Teledermatology—high technology or not?
Abstract
As an alternative to attending a conventional dermatology clinic, patients had a high-resolution conventional photographic image taken by a professional medical photographer. The photographic images were viewed by a dermatologist together with referral details from the general practitioner and any other relevant information from the patient's notes. From the images, a dermatological diagnosis was derived and a management plan for each patient instituted. After treatment, histological assessment of the tumours allowed diagnostic accuracy to be determined. The preliminary diagnostic accuracy (71%) was greater than that of the referring general practitioners (49%). However, when the diagnostic ability of the method to detect the nature of malignant lesions was examined, telemedicine was able to detect malignancies in 94% of cases compared with only 70% detected by general practitioners. The results of the present study indicate that teledermatology is achievable using a low-technology, low-cost approach.
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?
Many feasibility studies of telemedicine have been conducted in inaccessible settings such as the military, rural areas, nursing homes, or developing countries.
“There are many feasibility studies, often in inaccessible settings: for the military, in rural areas, in nursing homes or developing countries.”
From Telemedicine in dermatology: a randomised controlled trial (2006) · cites this paper as [3]
Cites
A portable digital imaging system in dermatology: Diagnostic and educational applications
Lyon, C. C., & HARRISON, P. V. (1997) · Journal of Telemedicine and Telecare · doi:10.1258/1357633971930490 · Cited by 55 · see citing works
Self-citationHaynes, S. L., Shuttleworth, C. A., & Kielty, C. M. (1997) · British Journal of Dermatology · doi:10.1046/j.1365-2133.1997.1762185.x · Cited by 54 · see citing works
HARRISON, P. V., Patefield, M., Dickenson, Y., & Morgan, R. (1997) · Journal of Telemedicine and Telecare · doi:10.1258/1357633971930805 · Cited by 2 · see citing works
Self-citationWS127 Still image-based dermatological diagnosis in a semi-rural setting
HARRISON, P. (1997) · Journal of the European Academy of Dermatology and Venereology · doi:10.1016/s0926-9959(97)89283-5 · Cited by 1 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
Telemedicine: barriers and opportunities in the 21st century
Stanberry, B. (2000) · Journal of Internal Medicine · doi:10.1046/j.1365-2796.2000.00699.x · Cited by 249 · see citing works
Eedy, D. J., & Wootton, R. (2001) · British Journal of Dermatology · doi:10.1046/j.1365-2133.2001.04124.x · Cited by 224 · see citing works
Telemedicine in dermatology: findings and experiences worldwide—a systematic literature review.
Trettel, A., Eissing, L., & Augustin, M. (2018) · Journal of the European Academy of Dermatology and Venereology · doi:10.1111/jdv.14341 · Cited by 206 · see citing works
Teledermatology research review
Whited, J. D. (2006) · International Journal of Dermatology · doi:10.1111/j.1365-4632.2004.02427.x · Cited by 186 · see citing works
Assessment of the accuracy of low-cost store-and-forward teledermatology consultation
High, W. A., Houston, M. S., Calobrisi, S. D., Drage, L. A., & McEvoy, M. T. (2000) · Journal of the American Academy of Dermatology · doi:10.1067/mjd.2000.104519 · Cited by 183 · see citing works
Teledermatology for diagnosing skin cancer in adults.
Chuchu, N., Dinnes, J., Takwoingi, Y., Matin, R. N., Bayliss, S. E., Davenport, C., Moreau, J. F., Bassett, O., Godfrey, K., O'Sullivan, C., et al. (2018) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd013193 · Cited by 175 · see citing works
A systematic review of the efficacy of telemedicine for making diagnostic and management decisions
Hersh, W., Helfand, M., Wallace, J., Kraemer, D. F., Patterson, P., Shapiro, S., & Greenlick, M. R. (2002) · Journal of Telemedicine and Telecare · doi:10.1258/135763302320272167 · Cited by 170 · see citing works
Store-and-Forward Teledermatology in Skin Cancer Triage
Moreno-Ramirez, D., Ferrandiz, L., Nieto-Garcia, A., Carrasco, R., Moreno-Alvarez, P., Galdeano, R., Bidegain, E., Rios-Martin, J. J., & Camacho, F. M. (2007) · Archives of Dermatology · doi:10.1001/archderm.143.4.479 · Cited by 163 · see citing works
A comparison of real‐time and store‐and‐forward teledermatology: a cost–benefit study
Loane, M. A., Bloomer, S. E., Corbett, R., Eedy, D. J., Hicks, N., Lotery, H. E., Mathews, C., Paisley, J., Steele, K., & Wootton, R. (2000) · British Journal of Dermatology · doi:10.1046/j.1365-2133.2000.03895.x · Cited by 143 · see citing works
Patient and Clinician Satisfaction with a Store-and-Forward Teledermatology Consult System
Whited, J. D., Hall, R. P., Foy, M. E., Marbrey, L. E., Grambow, S. C., Dudley, T. K., Datta, S. K., Simel, D. L., & Oddone, E. Z. (2004) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2004.10.422 · Cited by 110 · see citing works
Telemedicine in dermatology: a randomised controlled trial
Bowns, I., Collins, K., Walters, S., & McDonagh, A. (2006) · Health Technology Assessment · doi:10.3310/hta10430 · Cited by 109 · see citing works
Evaluating a telemedicine system to assist in the management of dermatology referrals
Taylor, P., Goldsmith, P., Murray, K., Harris, D., & Barkley, A. (2001) · British Journal of Dermatology · doi:10.1046/j.1365-2133.2001.04023.x · Cited by 101 · see citing works
Practice Guidelines for Teledermatology
McKoy, K., Antoniotti, N. M., Armstrong, A., Bashshur, R., Bernard, J., Bernstein, D., Burdick, A., Edison, K., Goldyne, M., Kovarik, C., et al. (2016) · Telemedicine and e-Health · doi:10.1089/tmj.2016.0137 · Cited by 99 · see citing works
Maturity of teledermatology evaluation research: a systematic literature review
Eminović, N., de Keizer, N. F., Bindels, P., & Hasman, A. (2006) · British Journal of Dermatology · doi:10.1111/j.1365-2133.2006.07627.x · Cited by 98 · see citing works
Teledermatology: A Review of Reliability and Accuracy of Diagnosis and Management
S. Levin, Y., & Warshaw, E. M. (2009) · Dermatologic Clinics · doi:10.1016/j.det.2008.11.012 · Cited by 92 · see citing works
Legal ethical and risk issues in telemedicine
Stanberry, B. (2001) · Computer Methods and Programs in Biomedicine · doi:10.1016/s0169-2607(00)00142-5 · Cited by 92 · see citing works
Mahendran, R., Goodfield, M. J. D., & Sheehan-Dare, R. A. (2005) · Clinical and Experimental Dermatology · doi:10.1111/j.1365-2230.2005.01735.x · Cited by 80 · see citing works
Clinical Outcomes Associated with Telemedicine/Telehealth
Heinzelmann, P. J., Williams, C. M., Lugn, N. E., & Kvedar, J. C. (2005) · Telemedicine and e-Health · doi:10.1089/tmj.2005.11.329 · Cited by 67 · see citing works
Augustin, M., Wimmer, J., Biedermann, T., Blaga, R., Dierks, C., Djamei, V., Elmer, A., Elsner, P. U., Enk, A., Gass, S., et al. (2018) · JDDG Journal der Deutschen Dermatologischen Gesellschaft · doi:10.1111/ddg.13512 · Cited by 48 · see citing works
Teledermatology and teledermatopathology
Pak, H. S. (2002) · Seminars in Cutaneous Medicine and Surgery · doi:10.1053/sder.2002.34945 · Cited by 49 · see citing works
Telemedicina y teledermatología (I): concepto y aplicaciones
Romero, G., Garrido, J. A., & García‐Arpa, M. (2008) · Actas Dermo-Sifiliográficas · doi:10.1016/s0001-7310(08)74735-5 · Cited by 48 · see citing works
Telehealth and telemedicine: how the digital era is changing standard health care
Miedany, Y. M. E. (2017) · Smart Homecare Technology and TeleHealth · doi:10.2147/shtt.s116009 · Cited by 44 · see citing works
A 14‐year review of a UK teledermatology service: experience of over 40 000 teleconsultations
Mehrtens, S. H., Shall, L., & Halpern, S. M. (2019) · Clinical and Experimental Dermatology · doi:10.1111/ced.13928 · Cited by 44 · see citing works
Community photo-triage for skin cancer referrals: an aid to service delivery
Morton, C. A., Downie, F., Auld, S., Smith, B., Pol, M. M. V. D., Baughan, P., Wells, J., & Wootton, R. (2010) · Clinical and Experimental Dermatology · doi:10.1111/j.1365-2230.2010.03960.x · Cited by 40 · see citing works
Telemedicine: barriers and opportunities in the 21st century
Stanberry, B. (2001) · Journal of Internal Medicine · doi:10.1046/j.1365-2796.2001.00699.x · Cited by 39 · see citing works
Lewis, K. L., Gilmour, E. R., HARRISON, P. V., Patefield, S., Dickinson, Y., Manning, D., & Griffiths, C. E. M. (1999) · Journal of Telemedicine and Telecare · doi:10.1258/1357633991932568 · Cited by 34 · see citing works
Self-citationTelemedicine and Teledermatology (I): Concepts and Applications
Romero, G., Garrido, J. A., & García‐Arpa, M. (2008) · Actas Dermo-Sifiliográficas · doi:10.1016/s1578-2190(08)70307-x · Cited by 32 · see citing works
Digital imaging: a diagnostic screening tool?
Tucker, W. F., & Lewis, F. (2005) · International Journal of Dermatology · doi:10.1111/j.1365-4632.2005.01990.x · Cited by 27 · see citing works
Mobile Teledermatology: A Promising Future in Clinical Practice
Zuo, K. J., Guo, D., & Rao, J. (2013) · Journal of Cutaneous Medicine and Surgery · doi:10.2310/7750.2013.13030 · Cited by 25 · see citing works
Australian teledermatology: The patient, the doctor and their government
Lim, A., Egerton, I. B., & Shumack, S. P. (2000) · Australasian Journal of Dermatology · doi:10.1046/j.1440-0960.2000.00381.x · Cited by 25 · see citing works
Telemedicina y teledermatología (II)
Romero, G., Cortina, P., & Vera, E. (2008) · Actas Dermo-Sifiliográficas · doi:10.1016/s0001-7310(08)74755-0 · Cited by 22 · see citing works
Askari, A., Khodaie, M., & Bahaadinbeigy, K. (2014) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x13519899 · Cited by 22 · see citing works
Ribera, M., Fernández‐Peñas, P., & Nebreda, L. B. (2001) · Piel · doi:10.1016/s0213-9251(01)72454-9 · Cited by 22 · see citing works
Teledermatología. Revisión de 917 teleconsultas
Martínez-García, S., del Boz-González, J., Martín-González, T., Samaniego-González, E., & Crespo-Erchiga, V. (2007) · Actas Dermo-Sifiliográficas · doi:10.1016/s0001-7310(07)70075-3 · Cited by 21 · see citing works
Ludwick, D., Lortie, C., Doucette, J., Rao, J., & Samoil-Schelstraete, C. (2010) · Journal of Cutaneous Medicine and Surgery · doi:10.2310/7750.2010.09012 · Cited by 20 · see citing works
Moreno-Ramírez, D., Ferrándiz, L., Pérez-Bernal, A. M., Ríos-Martín, J. J., Carrasco, R., & Camacho, F. (2005) · Actas Dermo-Sifiliográficas · doi:10.1016/s0001-7310(05)73074-x · Cited by 19 · see citing works
Teledermatologie versus Konsildiagnosen — eine vergleichende Untersuchung von 120 Konsilen
Herrmann, F., Sönnichsen, K., & Blum, A. (2005) · Der Hautarzt · doi:10.1007/s00105-005-0904-y · Cited by 18 · see citing works
[Telemedicine and teledermatology (II): current state of research on dermatology teleconsultations].
Romero, G., Cortina, P., & Vera, E. (2008) · Actas Dermo-Sifiliográficas · doi:10.1016/s1578-2190(08)70326-3 · Cited by 25 · see citing works
Koelink, C. J. L., Jonkman, M. F., Van Der Meer, K., & Van Der Heide, W. K. (2014) · European Journal of Dermatology · doi:10.1684/ejd.2014.2275 · Cited by 14 · see citing works
[Dermatology in telemedicine. Possibilities and limits].
Düker, I., & Elsner, P. L. (2002) · PubMed · doi:10.1007/s105-002-8041-0 · Cited by 13 · see citing works
Teledermatology. Review of 917 Teleconsults
Martínez-García, S., del Boz-González, J., Martín-González, T., Samaniego-González, E., & Crespo-Erchiga, V. (2007) · Actas Dermo-Sifiliográficas · doi:10.1016/s1578-2190(07)70455-9 · Cited by 11 · see citing works
Teleconsulta de lesiones pigmentadas
Ramírez, D. M., Pérez-Bernal, A. M., Ferrándiz, L., Durán, R. C., Moya, P. S., & Martínez, F. M. C. (2004) · Piel · doi:10.1016/s0213-9251(04)72893-2 · Cited by 10 · see citing works
Moreno-Ramírez, D., Ferrándiz, L., García, M. A. N., & Villegas, R. (2008) · Medicina Clínica · doi:10.1157/13119492 · Cited by 9 · see citing works
Technological Bases for Teledermatopathology: State of the Art
DeAgustín, D., Sanmartín, J., Varela‐Centelles, P. I., Vidal, S., & Lestón, J. M. S. (2008) · Seminars in Cutaneous Medicine and Surgery · doi:10.1016/j.sder.2008.01.007 · Cited by 8 · see citing works
5.1.2. Aspects of Quality: Face-to-Face versus Teleconsulting
Granlund, H. (2002) · KARGER eBooks · doi:10.1159/000067356 · Cited by 6 · see citing works
Digital imaging: a diagnostic screening tool?
Tucker, W. F., & Lewis, F. (2004) · International Journal of Dermatology · doi:10.1111/j.1365-4632.2004.01990.x · Cited by 4 · see citing works
Application and Evaluation of Teledermatology In An Underserved Area of Honduras
Baze, M. R. (2011) · VTechWorks (Virginia Tech) · Cited by 4 · see citing works
Diagnostic accuracy of teledermatology for skin diseases: a systematic review and meta-analysis
Martyin, K., Meznerics, F. A., Bokor, L. A., Szabó, B., Hegyi, P., Kiss, N., & Bánvölgyi, A. (2026) · Frontiers in Medicine · doi:10.3389/fmed.2026.1739592 · Cited by 4 · see citing works
5.1.4. A Survey among Dermatologists in Practice about Teledermatology
Glaessl, A., Coras, B., Popal, H., Landthaler, M., & Stolz, W. (2002) · KARGER eBooks · doi:10.1159/000067358 · Cited by 3 · see citing works
Teledermatology in Nepal: Where are we?
Neupane, S. (1970) · Nepal Journal of Dermatology Venereology & Leprology · doi:10.3126/njdvl.v8i1.5718 · Cited by 1 · see citing works
Berufsdermatologie und Telemedizin
Broding, H. C., & Drexler, H. (2006) · Trauma und Berufskrankheit · doi:10.1007/s10039-006-1130-2 · Cited by 1 · see citing works
Teledermatology: digital revolution in the management of skin disease
Oikonomou, S. (2009) · Cited by 1 · see citing works
Decision Support Software to Help Primary Care Physicians Triage Skin Cancer
Gerbert, B., Bronstone, A. B., Maurer, T. A., Hofmann, R. H., & Berger, T. (2000) · Archives of Dermatology · doi:10.1001/archderm.136.2.187
Medical image management system
Varga, M. J., Ducksbury, P. G., & Somol, P. (2006) · International Journal of Healthcare Technology and Management · doi:10.1504/ijhtm.2006.008427
E-learning and teledermatology: Are web-based images good enough for learning?
Afroj, S. (2014) · NORA - Norwegian Open Research Archives
Use of Teledermatology in the Management of Psoriasis
Kumar, N. (2012) · Psoriasis Forum · doi:10.1177/247553031218a00403
Whited, J. D. (2008) · Cambridge University Press eBooks · doi:10.1017/cbo9780511547386.004
- Authors
- Harrison, P. V., Kirby, B., Dickinson, Y., & Schofield, R.
- Affiliations
- Queen Victoria Hospital (GB)
- ORCID
- Kirby, B
- Venue
- Journal of Telemedicine and Telecare
- Publisher
- SAGE Publications
- Published
- 1998-03
- Volume
- 4
- Issue
- 1_suppl
- Pages
- 31-32
- ISSN
- 1357-633X (ISSN-L)
- 1758-1109
- OpenAlex
- W2013572718
- Cited by
- 58
- References
- 4
- Citations by year
- 2026: 1 · 2019: 1 · 2018: 2 · 2017: 2 · 2016: 1 · 2014: 3 · 2013: 1 · 2012: 1
- FWCI
- 5.36
- 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, telemedicine, dermatological diagnosis, skin cancer detection, diagnostic accuracy, general practitioners, low-cost telemedicine, malignant skin lesions
- MeSH terms
- United Kingdom, Humans, Photography, Sensitivity and Specificity, Skin Diseases, Skin Neoplasms, Patient Satisfaction, Telemedicine
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