PDF(Pubmed)
Abstract：
BACKGROUND: The role of teledermatology for skin lesion assessment has been a recent development, particularly, since the COVID-19 pandemic has impacted the ability to assess patients in person. The growing number of studies relating to this area reflects the evolving interest.
OBJECTIVE: This literature review aims to analyze the available research on store-and-forward teledermatology for skin lesion assessment.
METHODS: MEDLINE was searched for papers from January 2010 to November 2021. Papers were searched for assessment of time management, effectiveness, and image quality.
RESULTS: The reported effectiveness of store-and-forward teledermatology for skin lesion assessment produces heterogeneous results likely due to significant procedure variations. Most studies show high accuracy and diagnostic concordance of teledermatology compared to in-person dermatologist assessment and histopathology. This is improved through the use of teledermoscopy. Most literature shows that teledermatology reduces time to advice and definitive treatment compared to outpatient clinic assessment.
CONCLUSIONS: Overall, teledermatology offers a comparable standard of effectiveness to in-person assessment. It can save significant time in expediting advice and management. Image quality and inclusion of dermoscopy have a considerable bearing on the overall effectiveness.
OBJECTIVE: This literature review aims to analyze the available research on store-and-forward teledermatology for skin lesion assessment.
METHODS: MEDLINE was searched for papers from January 2010 to November 2021. Papers were searched for assessment of time management, effectiveness, and image quality.
RESULTS: The reported effectiveness of store-and-forward teledermatology for skin lesion assessment produces heterogeneous results likely due to significant procedure variations. Most studies show high accuracy and diagnostic concordance of teledermatology compared to in-person dermatologist assessment and histopathology. This is improved through the use of teledermoscopy. Most literature shows that teledermatology reduces time to advice and definitive treatment compared to outpatient clinic assessment.
CONCLUSIONS: Overall, teledermatology offers a comparable standard of effectiveness to in-person assessment. It can save significant time in expediting advice and management. Image quality and inclusion of dermoscopy have a considerable bearing on the overall effectiveness.
摘要：
背景：皮肤学在皮肤病变评估中的作用是最近的发展，特别是,自COVID-19大流行以来，影响了对患者进行亲自评估的能力。与这一领域有关的研究越来越多，反映了人们不断发展的兴趣。
目的：本文献综述旨在分析用于皮肤病变评估的存储和转发远程皮肤病学的现有研究。
方法：在2010年1月至2021年11月期间搜索了MEDLINE的论文。搜索论文以评估时间管理，有效性,和图像质量。
结果：报告的用于皮肤病变评估的存储和转发远程皮肤病学的有效性可能由于手术的显著差异而产生不同的结果。与当面皮肤科医生评估和组织病理学相比，大多数研究显示出远程皮肤科的高准确性和诊断一致性。这通过使用远距显微镜来改进。大多数文献表明，与门诊评估相比，远程皮肤病学减少了咨询和确定治疗的时间。
结论：总体而言，远程皮肤病学提供了与现场评估相当的有效性标准。它可以在加快建议和管理方面节省大量时间。图像质量和皮肤镜检查的纳入对整体有效性有相当大的影响。
目的：本文献综述旨在分析用于皮肤病变评估的存储和转发远程皮肤病学的现有研究。
方法：在2010年1月至2021年11月期间搜索了MEDLINE的论文。搜索论文以评估时间管理，有效性,和图像质量。
结果：报告的用于皮肤病变评估的存储和转发远程皮肤病学的有效性可能由于手术的显著差异而产生不同的结果。与当面皮肤科医生评估和组织病理学相比，大多数研究显示出远程皮肤科的高准确性和诊断一致性。这通过使用远距显微镜来改进。大多数文献表明，与门诊评估相比，远程皮肤病学减少了咨询和确定治疗的时间。
结论：总体而言，远程皮肤病学提供了与现场评估相当的有效性标准。它可以在加快建议和管理方面节省大量时间。图像质量和皮肤镜检查的纳入对整体有效性有相当大的影响。
