The reliability of diagnosis using store-and-forward teledermatology
Abstract
We compared diagnoses made by a teledermatologist from digital photographs and patient histories sent from general practitioners using a store-and-forward technique and those made by another dermatologist in a face-to-face consultation with the same patients. A total of 117 patients (mean age 47 years) were referred by 18 general practitioners for diagnosis of a skin condition. Between one and seven digital images were transmitted per case. In 31% of the cases, three images were transmitted. There was full concordance between store-and-forward and face-to-face diagnoses in 57 of 106 cases (54%); in 10 cases (9%) there was overlap between the differential diagnoses provided by the teledermatologist and the face-to-face consultant. Diagnostic categories with relatively high concordances were eczema and follicular eruptions. General practitioners need to be trained in the making of digital images and in giving a good patient history.
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Real-time is seldom required for teledermatology while store-and-forward provides sufficient flexibility in consultation schedules with high rates of accuracy.
“In general, real-time is seldom required for teledermatology while S&F provides sufficient flexibility in consultation schedules with high rates of accuracy [7,11,12].”
From Lessons learned after a three-year store and forward teledermatology experience using internet: Strengths and limitations (2012) · cites this paper as [7]
Lower concordance values than ours for diagnosis with teledermatology for adults have been reported in [7] (54% of total agreement).
“Lower concordance values than ours for diagnosis with teledermatology for adults have been reported in [7] (54% of total agreement)”
From Lessons learned after a three-year store and forward teledermatology experience using internet: Strengths and limitations (2012) · cites this paper as [7]
A wide range of concordance rates from 54% to 89% have been reported in the literature.
“A wide range of concordance rates from 54% to 89% have been reported in the literature [7,11,25,35].”
From Lessons learned after a three-year store and forward teledermatology experience using internet: Strengths and limitations (2012) · cites this paper as [7]
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- Authors
- Du Moulin, M. F. M. T., Bullens-Goessens, Y. I. J. M., Henquet, C. J. M., Brunenberg, D. E. M., de Bruyn-Geraerds, D. P., Winkens, R. A. G., Dirksen, C. D., Vierhout, W. P. M., & Neumann, H. A. M.
- Affiliations
- Transmural Care Unit (Bze VII), University Hospital Maastricht, The Netherlands
- Maastricht University Medical Centre (NL)
- ORCID
- Dirksen, C D
- Venue
- Journal of Telemedicine and Telecare
- Publisher
- SAGE Publications
- Published
- 2003-09-01
- Volume
- 9
- Issue
- 5
- Pages
- 249-252
- ISSN
- 1357-633X (ISSN-L)
- 1758-1109
- OpenAlex
- W1990244676
- Cited by
- 72
- References
- 0
- Citations by year
- 2026: 1 · 2025: 1 · 2023: 1 · 2022: 2 · 2021: 3 · 2020: 2 · 2019: 2 · 2018: 7 · 2017: 4 · 2016: 1 · 2015: 3 · 2014: 2 · 2013: 5 · 2012: 1
- FWCI
- 5.09
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Telemedicine and Telecare (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Digital Imaging in Medicine
- Health Sciences › Medicine › Oncology › Cutaneous Melanoma Detection and Management
- Keywords
- store-and-forward teledermatology, diagnostic accuracy, face-to-face consultation, general practitioners, differential diagnosis, atopic dermatitis, image quality, patient history taking
- MeSH terms
- Diagnosis, Differential, Eczema, Family Practice, Humans, Middle Aged, Skin Diseases, Reproducibility of Results, Telemedicine, Remote Consultation
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