The Reliability of Teledermatology to Triage Inpatient Dermatology Consultations
Abstract
Importance Many hospitals do not have inpatient dermatologic consultative services, and most have reduced availability of services during off-hours. Dermatologists based in outpatient settings can find it challenging to determine the urgency with which they need to evaluate inpatients when consultations are requested. Teledermatology may provide a valuable mechanism for dermatologists to triage inpatient consultations and increase efficiency, thereby expanding access to specialized care for hospitalized patients. Objective To evaluate whether a store-and-forward teledermatology system is reliable for the initial triage of inpatient dermatology consultations. Design, setting, and participants Prospective study of 50 consenting adult patients, hospitalized for any indication, for whom an inpatient dermatology consultation was requested between September 1, 2012, and April 31, 2013, at the Hospital of the University of Pennsylvania, an academic medical center. The participants were evaluated separately by both an in-person dermatologist and 2 independent teledermatologists. Main outcomes and measures The primary study outcomes were the initial triage and decision to biopsy concordance between in-person and teledermatology evaluations. Results Triage decisions were as follows: if the in-person dermatologist recommended the patient be seen the same day, the teledermatologist agreed in 90% of the consultations. If the in-person dermatologist recommended a biopsy, the teledermatolog…
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
SAF teledermatology was potentially useful for triaging inpatient consultation, as teledermatologists agreed with in-person dermatologists on the need for same-day evaluation and biopsy in >90% of consultations.
“Barbieri et al [42] found that SAF teledermatology was potentially useful for triaging inpatient consultation, as teledermatologists agreed with in-person dermatologists on the need for same-day evaluation and biopsy in >90% of consultations [42].”
From Store-and-Forward Images in Teledermatology: Narrative Literature Review (2022) · cites this paper as [42]
Agreement ranged from 66% to 74% in the need to obtain a biopsy and diagnostic agreement ranged from 56% to 66.7% between teledermatologists and in-person dermatologists.
“For instance, studies reported agreement ranging from 66% to 74% in the need to obtain a biopsy and diagnostic agreement ranging from 56% to 66.7% between teledermatologists and in-person dermatologists [42,45,46].”
From Store-and-Forward Images in Teledermatology: Narrative Literature Review (2022) · cites this paper as [42]
In adults, store-and-forward teledermatology has been shown to improve access to specialty care, consistently provide accurate diagnosis, reduce time to treatment, while achieving high patient satisfaction and cost-effectiveness.
“In adults, store-and-forward teledermatology has been shown to improve access to specialty care, consistently provide accurate diagnosis, and reduce time to treatment, while achieving high patient satisfaction and cost-effectiveness.[5][6][7]”
From Diagnostic Accuracy of Pediatric Teledermatology Using Parent-Submitted Photographs: A Randomized Clinical Trial (2017) · cites this paper as [6]
The citation lists haven’t been fetched yet
References 34 · Cited by 110
- Authors
- Barbieri, J. S., Nelson, C. A., James, W. D., Margolis, D. J., Littman-Quinn, R., Kovarik, C. L., & Rosenbach, M.
- Affiliations
- University of Pennsylvania (US)
- Department of Dermatology, Perelman School of Medicine at the University of Pennsylvania , Philadelphia
- Corresponding author
- Rosenbach, Misha
- ORCID
- Venue
- JAMA Dermatology
- Publisher
- American Medical Association (AMA)
- Published
- 2014-04-01
- Volume
- 150
- Issue
- 4
- Pages
- 419
- ISSN
- 2168-6068 (ISSN-L)
- OpenAlex
- W2102924518
- Cited by
- 110
- References
- 34
- Citations by year
- 2026: 5 · 2025: 2 · 2024: 8 · 2023: 12 · 2022: 10 · 2021: 16 · 2020: 8 · 2019: 11 · 2018: 9 · 2017: 9 · 2016: 11 · 2015: 9
- FWCI
- 9.62
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- JAMA Dermatology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Healthcare Systems and Technology
- Health Sciences › Medicine › Oncology › Cutaneous Melanoma Detection and Management
- Keywords
- teledermatology, store-and-forward telemedicine, triage, biopsy decision, interobserver agreement
- MeSH terms
- Adult, Aged, Biopsy, Decision Making, Dermatology, Female, Hospitalization, Humans, Male, Middle Aged, Referral and Consultation, Skin, Skin Diseases, Triage, Reproducibility of Results, Telemedicine, Cell Phone
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
