A Comparison of Teledermatology using Store-and-Forward Methodology Alone, and in Combination with Web Camera Videoconferencing
Abstract
We compared the diagnostic accuracy of conventional asynchronous teledermatology (‘store-and-forward’ [SAF]) with a combined technique, in which SAF methodology was used first, followed by a videoconference using low-cost Web cameras. The study involved 228 patients with 242 lesions. For each case, two independent teledermatologists (A and B) evaluated digital images and clinical information by the conventional SAF method and gave a single diagnosis. Then, each communicated with the patient via Web cameras and gave a single diagnosis (combined method). Finally, teledermatologist A performed a face-to-face examination of each patient and established the gold standard diagnosis. With the conventional SAF method, the diagnostic accuracy of teledermatologist A was 81%, while that for teledermatologist B was 75%. With the combined method, the corresponding values were 90% and 82% ( P<0.001 for both). There was no significant difference in the interobserver agreement between the two methods. Use of Web camera videoconferencing improved patient satisfaction with teledermatology. This method of teledermatology may be a useful alternative to the SAF method alone.
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In-person agreement is reported in only four teledermatology studies with multiple dermatologist evaluations.
“In-person agreement is reported in only four,12–16 however, one of which13 appears to be a pilot for another.10”
From Comparing high definition live interactive and store-and-forward consultations to in-person examinations (2017) · cites this paper as [14]
Three studies compared store-and-forward and live interactive modes.
“Three studies compared the two modes.14,23,24”
From Comparing high definition live interactive and store-and-forward consultations to in-person examinations (2017) · cites this paper as [14]
A third study showed combining methods significantly increases concordance with in-person exams.
“A third study showed combining methods significantly increases concordance with in-person exams.14”
From Comparing high definition live interactive and store-and-forward consultations to in-person examinations (2017) · cites this paper as [14]
Diagnostic accuracy increased from 66% with images of poor quality to 87% with images of adequate quality.
“Baba et al. (2005), who conducted a 3-month study in 2003 and found that diagnostic accuracy increased from 66% with images of poor quality to 87% with images of adequate quality.”
From Patient and practitioner satisfaction with tele-dermatology including Australia’s indigenous population: A systematic review of the literature (2016) · cites this paper as Baba et al., 2005
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“agregado 87,8 (86,1-89,0) 91,8 (89,9-93,4) 83,4 (80,9-85,7) 86,4 (84,1-88,5) 91,3 (88,0-93,8) 87,2 (84,2-89,7)”
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“TDA 34 (46) 40 (54) 74 TDTR 14 (30) 33 (70) 47 CC 13 (50) 13 (50) 26 Total 61 (41,5) 86 (58,5) 147”
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- Authors
- Baba, M., Seçkin, D., & Kapdağli, S.
- Affiliations
- Başkent University (TR)
- Başkent University Faculty of Medicine, Department of Dermatology, Adana Hospital, Adana, Turkey
- Corresponding author
- Baba, Mete
- ORCID
- Seçkin, Deniz
- Venue
- Journal of Telemedicine and Telecare
- Publisher
- SAGE Publications
- Published
- 2005-10
- Volume
- 11
- Issue
- 7
- Pages
- 354-360
- ISSN
- 1357-633X (ISSN-L)
- 1758-1109
- OpenAlex
- W2082057195
- Cited by
- 61
- References
- 18
- Citations by year
- 2026: 1 · 2025: 1 · 2023: 5 · 2020: 2 · 2019: 1 · 2018: 2 · 2017: 4 · 2016: 6 · 2015: 4 · 2014: 2 · 2013: 4
- FWCI
- 3.83
- 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 › Oncology › Cutaneous Melanoma Detection and Management
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Digital Imaging in Medicine
- Keywords
- teledermatology, store-and-forward telemedicine, diagnostic accuracy, skin lesions, interobserver agreement, patient satisfaction, asynchronous telemedicine
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Child, Child, Preschool, Dermatology, Female, Humans, Male, Middle Aged, Skin Diseases, Turkey, Reproducibility of Results, Patient Satisfaction, Remote Consultation, Internet, Videoconferencing
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 ›
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