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Valérie Zimmerlé, Emeline Laurent, Valérie Tauveron, Annabel Maruani, Emmanuelle Le Bidre, Mahtab Samimi, Laurent Machet
INTRODUCTION: Cutaneous cancers are very common, easily visible on skin. The general practitioner (GP) is in the front line to manage the lesions. He has to recognize malignancy and refer most often to the specialist for excision, or consider that the lesion is benign and in ambiguous cases, offer clinical monitoring. The current low medical density in the Centre Val de Loire area makes access to general practitioners (GP) and dermatologists harder. The aim of this study was to evaluate GPs' everyday practice in cutaneous cancers screening in general, and particularly in melanoma screening, in a rural region of France...
March 16, 2018: La Presse Médicale
Wei-Yin Lim, Rachael L Morton, Robin M Turner, Marisa C Jenkins, Pascale Guitera, Les Irwig, Angela C Webster, Mbathio Dieng, Robyn P M Saw, Donald Low, Cynthia Low, Katy J L Bell
Importance: The standard model of follow-up posttreatment of localized melanoma relies on clinician detection of recurrent or new melanoma, through routinely scheduled clinics (clinician-led surveillance). An alternative model is to increase reliance on patient detection of melanoma, with fewer scheduled visits and increased support for patients' skin self-examination (SSE) (eg, using smartphone apps to instruct, prompt and record SSE, and facilitate teledermatology; patient-led surveillance)...
February 28, 2018: JAMA Dermatology
Christian Greis, Christine Meier Zürcher, Vahid Djamei, Andreas Moser, Stephan Lautenschlager, Alexander A Navarini
BACKGROUND: Digital health services are rapidly gaining acceptance in healthcare systems. Dermatology as an image-centric specialty is particularly well suited for telemedical services. However, dermatology patients' demands of electronic services remain largely unexplored. METHODS: This study investigated patients' views in primary, secondary, and tertiary referral centers. In August 2017, 841 questionnaires were filled in by dermatology patients. RESULTS: 76...
March 14, 2018: Journal of Dermatological Treatment
Justin Cheeley, Suephy Chen, Robert Swerlick
No abstract text is available yet for this article.
January 30, 2018: Journal of the American Academy of Dermatology
Kaitlyn M Yim, April W Armstrong, Dennis H Oh, Karen McKoy, Aleksandra Florek
BACKGROUND: Teledermatology is rapidly advancing in the United States. The last comprehensive survey of U.S. teledermatology programs was conducted in 2011. INTRODUCTION: This article provides an update regarding the state of teledermatology programs in the United States. MATERIALS AND METHODS: Active programs were identified and surveyed from November 2014 to January 2017. Findings regarding practice settings, consult volumes, payment methods, and delivery modalities were compared to those from the 2011 survey...
January 22, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Sophie Gregory, Ceri Llewellyn
Teledermatology plays a vital role within Aneurin Bevan University Health Board. Alongside Consultant Dermatologists we developed Teledermatology to meet clinical needs. This article illustrates the implementation process of the service, highlighting legal and ethical issues that were considered along with the success and scope of the service. The Teledermatology service rapidly reduced waiting times for patients and increased access to specialist care which is cost effective for the Health Board. Following successful implementation and increased demand, there is the scope for expansion...
January 22, 2018: Journal of Visual Communication in Medicine
Pegah Kharazmi, Jiannan Zheng, Harvey Lui, Z Jane Wang, Tim K Lee
Vascular structures of skin are important biomarkers in diagnosis and assessment of cutaneous conditions. Presence and distribution of lesional vessels are associated with specific abnormalities. Therefore, detection and localization of cutaneous vessels provide critical information towards diagnosis and stage status of diseases. However, cutaneous vessels are highly variable in shape, size, color and architecture, which complicate the detection task. Considering the large variability of these structures, conventional vessel detection techniques lack the generalizability to detect different vessel types and require separate algorithms to be designed for each type...
January 9, 2018: Journal of Medical Systems
Hannah M Singer, Timothy Almazan, Noah Craft, Consuelo V David, Samantha Eells, Crisel Erfe, Cynthia Lazzaro, Kathy Nguyen, Katy Preciado, Belinda Tan, Vishal A Patel
Importance: Teledermatology has undergone exponential growth in the past 2 decades. Many technological innovations are becoming available without necessarily undergoing validation studies for specific dermatologic applications. Objective: To determine whether patient-taken photographs of acne using Network Oriented Research Assistant (NORA) result in similar lesion counts and Investigator's Global Assessment (IGA) findings compared with in-person examination findings...
December 20, 2017: JAMA Dermatology
S Nathanson, M-A Dommergues, V Hentgen, F Arditty, A Greder Belan, B Carton, C Wozniak, J Parigot, P Foucaud, E Mahé
The hospital of Versailles no longer has a dermatologist; consequently the pediatrics department suggested assess to the system put in place in 2015 based on the telemedicine software platform WebDCR developed throughout the hospital. The acceptability of this was based on its implementation as well as speed and ease of use. METHODS: In 2015, 47 reviews were submitted. RESULTS: No patient refusal was noted. The answer was obtained in 100 % of cases on the day the requests were made, during the week...
December 14, 2017: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
Divya Seth, Khatiya Cheldize, Danielle Brown, Esther F Freeman
Purpose of Review: We review the current understanding of the burden of dermatological disease through the lens of the Global Burden of Disease project, evaluate the impact of skin disease on quality of life in a global context, explore socioeconomic implications, and finally summarize interventions towards improving quality of dermatologic care in resource-poor settings. Recent Findings: The Global Burden of Disease project has shown that skin diseases continue to be the 4th leading cause of nonfatal disease burden world-wide...
September 2017: Current Dermatology Reports
Fludiona Naka, Hanspaul Makkar, Jun Lu
Teledermatology has emerged as a promising solution for pediatric and adult patients accessing dermatologic care in a health care environment fraught with barriers to access. Teledermatology has been extensively evaluated in terms of diagnostic accuracy, clinical outcomes, patient and provider satisfaction, and costs, relative to traditional health care delivery models. Current research indicates that teledermatology is effective and efficient in diagnosis and management of skin diseases. The majority of studies on the subject, however, rely on adult patient data...
November 2017: Clinics in Dermatology
Daniel M O'Connor, Olivia S Jew, Marissa J Perman, Leslie A Castelo-Soccio, Flaura K Winston, Patrick J McMahon
Importance: Advances in smartphone photography (both quality and image transmission) may improve access to care via direct parent-to-clinician telemedicine. However, the accuracy of diagnoses that are reliant on parent-provided photographs has not been formally compared with diagnoses made in person. Objective: To assess whether smartphone photographs of pediatric skin conditions taken by parents are of sufficient quality to permit accurate diagnosis. Design, Setting, and Participants: A prospective study was conducted among 40 patient-parent dyads at a pediatric dermatology clinic at the Children's Hospital of Philadelphia from March 1 to September 30, 2016, to assess concordance between diagnoses made by an independent pediatric dermatologist based on in-person examination and those based on parental photographs...
December 1, 2017: JAMA Dermatology
Jennifer L Pecina, Kirk D Wyatt, Nneka I Comfere, Matthew E Bernard, Frederick North
BACKGROUND: PhotoExam is a mobile app that incorporates digital photographs into the electronic health record (EHR) using iPhone operating system (iOS, Apple Inc)-based mobile devices. OBJECTIVE: The aim of this study was to describe usage patterns of PhotoExam in primary care and to assess clinician-level factors that influence the use of the PhotoExam app for teledermatology (TD) purposes. METHODS: Retrospective record review of primary care patients who had one or more photos taken with the PhotoExam app between February 16, 2015 to February 29, 2016 were reviewed for 30-day outcomes for rates of dermatology consult request, mode of dermatology consultation (curbside phone consult, eConsult, and in-person consult), specialty and training level of clinician using the app, performance of skin biopsy, and final pathological diagnosis (benign vs malignant)...
November 8, 2017: JMIR MHealth and UHealth
D Moreno-Ramírez, G Romero-Aguilera, P Pasquali, S Vaño, L Ríos-Buceta, J Malvehy, L Ferrándiz
No abstract text is available yet for this article.
October 30, 2017: Actas Dermo-sifiliográficas
K Kim
BACKGROUND/PURPOSE: Very little is known about the methods of integrating palpation techniques to existing mobile teleskin imaging that delivers low quality tactile information (roughness) for telepalpation. However, no study has been reported yet regarding telehaptic palpation using mobile phone images for teledermatology or teleconsultations of skincare. METHODS: This study is therefore aimed at introducing a new algorithm accurately reconstructing a haptic augmented skin surface for telehaptic palpation using a low-cost clip-on microscope simply attached to a mobile phone...
October 25, 2017: Skin Research and Technology
Wayne Sy, Angela J Lamb
Atopic dermatitis is a skin condition that is increasing burdensome to patient's lives. Patients require effective strategies to cope with the condition as well as the vast amount of new research that is coming to the forefront. This chapter discusses the patient education aspect of atopic dermatitis. We drew from various sources-such as peer-reviewed academic journals, online groups, and organizational websites-to provide a brief survey of the available types of patient educational resources. We discuss educational materials and interventions, such as workshops and support groups...
2017: Advances in Experimental Medicine and Biology
Fludiona Naka, Jun Lu, Anthony Porto, Jose Villagra, Zhao Helen Wu, Daren Anderson
BACKGROUND: The clinical outcome of teledermatology with dermoscopy in large-scale primary care networks remains unclear. OBJECTIVE: We evaluate the impact of implementing a teledermatology consultation program with dermoscopy on a statewide scale, focusing on access to care and skin cancer screening for medically underserved populations. METHODS: Descriptive retrospective cohort study of 2385 dermatology referrals from primary care from June 2014 through November 2015...
October 20, 2017: Journal of the American Academy of Dermatology
Vasken Keleshian, Alex G Ortega-Loayza, Phillip Tarkington
No abstract text is available yet for this article.
November 2017: Journal of the American Academy of Dermatology
Jung Eun Seol, So Hee Park, Hyojin Kim
Introduction Teledermatology has contributed to the enhanced accessibility of underserved populations. This study investigated the prevalence and clinical outcomes of dermatologic diseases in prisoners in Korea through live interactive teledermatology (LITD) Method The medical records of patients in a Busan prison, who interacted with a dermatologist using LITD from July 2013 to August 2016, were reviewed retrospectively. Results The mean age of the 406 patients enrolled in the study was 39.0 years and 91.4% were male...
January 1, 2017: Journal of Telemedicine and Telecare
Maren E Cotes, Lauren N Albers, Michael Sargen, Suephy C Chen
No abstract text is available yet for this article.
September 22, 2017: Journal of the American Academy of Dermatology
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