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May, 2013
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dermatology

Overview of international teledermatology

Desai B et al, The Pan African Medical Journal, 6

Teledermatology is essentially “dermatology at a distance”, using one of many communication technologies to expand the reach of a dermatologist to those in need of their specialized knowledge. Most international teledermatology is store-and-forward in nature, a method in which images are stored on a computer and then transmitted electronically to a consulting dermatologist. This system is more convenient and less costly than real-time teledermatology.
[ More ]

Published: 2010 |
Keyword(s): Dermatology, Developing Countries, Teleconsultation, Teledermatology

Readability of Patient-oriented Online Dermatology Resources

Tulbert BH et al, The Journal of Clinical and Aesthetic Dermatology, 4(3)

Background:
Supplemental educational reading material is of no value to patients if it is not read and comprehended. Objective: Using standardized research tools, online patient education materials were comparatively assessed for readability and length in words to identify the strengths and weaknesses of widely utilized sources.
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Published: March 2011 |
Keyword(s): Dermatology, Health Information, Online, Patients, Readability, United States

Text messages as a reminder aid and educational tool in adults and adolescents with atopic dermatitis: a pilot study

Pena-Robichaux V et al, Dermatology Research and Practice, 2010

Optimal management of atopic dermatitis (AD) requires patients to adhere to self-care behaviors. Technologies, such as cell phones, have been widely adopted in the USA and have potential to reinforce positive health behaviors. We conducted a pilot study with 25 adolescents and adults age 14 years and older [mean 30.5 yrs, SD 13.4] with AD. Daily text messages (TMs) that provided medication reminders and AD education were sent for six weeks to participants.
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Published: 1 September 2010 |
Keyword(s): Dermatology, Education, mHealth, Patient, SMS, United States

The electronic medical record in dermatology

Grosshandler JA et al, Archives of Dermatology, 146(9)

Governmental incentives to stimulate the “meaningful use” of electronic medical records and future disincentives for Medicaid and Medicare provide an impetus for dermatologists to consider adding this technology to their clinical practice.
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Published: September 2010 |
Keyword(s): Dermatology, Electronic Health Records, Electronic Medical Records, United States

Virtual Grand Rounds in Dermatology: an 8-year experience in web-based teledermatology

Hu SW et al, International Journal of Dermatology, 48(12)

Background
Teledermatology utilizes telecommunication technologies for the exchange of dermatologic information across distances. In 2000, we developed the Virtual Grand Rounds in Dermatology (VGRD) as a free, user-friendly platform for dermatologists to present complex dermatologic cases to the international community for clinical feedback, consultation, and continuing education.
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Published: December 2009 |
Keyword(s): Dermatology, Teleconsultation, Teledermatology, United States

Evaluation and Comparison of Store-and-Forward Teledermatology Applications

Armstrong AW et al, Telemedicine and e-Health, 16(4)

Objective:
Store-and-forward (S&F) teledermatology has been used to increase patient access to dermatologic care. A major challenge to implementing S&F teledermatology is selecting secure and cost-saving applications for data capture and transmission. Detailed analyses and comparison of the major S&F teledermatology applications do not exist in the current peer-reviewed literature. The objectives of this study were to identify, evaluate, and compare the major S&F teledermatology applications in the United States to help referral and consultant sites select applications responsive to their needs.
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Published: 3 May 2010 |
Keyword(s): Applications, Dermatology, Implementation, Teledermatology, Telehealth, Telemedicine, United States

A randomized trial to evaluate the efficacy of online follow-up visits in the management of acne

Watson AJ et al, Archives of Dermatology, 146(4)

Objective
To evaluate whether delivering acne follow-up care via an asynchronous, remote online visit (e-visit) platform produces equivalent clinical outcomes to office care.

Design
A prospective, randomized controlled study.
[ More ]

Published: April 2010 |
Keyword(s): Dermatology, e-Consultation, Randomized Controlled Trials, United States

Electronic medical records in dermatology: practical implications

Kaliyadan, Feroze et al, Indian Journal of Dermatology, Venereology and Leprology, 75(2)

Background:
Electronic medical records (EMRs) can be of great use in dermatological data recording. Unfortunately, not many studies have been carried out in this specific area.

Aims:
We attempt to evaluate the use of an EMR system in dermatology, comparing it with a conventional paper-based system.
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Published: March 2009 |
Keyword(s): Dermatology, Electronic Health Records, Electronic Medical Records, India, Physician-Patient Relationship, Time Factors

Teledermatologic Consultation and Reduction in Referrals to Dermatologists: A Cluster Randomized Controlled Trial

Eminovic, Nina et al, Arch Dermatol. 2009;145(5)

Objective
To determine whether teledermatologic consultations can reduce referrals to a dermatologist by general practitioners (GPs).
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Published: 1 May 2009 |
Keyword(s): Consultations, Dermatology, General Practitioner, Netherlands, Teledermatology, Telemedicine

Economic evaluation of a store-and-forward teledermatology system for skin cancer patients

Moreno-Ramirez, David et al, J Telemed Telecare, 15(1)

We conducted an economic analysis of a store-and-forward teledermatology system for the routine triage of skin cancer patients. A cost-identification, cost-effectiveness and sensitivity analysis under a societal perspective was used to compare teledermatology with the conventional care alternative.
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Published: January 2009 |
Keyword(s): Computer Communication Networks, Cost-Benefit Analysis, Dermatology, Oncology, Skin Neoplasms, Teleconsultation, Teledermatology, Triage

Experience with the implementation of a web-based teledermatology system in a nursing home in Singapore

Janardhanan, Lavanya et al, J Telemed Telecare, 14(8)

We introduced a web-based teledermatology system, the distributed personal health information management system (DPHIMS), into a nursing home in Singapore. The introduction was conducted in two phases. Five staff nurses in Phase 1 and nine nurse aides in Phase 2 performed the data entry and uploaded digital images of the resident’s skin condition. By the end of Phase 2, there were 50 residents registered with DPHIMS. The average age of the participants was 82 years and 84% were women. There were 31 first-time referral requests registered in the system during Phase 2.
[ More ]

Published: December 2008 |
Keyword(s): Dermatology, Elderly, Electronic Health Records, Internet, Nurses, Nursing Home, Singapore, Teleconsultation, Teledermatology, Telemedicine, Web

Mobile teledermatology: a feasibility study of 58 subjects using mobile phones

Ebner, Christoph et al, J Telemed Telecare, 14(1)

We investigated the diagnostic agreement between teledermatology based on images from a mobile phone camera and face-to-face (FTF) dermatology. Diagnostic agreement was assessed for two teledermatologists (TD) in comparison with FTF consultations in 58 subjects. In almost three-quarters of the cases (TD1: 71%; TD2: 76%), the telediagnosis was fully concordant with the FTF diagnosis. Furthermore, the diagnosed diseases were almost all in the same diagnostic category (TD1: 97%; TD2: 90%). If mobile teledermatology had been used for remote triage, TD1 could have treated 53% subjects remotely and 47% subjects would have had to consult a dermatologist FTF.
[ More ]

Published: April 2008 |
Keyword(s): Austria, Cellular Phone, Dermatology, Feasibility Studies, Referral and Consultation, Teleconsultation, Teledermatology, Telemedicine

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