Pediatric teledermatology: Observations based on 429 consults - 24/04/13
Reprint requests: Amy E. Gilliam, MD, Palo Alto Medical Foundation, 795 El Camino Real, Clark Bldg, Palo Alto, CA 94301.Abstract |
Background |
Store-and-forward teledermatology is an emerging means of access for patients with skin disease lacking direct access to dermatologists.
Objectives |
We sought to examine the patient demographics, diagnostic concordance, and treatment patterns in teledermatology for patients younger than 13 years.
Methods |
We conducted a descriptive retrospective cohort study involving 429 patients.
Results |
Diagnoses were concordant in 48% of cases, partially concordant in 10%, and discordant in 42%. Management recommendations were concordant in 28% of cases, partially concordant in 36%, and discordant in 36%. Primary care providers tended to underuse topical steroids and overuse topical antifungals and systemic antibiotics. Only 1.4% and 6.0% of patients required repeated teledermatology consultation and in-person dermatology consultation, respectively.
Limitations |
Limitations were the inability to generalize the data from the population studied and the chances of error and bias in teledermatology diagnoses.
Conclusions |
Store-and-forward teledermatology can improve diagnostic and therapeutic care for skin disease in children who lack direct access to dermatologists.
Le texte complet de cet article est disponible en PDF.Key words : diagnosis, management, pediatric, store-and-forward, teledermatology
Plan
| Funding sources: None. |
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| Conflicts of interest: None declared. |
Vol 62 - N° 1
P. 61-66 - janvier 2010 Retour au numéro
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