Teledermatology in the diagnosis of melanoma

Journal of Telemedicine and Telecare
Mahsa KaravanGayle E Reiber

Abstract

We conducted a retrospective chart review of US Veterans in the Pacific Northwest area to compute melanoma incidence and Breslow depth at diagnosis. We compared Veterans with access to teledermatology (TD) and those without (non-TD). We identified pathology-confirmed primary melanomas in Veterans who had had at least one encounter at a VA facility during a 3-year study period. The age-adjusted melanoma incidence for all, TD and non-TD Veterans was 36, 15 and 57 per 100,000, respectively. The mean Breslow depth was significantly greater in the TD group (P = 0.03). Although a higher proportion of thin (Breslow depth ≤1 mm) TD melanomas were mitotically active, this difference was not significant. We also found that 180 (40%) of the non-TD (face-to-face) diagnosed melanomas were from Veterans living in areas where TD was available. This suggests that the higher melanoma incidence in the non-TD group was mainly due to under-utilization of TD services. The study demonstrated that the TD service was not fully utilized in the VISN20 region, although the reasons for this are not clear. Where TD was utilized it tended to diagnose more advanced melanomas with worse initial prognosis.

References

Dec 20, 1989·Journal of the National Cancer Institute·W H ClarkA C Halpern
Jul 17, 1998·British Journal of Cancer·J M KarjalainenV M Kosma
Dec 21, 2000·The British Journal of Dermatology·M A LoaneR Wootton
Apr 6, 2005·Clinical and Experimental Dermatology·R MahendranR A Sheehan-Dare
Jun 20, 2006·Journal of the American Academy of Dermatology·Matthew W Tsang, Jack S Resneck
Apr 18, 2007·Archives of Dermatology·David Moreno-RamirezFrancisco M Camacho
May 20, 2008·Seminars in Cutaneous Medicine and Surgery·Cesare MassoneH Peter Soyer
Aug 15, 2009·Journal of the American Academy of Dermatology·Erin M WarshawDavid B Nelson
Nov 3, 2010·Journal of the American Academy of Dermatology·Erin M WarshawTimothy J Wilt
May 18, 2011·Archives of Dermatology·Kate V ViolaDaniel G Federman
Sep 19, 2012·Archives of Dermatology·Lara FerrándizDavid Moreno-Ramirez
Oct 23, 2012·Journal of Telemedicine and Telecare·Kristin L EastmanGayle E Reiber

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Citations

Sep 24, 2015·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Rashid L BashshurMichael Gates
Dec 9, 2016·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·James L GendreauGregory J Raugi
May 19, 2017·Journal of the European Academy of Dermatology and Venereology : JEADV·A TrettelM Augustin
Sep 2, 2017·Cancer Chemotherapy and Pharmacology·Zhen-Ning LuXiu-Li Guo
Jul 13, 2018·Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG·Matthias AugustinKlaus Strömer
Feb 14, 2019·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Sylvie E BertrandShoshana M Landow
Jun 28, 2016·Oncology Letters·Lisa ElefantiMauro Alaibac

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Methods Mentioned

BETA
biopsy
biopsies

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