teledermatology versus in-person visits: a comparison in pediatric teledermatology clinic. Journal of the American Academy of Dermatology, 60(6), 956–961. https://doi.org/10.1016/j.jaad.2008.11.026
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
19362751
Department(s)
Administration and Leadership
Document Type
Article