Clinical course outcomes for store and forward teledermatology versus conventional consultation: a randomized trial.

Abstract:

:We assessed the clinical course of patients after store and forward teledermatology in comparison with conventional consultations. Patients being referred from primary care to dermatology clinics were randomly assigned to teledermatology or a conventional consultation. A total of 392 patients were randomized; 261 patients completed the study and were included in the analysis. Their clinical course was rated on a five-point scale by a panel of three dermatologists, blinded to study assignment, who reviewed serial digital image sets. The clinical course was assessed by comparing images sets between baseline and first clinic visit (if one occurred) and between baseline and nine months. There was no evidence to suggest a difference between the two groups in either clinical course between baseline and nine months post-referral (P = 0.88) or between baseline and the first dermatology clinic visit (P = 0.65). Among teledermatology referrals, subsequent presentation for an in-person dermatology clinic visit was significantly correlated with clinical course (P = 0.023). Store and forward teledermatology did not result in a significant difference in clinical course at either of two post-referral time periods.

journal_name

J Telemed Telecare

authors

Whited JD,Warshaw EM,Kapur K,Edison KE,Thottapurathu L,Raju S,Cook B,Engasser H,Pullen S,Moritz TE,Datta SK,Marty L,Foman NA,Suwattee P,Ward DS,Reda DJ

doi

10.1177/1357633x13487116

subject

Has Abstract

pub_date

2013-06-01 00:00:00

pages

197-204

issue

4

eissn

1357-633X

issn

1758-1109

pii

1357633X13487116

journal_volume

19

pub_type

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