کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3208999 1587599 2010 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Pediatric teledermatology: Observations based on 429 consults
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی امراض پوستی
پیش نمایش صفحه اول مقاله
Pediatric teledermatology: Observations based on 429 consults
چکیده انگلیسی

BackgroundStore-and-forward teledermatology is an emerging means of access for patients with skin disease lacking direct access to dermatologists.ObjectivesWe sought to examine the patient demographics, diagnostic concordance, and treatment patterns in teledermatology for patients younger than 13 years.MethodsWe conducted a descriptive retrospective cohort study involving 429 patients.ResultsDiagnoses 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.LimitationsLimitations were the inability to generalize the data from the population studied and the chances of error and bias in teledermatology diagnoses.ConclusionsStore-and-forward teledermatology can improve diagnostic and therapeutic care for skin disease in children who lack direct access to dermatologists.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of the American Academy of Dermatology - Volume 62, Issue 1, January 2010, Pages 61–66
نویسندگان
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