skin was of the D) trial. This distance to a The six general was a cluster dermatologist is effectiveness for randomised greater (75km or data were patients (GP) trial of 631 more) or when from a who did patients, more randomised not need two to with 85 GPs, consultations can trial, which an urgent four and five be prevented by appears to digital teledermatology have been of with a images From this (37% or more), good quality. and a trial, the teledermatology The authors authors resulted in cost assumed equal of the determined savings. effectiveness skin that there for the two problem was no interventions to a difference in based on this secure the clinical -The probabilistic trial and website. outcomes sensitivity analysis validated this The between the demonstrated that assumption usual care was using the This was less expensive results of received supported than another study. an email by another teledermatology and published in 89% of consulted study. The simulations. Costs: these main clinical The images effectiveness perspective and then estimate was Authors' was clearly provided patient conclusions stated and the the GP recovery. cost with categories advice on The authors were - No further concluded that consistent
skin for patients who did not need an urgent with a was six of the general (GP) two to four digital images and a of the skin problem to a secure website. The received an email and consulted these images and then provided the GP with advice on further D) trial. This was a cluster randomised trial of 631 patients, with 85 GPs, and five From this trial, the authors determined that there was no difference in the clinical outcomes between the This was supported by another published study. The main clinical effectiveness estimate was patient recovery. - No distance to a dermatologist is greater (75km or more) or when more consultations can be prevented by teledermatology (37% or more), teledermatology resulted in cost savings. -The probabilistic sensitivity analysis demonstrated that usual care was less expensive than teledermatology in 89% of simulations. Authors' conclusions The authors concluded that The effectiveness data were from a randomised trial, which appears to have been of good quality. The authors assumed equal effectiveness for the two interventions based on this trial and validated this assumption using the results of another study. Costs: The perspective was clearly stated and the cost categories were consistent
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