Diagnostic reliability of an asynchronous teledermatology consultation

To analyze the diagnostic agreement rate between primary care, an asynchronous teledermatology consultation, and a conventional dermatology consultation. Prospective non-randomized concordance study. Dermatology Service in Hospital Son Llàtzer (Palma de Mallorca) and primary care centers of Sóller a...

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Bibliographic Details
Published in:Atención primaria 2009-10, Vol.41 (10), p.552-557
Main Authors: Ferrer, Rosa Taberner, Bezares, Antonio Pareja, Mañes, Alex Llambrich, Mas, Antonia Vila, Gutiérrez, Ignacio Torné, Lladó, Cristina Nadal, Estaràs, Guillermo Mas
Format: Article
Language:Spanish
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Child
Dermatology - methods
Female
Humans
Male
Middle Aged
Primary Health Care
Prospective Studies
Remote Consultation
Reproducibility of Results
Skin Diseases - diagnosis
Young Adult
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Summary:To analyze the diagnostic agreement rate between primary care, an asynchronous teledermatology consultation, and a conventional dermatology consultation. Prospective non-randomized concordance study. Dermatology Service in Hospital Son Llàtzer (Palma de Mallorca) and primary care centers of Sóller and Arenal (Mallorca). Patients have been included from December 2005 to July 2008, sent by teleconsultation (n=158). Analysis of primary care, teledermatology consultation and face-to-face consultation diagnosis, in mentioned period of time. Calculation of kappa index of concordance. 158 teleconsultations have been made from December 2005 to July 2008, 94 (59,5%) women, and 64 (40,5%) men, aged from 9 to 96 years old (average, 55 years old). After grouping the diagnosis in categories, the distribution was: 48 (37,2%) benign tumours, 39 (30,2%) inflammatory and appendages diseases, 15 (11,6%) infectious diseases, 14 (10,9%) malignant tumours, and 13 (10,1%) premalignant tumours. In grouped diagnosis, concordance was 59,8% (CI 95%, 50-70%) (P
ISSN:1578-1275
DOI:10.1016/j.aprim.2008.11.012