dermatoscopic dermatoscopy: dermatoscopy the reliability and the images to SAF accuracy of TD A: 0.77 TD A: 0.73 teledermatology. teledermatology. TD A:2 SCC, (0.62-0.85) 1 KS TD B:0.75 TD B: 0.76 TD B:1 SCC (0.66-0.87) -with dermatoscopy TD A: 0.85 TD B: 0.86 Warshaw Observational, Clinical FTF Nikon Coolpix Unclear Patients Aggregated: Benign Management The diagnostic 2009a cohort study photographs 4500 being keratosis melanoma accuracy accuracy of clinic SAF=282/542 (52%) compare and the referred to N=125 dermatologists United States Without SAF:383/542 FTF=434/542 (80%) conventional, standardized dermatology evaluating 542 Dysplastic (71%) -Primary: clinical patient and by veterans with nevus N=115 PLD: 380/542 SAF=271/542 (50%) dermatology with lesion history pigmented skin Benign SAF N=7 (70%) N=542 store-and-forward health FTF=320/542 (59%) lesions was superior nevus N=82 FTF N=1 CID: 401/542 With teledermatology care to Melanoma (74%) With for pigmented skin providers for teledermatologists N=36 FTF:356/542 images neoplasms, using evaluation of and the addition of BCC N=66 (PLD) (66%) the outcomes of a pigmented dermatoscopic SCC N=18 SAF N=3 PLD: 356/542 diagnostic skin images did not accuracy and neoplasms. (66%) significantly FTF N/A appropriateness of increase the N=12 CID: 357/542 With management diagnostic accuracy (66%) of (CID) teledermatologists. SAF N=6 Despite the FTF N/A superiority of clinic dermatology for diagnostic accuracy, the two methods of care had overall equivalent rates of appropriate management; however, 7 index melanomas (19%) would have been mismanaged via teledermatology.
dermatoscopic images to SAF teledermatology. dermatoscopy: TD A: 0.77 TD B:0.75 -with dermatoscopy TD A: 0.85 TD B: 0.86 TD A:2 SCC, 1 KS TD B:1 SCC dermatoscopy TD A: 0.73 (0.62-0.85) TD B: 0.76 (0.66-0.87) the reliability and the accuracy of teledermatology. Warshaw 2009a United States N=542 With images Observational, cohort study compare conventional, clinical dermatology with store-and-forward teledermatology for pigmented skin neoplasms, using the outcomes of diagnostic accuracy and appropriateness of management Clinical photographs and the standardized patient and lesion history FTF Nikon Coolpix 4500 Unclear Patients being referred to dermatology by health care providers for evaluation of a pigmented skin neoplasms. Aggregated: SAF=282/542 (52%) FTF=434/542 (80%) -Primary: SAF=271/542 (50%) FTF=320/542 (59%) Benign keratosis N=125 Dysplastic nevus N=115 Benign nevus N=82 Melanoma N=36 BCC N=66 SCC N=18 N=12 melanoma Without SAF N=7 FTF N=1 With (PLD) SAF N=3 FTF N/A With (CID) SAF N=6 FTF N/A Management accuracy SAF:383/542 (71%) PLD: 380/542 (70%) CID: 401/542 (74%) FTF:356/542 (66%) PLD: 356/542 (66%) CID: 357/542 (66%) The diagnostic accuracy of clinic dermatologists evaluating 542 veterans with pigmented skin lesions was superior to teledermatologists and the addition of dermatoscopic images did not significantly increase the diagnostic accuracy of teledermatologists. Despite the superiority of clinic dermatology for diagnostic accuracy, the two methods of care had overall equivalent rates of appropriate management; however, 7 index melanomas (19%) would have been mismanaged via teledermatology.
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