Pediatric teledermatology: observations based on 429 consults

Journal of the American Academy of Dermatology
Tina S ChenAmy E Gilliam

Abstract

Store-and-forward teledermatology is an emerging means of access for patients with skin disease lacking direct access to dermatologists. We sought to examine the patient demographics, diagnostic concordance, and treatment patterns in teledermatology for patients younger than 13 years. We conducted a descriptive retrospective cohort study involving 429 patients. Diagnoses were concordant in 48% of cases, partially concordant in 10%, and discordant in 42%. Management recommendations were concordant in 28% of cases, partially concordant in 36%, and discordant in 36%. Primary care providers tended to underuse topical steroids and overuse topical antifungals and systemic antibiotics. Only 1.4% and 6.0% of patients required repeated teledermatology consultation and in-person dermatology consultation, respectively. Limitations were the inability to generalize the data from the population studied and the chances of error and bias in teledermatology diagnoses. Store-and-forward teledermatology can improve diagnostic and therapeutic care for skin disease in children who lack direct access to dermatologists.

References

Apr 1, 1986·Journal of the American Academy of Dermatology·B R CassilethW P Walsh
Oct 1, 1983·Pediatric Dermatology·L SchachnerS Press
May 1, 1995·Journal of the American Academy of Dermatology·D FedermanR S Kirsner
Feb 1, 1997·Archives of Dermatology·S A NortonB Berman
Aug 11, 1998·European Journal of Clinical Pharmacology·D BijlF M Haaijer-Ruskamp
Apr 2, 1999·Telemedicine Journal : the Official Journal of the American Telemedicine Association·S G BurgissG T Smith
Jul 25, 2000·Telemedicine Journal : the Official Journal of the American Telemedicine Association·E A KrupinskiA M Lopez
Mar 10, 2001·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·C M Barnard, M E Goldyne
Feb 14, 2002·Pediatric Dermatology·C RomanoM Papini
Feb 28, 2002·Pediatric Dermatology·Chau M NguyenWilliam L Weston
Dec 31, 2003·Journal of the American Academy of Dermatology·Jack Resneck, Alexa B Kimball
Feb 12, 2004·Pediatric Dermatology·Joanna M BurchWilliam L Weston
Mar 24, 2005·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·James P MarcinMartha M Daschbach
Mar 15, 2006·International Journal of Dermatology·John D Whited
Apr 14, 2009·Journal of the American Academy of Dermatology·Viday A HeffnerKenneth Yen

❮ Previous
Next ❯

Citations

Jul 28, 2011·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Maria Teresa Garcia-RomeroRoberto Arenas
Apr 22, 2011·Indian Journal of Dermatology, Venereology and Leprology·Garehatty Rudrappa Kanthraj
Aug 27, 2013·Indian Journal of Dermatology, Venereology and Leprology·Garehatty Rudrappa Kanthraj
Jan 29, 2013·Journal of the American Academy of Dermatology·Patrick McMahonIlona J Frieden
Sep 24, 2015·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Rashid L BashshurMichael Gates
Feb 26, 2011·Journal of the European Academy of Dermatology and Venereology : JEADV·P RubegniM Fimiani
Aug 15, 2015·Anales de pediatría : publicación oficial de la Asociación Española de Pediatría (A.E.P.)·Ana BatallaCarlos de la Torre
Mar 15, 2015·Journal of the American Academy of Dermatology·Alexander L FogelJoyce M C Teng
Mar 17, 2015·Journal of the American Academy of Dermatology·Sarah J CoatesRichard D Granstein
Mar 10, 2015·Indian Journal of Dermatology, Venereology and Leprology·Garehatty Rudrappa Kanthraj
Mar 23, 2017·Annals of Plastic Surgery·Krishna S VyasMark S Granick
May 19, 2017·Journal of the European Academy of Dermatology and Venereology : JEADV·A TrettelM Augustin
Jul 22, 2017·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Alexander G FiksPatrick McMahon
Jul 13, 2018·Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG·Matthias AugustinKlaus Strömer
Mar 20, 2020·Journal of Telemedicine and Telecare·Isabel Betlloch-MasJosé Sánchez-Payá
Jun 17, 2020·Pediatric Dermatology·Kira SeigerShinjita Das
Jan 9, 2020·Health Informatics Journal·May Lin TyeKaren Day
Jul 31, 2013·Pediatric Dermatology·Julie C PhilpKelly M Cordoro
Dec 10, 2020·Pediatric Dermatology·Alexander M CartronAmor Khachemoune
Mar 23, 2021·Current Dermatology Reports·Spandana MaddukuriJules B Lipoff
Sep 2, 2021·Pediatric Dermatology·Vartan PahalyantsDaniela Kroshinsky

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antifungals (ASM)

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Atopic Dermatitis

Atopic dermatitis is a chronic inflammatory genetically determined disease of the skin marked by increased ability to form reagin (IgE), with increased susceptibility to allergic rhinitis and asthma, and hereditary disposition to a lowered threshold for pruritus. Discover the latest research on atopic dermatitis here.

Antifungals

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Related Papers

Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association
April W ArmstrongThomas S Nesbitt
The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association
Quirina M VallejosThomas A Arcury
International Journal of Dermatology
John D Whited
Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association
Job P van der HeijdenJan D Bos
© 2022 Meta ULC. All rights reserved