COMPARISON OF STORE AND FORWARD METHOD OF TELEDERMATOLOGY WITH FACE-TO-FACE CONSULTATION

Authors

  • Eanas Rashid
  • Osama Ishtiaq
  • Salman Gilani
  • Asif Zafar

Abstract

Background: To compare the accuracy of store and forward method of teledermatology with the traditional face-to-face consultation. Methods: The comparison was done between Institute of Dermatology King Edward Medical College Lahore that served as teledermatology center and Dermatology Department of Pakistan Institute of Medical Sciences Islamabad from where patients were selected. TelmedpakÒ provided the technical support. Thirty three patients were selected from outpatient department of PIMS and images were taken using a digital camera. Images were stored in computer and were sent to Institute of Dermatology via email for Teleconsultation along with a short history and examination findings. Diagnosis of consultant after face-to-face consultation was then compared with the image based diagnosis that is after teleconsultation. Results: In 81% of the cases the diagnosis on face-to-face consultation was same (p<0.05) while in 18% of the cases the two diagnoses differed. In 9% (n=3) of the cases, image resolution was not good but out of these three, diagnosis was same in two and differed in one case. Conclusion: This study concludes that store and forward method of teledermatology is reliable and can provide a means of increasing access to dermatological care in rural and under-served areas.Keywords: Teledermatology, Teleconsultation, Telemedicine

References

Whited JD, Hall RP, Simel DL, Foy ME, Stechuchak KM, Drugge RJ, et al. Reliability and accuracy of dermatologist’s clinic based and digital image consultations. J Am Acad Dermatol 1999;41:693-702.

Wootton R. Telemedicine: a cautious welcome. Br Med J 1996;313:1375-7.

Williams HC. Increasing demand for dermatological services: how much is needed? J R Coll Physicians Lond 1997;31:261-62.

Ryan TJ. Disability in dermatology. Br J Hosp Med 1991;46:33-6.

Ratner D, Thomas CO, Bickers D. The uses of digital photography in dermatology. J Am Acad Dermatol 1999;41:749-56.

High WA, Houston MS, Calobrisi SD, Drage LA, McEvoy MT. Assessment of the accuracy of low cost store and forward teledermatology consultation. J Am Acad Dermatol 2000;42:776-83.

Tait CP, Clay CD. Pilot study of store and forward teledermatolgy services in Perth, Western Australia. Aust J Dermatol 1999;40:190-93.

Burgiss SG, Julius CE, Watson HW. Telemedicine for dermatology care in rural patients. Telmed J 1997;3:227-33.

Wootton R, Bloomer SE, Corbett R, Eedy DJ, Hicks N, Lotery HE, et al. Muticentre randomized control trial comparing real time teledermatology with conventional outpatient dermatological care: societal cost-benefit analysis. Br Med J 2000;320:1250-56.

Perednia DA. Telemedicine system evaluation and a collaborative model for multi-centered research. J Med Syst 1995;19:287-94.

Brian DZ, Linda H. Teledermatology in the Nursing Home. Arch Dermatol 1997;133:171-74.

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Vol. 15 No. 2 (2003): JOURNAL OF AYUB MEDICAL COLLEGE, ABBOTTABAD

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ORIGINAL ARTICLE

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