Store-and-forward teledermatology versus in-person visits: A comparison in pediatric teledermatology clinic - 08/08/11
, Valerie B. Lyon, MD b, David C. Brousseau, MD, MS a, c, Kristin E. Holland, MD b, Kenneth Yen, MD, MS a, c
Reprint requests: Viday A. Heffner, MD, Children’s Corporate Center, Pediatric Emergency Medicine, 999 N 92nd St, Suite C550, Milwaukee, WI 53226.Abstract |
Background |
The role of teledermatology in the diagnosis of pediatric skin conditions has not been studied exclusively.
Objective |
To determine the ability of a pediatric dermatologist to correctly diagnose rashes by history and digital images.
Methods |
Consecutive, new referrals to the pediatric dermatology clinic with a rash were enrolled in the study. A history, demographic data, and digital photographs were obtained from each patient. The data were reviewed by a pediatric dermatologist who made a preliminary diagnosis. The child was then seen in person and a final diagnosis was made. Concordance and kappa values were calculated. Cases of diagnostic disagreement were analyzed for their effect on management.
Results |
One hundred thirty-five patients were enrolled. Diagnostic concordance was 82% (95% confidence interval [CI], 73%-88%), and the kappa value was 0.80. Clinically relevant disagreement occurred in 12% of cases.
Limitations |
The study was performed at a single site, theoretically limiting generalizability.
Conclusion |
Teledermatology appears to have a useful role in the care of children with rashes.
Le texte complet de cet article est disponible en PDF.Abbreviations used : PI, RT, SF
Plan
| Funding sources: None. |
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| Conflicts of interest: None declared. |
Vol 60 - N° 6
P. 956-961 - juin 2009 Retour au numéro
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