Expanding personalized, data-driven dermatology: leveraging digital health technology and machine learning to improve patient outcomes
Open accessAbstract
The current revolution of digital health technology and machine learning offers enormous potential to improve patient care. Nevertheless, it is essential to recognize that dermatology requires an approach different from those of other specialties. For many dermatological conditions, there is a lack of standardized methodology for quantitatively tracking disease progression and treatment response (clinimetrics). Furthermore, dermatological diseases impact patients in complex ways, some of which can be measured only through patient reports (psychometrics). New tools using digital health technology (e.g., smartphone applications, wearable devices) can aid in capturing both clinimetric and psychometric variables over time. With these data, machine learning can inform efforts to improve health care by, for example, the identification of high-risk patient groups, optimization of treatment strategies, and prediction of disease outcomes. We use the term personalized, data-driven dermatology to refer to the use of comprehensive data to inform individual patient care and improve patient outcomes. In this paper, we provide a framework that includes data from multiple sources, leverages digital health technology, and uses machine learning. Although this framework is applicable broadly to dermatological conditions, we use the example of a serious inflammatory skin condition, chronic cutaneous graft-versus-host disease, to illustrate personalized, data-driven dermatology.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
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?
AI tools can be utilized to match patients with optimal therapies on the basis of individual disease pathways and subphenotypes.
“By moving beyond images and integrating data such as genetic profiles, transcriptomics, exposomics, clinical information, and patient outcomes, AI tools can be utilized to match patients with optimal therapies on the basis of individual disease pathways and subphenotypes (Patrick et al, 2018a; Wongvibulsin et al, 2022).”
From Artificial intelligence–enabled precision medicine for inflammatory skin diseases (2026) · cites this paper as Wongvibulsin et al, 2022
The Abstract and “Personalized, data-driven dermatology” section describe using machine learning and data from multiple sources to optimize treatment strategies and inform individual care. They do not specifically say that AI matches patients to optimal therapies on the basis of individual disease pathways or subphenotypes. Page numbers are unavailable in our copy. (LLM, conf=0.84)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
High-performance medicine: the convergence of human and artificial intelligence
Topol, E. J. (2019) · Nature Medicine · doi:10.1038/s41591-018-0300-7 · Cited by 10,450 · see citing works
Rajkomar, A., Dean, J., & Kohane, I. (2019) · New England Journal of Medicine · doi:10.1056/nejmra1814259 · Cited by 4,579 · see citing works
Deo, R. C. (2015) · Circulation · doi:10.1161/circulationaha.115.001593 · Cited by 3,466 · see citing works
Artificial intelligence in healthcare
Yu, K.-H., Beam, A. L., & Kohane, I. S. (2018) · Nature Biomedical Engineering · doi:10.1038/s41551-018-0305-z · Cited by 2,817 · see citing works
Deep learning-enabled medical computer vision
Esteva, A., Chou, K., Yeung, S., Naik, N., Madani, A., Mottaghi, A., Liu, Y., Topol, E., Dean, J., & Socher, R. (2021) · npj Digital Medicine · doi:10.1038/s41746-020-00376-2 · Cited by 1,406 · see citing works
Machine learning in medicine: a practical introduction
Sidey-Gibbons, J. A. M., & Sidey-Gibbons, C. J. (2019) · BMC Medical Research Methodology · doi:10.1186/s12874-019-0681-4 · Cited by 1,308 · see citing works
Precision Medicine: From Science To Value
Ginsburg, G. S., & Phillips, K. A. (2018) · Health Affairs · doi:10.1377/hlthaff.2017.1624 · Cited by 767 · see citing works
Chren, M., Lasek, R. J., Quinn, L., Mostow, E. N., & Zyzanski, S. J. (1996) · Journal of Investigative Dermatology · doi:10.1111/1523-1747.ep12365600 · Cited by 700 · see citing works
Self-citationMachine Learning and Health Care Disparities in Dermatology
Adamson, A. S., & Smith, A. (2018) · JAMA Dermatology · doi:10.1001/jamadermatol.2018.2348 · Cited by 639 · cited 1× · see citing works
“It is essential that individuals from diverse backgrounds are involved in the process of development of these technological advances to help ensure an inclusive approach that represents diverse skin types and helps reduce rather than further widen healthcare disparities (Adamson and Smith, 2018).”
BackgroundO’Brien, S. M., Feng, L., He, X., Xian, Y., Jacobs, J. P., Badhwar, V., Kurlansky, P. A., Furnary, A. P., Cleveland, J. C., Lobdell, K. W., et al. (2018) · The Annals of Thoracic Surgery · doi:10.1016/j.athoracsur.2018.03.003 · Cited by 493 · see citing works
Chren, M., Lasek, R. J., Sahay, A. P., & Sands, L. P. (2001) · Journal of Cutaneous Medicine and Surgery · doi:10.1007/bf02737863 · Cited by 448 · see citing works
Self-citationDrossaers-Bakker, K. W., de Buck, M., van Zeben, D., Zwinderman, A. H., Breedveld, F. C., & Hazes, J. M. W. (1999) · Arthritis & Rheumatism · doi:10.1002/1529-0131(199909)42:9 · Cited by 373 · see citing works
The Society of Thoracic Surgeons Adult Cardiac Surgery Database: 2018 Update on Outcomes and Quality
D’Agostino, R. S., Jacobs, J. P., Badhwar, V., Fernández, F. G., Paone, G., Wormuth, D. W., & Shahian, D. M. (2017) · The Annals of Thoracic Surgery · doi:10.1016/j.athoracsur.2017.10.035 · Cited by 353 · see citing works
Machine learning and medical education
Kolachalama, V. B., & Garg, P. S. (2018) · npj Digital Medicine · doi:10.1038/s41746-018-0061-1 · Cited by 320 · see citing works
The Skindex Instruments to Measure the Effects of Skin Disease on Quality of Life
Chren, M. (2011) · Dermatologic Clinics · doi:10.1016/j.det.2011.11.003 · Cited by 306 · see citing works
Self-citationChren, M., Lasek, R. J., Sahay, A. P., et al. (2001) · Journal of Cutaneous Medicine and Surgery · doi:10.1177/120347540100500202 · Cited by 272 · see citing works
Self-citationDevelopment and validation of a scale to measure symptoms of chronic graft-versus-host disease
Lee, S. J., Cook, E. F., Soiffer, R. J., & Antin, J. H. (2002) · Transplantation and Cellular Therapy · doi:10.1053/bbmt.2002.v8.pm12234170 · Cited by 246 · see citing works
Focusing on Digital Health Equity
Lyles, C. R., Wachter, R. M., & Sarkar, U. (2021) · JAMA · doi:10.1001/jama.2021.18459 · Cited by 238 · see citing works
Zhao, J., Feng, Q., Wu, P., Lupu, R. A., Wilke, R. A., Wells, Q. S., Denny, J. C., & Wei, W. (2019) · Scientific Reports · doi:10.1038/s41598-018-36745-x · Cited by 208 · see citing works
Kitko, C. L., Pidala, J., Schoemans, H. M., Lawitschka, Á., Flowers, M. E. D., Cowen, E. W., Tkaczyk, E. R., Farhadfar, N., Jain, S. K., Steven, P., et al. (2021) · Transplantation and Cellular Therapy · doi:10.1016/j.jtct.2021.03.033 · Cited by 176 · see citing works
Self-citationBowdish, M. E., D’Agostino, R. S., Thourani, V. H., et al. (2020) · The Annals of Thoracic Surgery · doi:10.1016/j.athoracsur.2020.03.003 · Cited by 135 · see citing works
Jacobsohn, D. A., Kurland, B. F., Pidala, J., Inamoto, Y., Chai, X., Palmer, J. M., Arai, S., Arora, M., Jagasia, M., Cutler, C. S., et al. (2012) · Blood · doi:10.1182/blood-2012-04-424135 · Cited by 121 · see citing works
Scalpdex: a quality-of-life instrument for scalp dermatitis.
Chen, S. C., Yeung, J., & Chren, M. (2002) · Archives of Dermatology · doi:10.1001/archderm.138.6.803 · Cited by 110 · see citing works
Self-citationYuan, Q., Cai, T. A., Hong, C., Du, M., Johnson, B. E., Lanuti, M. D., Cai, T., & Christiani, D. C. (2021) · JAMA Network Open · doi:10.1001/jamanetworkopen.2021.14723 · Cited by 94 · see citing works
Palmer, J. M., Williams, K. M., Inamoto, Y., Chai, X., Martin, P. J., Tomas, L. H. S., Cutler, C. S., Weisdorf, D. J., Kurland, B. F., Carpenter, P. A., et al. (2013) · Transplantation and Cellular Therapy · doi:10.1016/j.bbmt.2013.11.025 · Cited by 91 · see citing works
Cohen, S. B., Strand, V., Aguilar, D., & Ofman, J. J. (2004) · Lara D. Veeken · doi:10.1093/rheumatology/keh152 · Cited by 81 · see citing works
Quality-of-life Outcomes and Measurement in Childhood Atopic Dermatitis
Chamlin, S. L., & Chren, M. (2010) · Immunology and Allergy Clinics of North America · doi:10.1016/j.iac.2010.05.004 · Cited by 80 · see citing works
Self-citationPalmer, J. M., Chai, X., Pidala, J., Inamoto, Y., Martin, P. J., Storer, B. E., Pusic, I., Flowers, M. E. D., Arora, M., Pavletic, S. Z., et al. (2015) · Blood · doi:10.1182/blood-2015-08-662874 · Cited by 65 · see citing works
Gandelman, J. S., Byrne, M. T., Mistry, A. M., Polikowsky, H. G., Diggins, K. E., Chen, H., Lee, S. J., Arora, M., Cutler, C. S., Flowers, M. E. D., et al. (2018) · Haematologica · doi:10.3324/haematol.2018.193441 · Cited by 55 · see citing works
Digital medicine: empowering both patients and clinicians
Topol, E. J. (2016) · The Lancet · doi:10.1016/s0140-6736(16)31355-1 · Cited by 49 · see citing works
Barbieri, J. S., & Gelfand, J. M. (2021) · JAMA Dermatology · doi:10.1001/jamadermatol.2021.3341 · Cited by 45 · see citing works
Pidala, J., Kitko, C. L., Lee, S. J., et al. (2021) · Transplantation and Cellular Therapy · doi:10.1016/j.jtct.2021.03.029 · Cited by 43 · see citing works
Badhwar, V., Rankin, J. S., Thourani, V. H., et al. (2018) · The Annals of Thoracic Surgery · doi:10.1016/j.athoracsur.2018.04.052 · Cited by 41 · see citing works
An Individualized, Data-Driven Digital Approach for Precision Behavior Change
Wongvibulsin, S., Martin, S. S., Saria, S., Zeger, S. L., & Murphy, S. A. (2019) · American Journal of Lifestyle Medicine · doi:10.1177/1559827619843489 · Cited by 40 · see citing works
Self-citationSchoemans, H. M., Goris, K., Durm, R. V., Fieuws, S., Geest, S. D., Pavletic, S. Z., Im, A., Wolff, D., Lee, S. J., Greinix, H., et al. (2018) · Haematologica · doi:10.3324/haematol.2018.190777 · Cited by 34 · see citing works
Curtis, L. M., Grkovic, L. D., Mitchell, S. A., Steinberg, S. M., Cowen, E. W., Datiles, M. B., Mays, J. W., Bassim, C. W., Joe, G. O., Comis, L. E., et al. (2014) · Bone Marrow Transplantation · doi:10.1038/bmt.2014.188 · Cited by 33 · see citing works
Impact of Measuring Patient-Reported Outcomes in Dermatology Drug Development
Copley‐Merriman, C., Zelt, S., Clark, M., & Gnanasakthy, A. (2016) · Patient · doi:10.1007/s40271-016-0196-6 · Cited by 28 · see citing works
Schoemans, H. M., Goris, K., Durm, R. V., Vanhoof, J. M. M., Wolff, D., Greinix, H., Pavletic, S. Z., Lee, S. J., Maertens, J. A., Geest, S. D., et al. (2016) · Bone Marrow Transplantation · doi:10.1038/bmt.2016.26 · Cited by 27 · see citing works
Measurement of Vital Signs for Skin Diseases
Chren, M. (2005) · Journal of Investigative Dermatology · doi:10.1111/j.0022-202x.2005.23796.x · Cited by 24 · see citing works
Self-citationon behalf of the Complications and Quality of Life Working Party of the, E. B. M. T., Schoemans, H. M., Goris, K., et al. (2018) · Bone Marrow Transplantation · doi:10.1038/s41409-017-0017-0 · Cited by 23 · see citing works
Pavletic, S. Z., Martin, P. J., Schultz, K. R., et al. (2021) · Transplantation and Cellular Therapy · doi:10.1016/j.jtct.2021.02.034 · Cited by 23 · see citing works
Crowdsourcing dermatology: DataDerm, big data analytics, and machine learning technology
Park, A. J., Ko, J., & Swerlick, R. A. (2017) · Journal of the American Academy of Dermatology · doi:10.1016/j.jaad.2017.08.053 · Cited by 22 · see citing works
Patient-Reported Outcomes in Dermatology
Kirby, J. S. (2021) · JAMA Dermatology · doi:10.1001/jamadermatol.2021.1559 · Cited by 17 · see citing works
Training Physician‒Scientists for Careers in Investigative Dermatology
Li, S., Yancey, K. B., Cruz, P. D., et al. (2021) · JID Innovations · doi:10.1016/j.xjidi.2021.100061 · Cited by 15 · see citing works
Enabling individualised health in learning healthcare systems
Wongvibulsin, S., & Zeger, S. L. (2019) · BMJ Evidence-Based Medicine · doi:10.1136/bmjebm-2019-111190 · Cited by 14 · see citing works
Self-citationMachine learning for precision dermatology: Advances, opportunities, and outlook
Lee, E. Y., Maloney, N. J., Cheng, K., & Bach, D. Q. (2021) · Journal of the American Academy of Dermatology · doi:10.1016/j.jaad.2020.06.1019 · Cited by 14 · see citing works
German, C., Sinsheimer, J. S., Zhou, J. J., & Zhou, H. (2021) · Biometrics · doi:10.1111/biom.13506 · Cited by 13 · see citing works
Tkaczyk, E. R., Chen, F., Wang, J., et al. (2018) · Bone Marrow Transplantation · doi:10.1038/s41409-018-0211-8 · Cited by 12 · see citing works
Self-citationBaker, L. X., Chen, F., Ssempijja, Y., et al. (2020) · Bone Marrow Transplantation · doi:10.1038/s41409-020-01158-w · Cited by 12 · see citing works
Shakshouk, H., Tkaczyk, E. R., Cowen, E. W., el‐Azhary, R. A., Hashmi, S. K., Kenderian, S. J., & Lehman, J. S. (2021) · Transplantation and Cellular Therapy · doi:10.1016/j.jtct.2021.05.030 · Cited by 12 · see citing works
Self-citationOptimal Biomechanical Parameters for Measuring Sclerotic Chronic Graft-Versus-Host Disease
Baker, L. X., Chen, F., Cronin, A., et al. (2021) · JID Innovations · doi:10.1016/j.xjidi.2021.100037 · Cited by 11 · see citing works
Embracing machine learning and digital health technology for precision dermatology
Wongvibulsin, S., Ho, B. K., & Kwatra, S. G. (2019) · Journal of Dermatological Treatment · doi:10.1080/09546634.2019.1623373 · Cited by 9 · see citing works
Self-citationHow data can deliver for dermatology
Abuabara, K., Asgari, M. M., Chen, S. C., Dellavalle, R. P., Kalia, S., Secrest, A. M., Silverberg, J. I., Solomon, J. A., Weinstock, M. A., Wu, J. J., et al. (2018) · Journal of the American Academy of Dermatology · doi:10.1016/j.jaad.2018.03.020 · Cited by 8 · see citing works
Self-citationChallenges in Understanding, Scoring, and Comparing Patients’ Reports
Chren, M. (2020) · JAMA Dermatology · doi:10.1001/jamadermatol.2019.4658 · Cited by 3 · see citing works
Self-citation
Flagged first, then by citations
Research works printed but not linked: 1
- Olsen L.A. Aisner D. McGinnis J.M. The learning healthcare system 2007 National Academies Press Washington, DC 21452449
Cited by
Sorted by citations
Current State of Dermatology Mobile Applications With Artificial Intelligence Features
Wongvibulsin, S., Yan, M. J., Pahalyants, V., Murphy, W., Daneshjou, R., & Rotemberg, V. (2024) · JAMA Dermatology · doi:10.1001/jamadermatol.2024.0468 · Cited by 69 · see citing works
Self-citationArtificial intelligence–enabled precision medicine for inflammatory skin diseases
Tang, A. S., Wei, M. L., Haemel, A., La, C., Sirota, M., & Lee, E. Y. (2026) · Journal of Investigative Dermatology · doi:10.1016/j.jid.2025.10.596 · Cited by 6 · see citing works
- Authors
- Wongvibulsin, S., Frech, T. M., Chren, M.-M., & Tkaczyk, E. R.
- Affiliations
- Johns Hopkins University (US)
- United States Department of Veterans Affairs (US)
- Vanderbilt University Medical Center (US)
- Corresponding author
- Tkaczyk, Eric R.
- Venue
- JID Innovations
- Publisher
- Elsevier BV
- Published
- 2022-05
- Volume
- 2
- Issue
- 3
- Pages
- 100105
- ISSN
- 2667-0267 (ISSN-L)
- PMC
- PMC9026581
- OpenAlex
- W4210698384
- Cited by
- 29
- References
- 54
- Citations by year
- 2026: 5 · 2025: 7 · 2024: 10 · 2023: 6 · 2022: 1
- FWCI
- 0.41
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- JID Innovations (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- eScholarship (California Digital Library) (submittedVersion, cc-by-nc-nd)
- Funders
- Clinical Science Research and Development
- National Institutes of Health (F30HL142131, K23AR067889, R01AR073001, 5T32GM007309)
- US Department of Veterans Affairs
- Topics
- Health Sciences › Medicine › Health Informatics › Artificial Intelligence in Healthcare and Education
- Health Sciences › Medicine › Dermatology › Dermatology and Skin Diseases
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- data-driven medicine, digital health technologies, machine learning, clinimetrics, psychometrics, chronic cutaneous graft-versus-host disease, inflammatory skin diseases, mobile application, wearable devices, disease progression monitoring, treatment response, high-risk patient identification, disease outcome prediction, multi-source data fusion
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