Teledermatología es una buena opción ante las dificultades de movilidad en nuestro país.

Teledermatology and Face-to-Face Consults Compared

Int J Dermatol; ePub 2017 Jun 20; Creighton-Smith, et al

June 28, 2017

Face-to-face (F2F) consultation patients were more likely to have prior history of skin cancer and receive biopsies than store-and-forward (SAF) teledermatology patients, a recent study found. This retrospective cohort study compared patient skin cancer risk profile, pre-post biopsy diagnostic accuracy, and detection rates of any skin cancer, melanoma, and keratinocytic carcinoma between all SAF teledermatology patients and a subset of randomly selected F2F consultations at VA-Boston Healthcare System in 2014. Researchers found:

• Patients in the teledermatology (n=434) and F2F visit cohorts (n=587) had similar baseline demographics except a higher proportion of F2F patients had prior history of skin cancer, 22% (131/587) vs 10% (45/434), and received biopsies, 27.2% (160/587) vs 11.5% (50/434).
• When adjusted for age, immunosuppression, and personal and family history of skin cancer, there were no significant differences between the 2 cohorts in detection rates for any skin cancer (9.5% vs.5.8%), melanoma (0.6% vs 0%), or keratinocytic carcinoma (8.5% vs 5.5%).

Citation:

Creighton-Smith M, Murgia III RD, Konnikov N, Dorneles, Garber C, Nguyen BT. Incidence of melanoma and keratinocytic carcinomas in patients evaluated by store-and-forward teledermatology vs dermatology clinic. [Published online ahead of print June 20, 2017]. Int J Dermatol. doi: 10.1111/ijd.13672.