7100/66) Tucker 2005 Observational Medical FTF N/A Camera Patients Diagnostic N/A Quality of N/A Teledermatology is cohort study records and seeing in concordance images not likely to have a United Fujifilm clinical images general great impact on Kingdom To test the zoom *two SAF vs FTF Poor N=18 dermatology reducing waiting efficacy of the N=75 -complete clinics. lists. It is possible teledermatology (number of 37/84 (44%) that it may help to screening of took lesions=84) -partial 47/84 (68%) prioritize referrals referrals, and pictures Skin Lesion from remote areas. thereby to triage for two the patients to batches appropriate care. of patients and then the pictures were read by the other Mahendran Observational Medical FTF N/A Camera GPs Patients with Diagnostic N/A Missed Management This study illustrates 2004 cohort study records and suspicious concordance diagnoses concordance that the store-and Nikon Coolpix clinical images skin lesions including forward type UK To investigate the 950 (1200*1600 TD1 vs FTF TD1 90/163 referred by BCC, telemedicine system value of a pixels) (55%) N=163 78/163 (48%) GPs to melanoma, has limited TD2 85/163 *unclear that TD2 vs FTF dermatology diagnostic accuracy teledermatology (52%) if the TD1 72/163 (44%) department. basal for skin lesions. system in the was the cell However, our results diagnosis and served as the papilloma. suggest that management of clinical lesions suspicious Quality of teledermatology of skin cancer. image may be suitable and Insufficient Skin Lesion safe for screening quality N=24 out clearly benign lesions but the study casts doubt on its efficiency. Oztas 2006 Observational Medical FTF N/A Camera Unclear Randomly Diagnostic N/A N/A N/A A Web-based cohort study records and selected concordance: system appears to Turkey Cannon
7100/66) Tucker 2005 United Kingdom N=75 (number of lesions=84) Skin Lesion Observational cohort study To test the efficacy of the teledermatology screening of referrals, and thereby to triage the patients to appropriate care. Medical records and clinical images FTF N/A Camera Fujifilm zoom *two took pictures for two batches of patients and then the pictures were read by the other Patients seeing in general dermatology clinics. Diagnostic concordance SAF vs FTF -complete 37/84 (44%) -partial 47/84 (68%) N/A Quality of images Poor N=18 N/A Teledermatology is not likely to have a great impact on reducing waiting lists. It is possible that it may help to prioritize referrals from remote areas. Mahendran 2004 UK N=163 *unclear that if the TD1 was the served as the clinical Skin Lesion Observational cohort study To investigate the value of a teledermatology system in the diagnosis and management of lesions suspicious of skin cancer. Medical records and clinical images FTF N/A Camera Nikon Coolpix 950 (1200*1600 pixels) GPs Patients with suspicious skin lesions referred by GPs to dermatology department. Diagnostic concordance TD1 vs FTF 78/163 (48%) TD2 vs FTF 72/163 (44%) N/A Missed diagnoses including BCC, melanoma, basal cell papilloma. Quality of image Insufficient quality N=24 Management concordance TD1 90/163 (55%) TD2 85/163 (52%) This study illustrates that the store-and forward type telemedicine system has limited diagnostic accuracy for skin lesions. However, our results suggest that teledermatology may be suitable and safe for screening out clearly benign lesions but the study casts doubt on its efficiency. Oztas 2006 Turkey Observational cohort study Medical records and FTF N/A Camera Cannon Unclear Randomly selected Diagnostic concordance: N/A N/A N/A A Web-based system appears to
1360%20-%20FinalAssessmentReport%20-accessible.docx