Telemed was connected dermatologist dermatologist recorded in equipment Telecare to the assessed the 29% of 252 unit patients in a cases at each health FTF centre to enable consultation. the general North Ireland practitioner (GP) to transmit images to the dermatologist. (JVC KY-F55B) Lowitt et al. To compare Nurse-assisted FTF VC were Nurse N=104 Aggregated: 80% VC On 6 Not a part of Physicians physician and conducted over a occasions a the study and patients Acne, (104/130) and patient with a with dedicated data in 73% premalignant were satisfied dermatitis impressions and dermatologist line (T1) at the VC (8/11) or with fungal 84% for T1 and 78% examinations: inter-physician every rate of 1.554 FTF Malignant for ¼ T1. a comparison diagnostic biopsy megabytes per tumour was agreement second (64% of 64% examinations. of patient and mentioned by Benign See Table 4 in the between live patients) and at (7/11) Diagnostic physician TD but not tumour paper for diagnostic teledermatology N=11 ¼ T1 (384 kBT agreement perceptions CD or vice premalignant and in- person per second) for agreement by between and versa tumour condition examinations. the of and diagnostic Malignant patients video agreement. tumour Arch was high. Dermatol USA Phillips 1997 Prospective, Diagnosis was N/A FTF CLI CODEC Not Patients -Diagnostic N/A N/A N/A The concern observational made by (Panasonic enrolled in concordance: about the study. physician or Canon 1- the screening malignancy of Primary diagnosis and chip) plus digital at the a particular To determine the 63/107 (58.9%) camera with community skin lesion reliability of via dermatoscopic hospital or and the videoconferencing -Decision to biopsy the camera. physician in evaluating skin lesion: offices with whether to tumors, the impact Agreement suspected do a biopsy ĸ=0.47, of the technology skin tumors. p<0.025 were not on the clinician’s significantly degree of affected by suspicion that a telemedicine
Telemed Telecare North Ireland was connected to the unit at each health centre to enable the general practitioner (GP) to transmit images to the dermatologist. (JVC KY-F55B) dermatologist assessed the patients in a FTF consultation. dermatologist recorded in 29% of 252 cases equipment Lowitt et al. and examinations: a comparison of patient and physician perceptions and diagnostic agreement. Arch Dermatol USA To compare physician and patient impressions and inter-physician diagnostic agreement between live teledermatology and in- person examinations. Nurse-assisted with a dermatologist FTF with every biopsy N=11 VC were conducted over a dedicated data line (T1) at the rate of 1.554 megabytes per second (64% of patients) and at ¼ T1 (384 kBT per second) for the of patients Nurse in VC N=104 Acne, dermatitis fungal Benign tumour premalignant tumour Malignant tumour Aggregated: 80% (104/130) 84% for T1 and 78% for ¼ T1. See Table 4 in the paper for diagnostic agreement by condition VC 73% (8/11) FTF 64% (7/11) On 6 occasions a premalignant or Malignant tumour was mentioned by TD but not CD or vice versa Not a part of the study Physicians and patients were satisfied with examinations. Diagnostic agreement between and video was high. Phillips 1997 Prospective, observational study. To determine the reliability of videoconferencing in evaluating skin tumors, the impact of the technology on the clinician’s degree of suspicion that a Diagnosis was made by physician and via N/A FTF CLI CODEC (Panasonic or Canon 1- chip) plus digital camera with dermatoscopic camera. Not Patients enrolled in the screening at the community hospital or physician offices with suspected skin tumors. -Diagnostic concordance: Primary diagnosis 63/107 (58.9%) -Decision to biopsy the lesion: Agreement ĸ=0.47, p<0.025 N/A N/A N/A The concern about the malignancy of a particular skin lesion and the whether to do a biopsy were not significantly affected by telemedicine
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