Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Singh, P; Soyer, HP; Wu, J; Salmhofer, W; Gilmore, S.
Tele-assessment of Psoriasis Area and Severity Index: a study of the accuracy of digital image capture.
AUSTRALAS J DERMATOL. 2011; 52(4): 259-263.
Doi: 10.1111/j.1440-0960.2011.00800.x
Web of Science
PubMed
FullText
FullText_MUG
- Co-Autor*innen der Med Uni Graz
- Salmhofer Wolfgang
- Soyer Hans Peter
- Altmetrics:
- Dimensions Citations:
- Plum Analytics:
- Scite (citation analytics):
- Abstract:
- BACKGROUND: The implementation of remote Psoriasis Area and Severity Index (PASI) determinations would greatly enhance the delivery of specialist dermatological care to patients with severe psoriasis unable to attend face-to-face dermatological consultations. Here we investigate the feasibility of the remote determination of PASI scores by comparing the results of face-to-face with digital image assessment. METHODS: Twelve patients with confirmed psoriasis were recruited for the study. Initially, two dermatologists scored the PASI at the patients' usual scheduled face-to-face visits, at which time standardized digital images were obtained. PASI scoring based on digital images was then performed on two separate occasions by three dermatologists with a time-interval period between assessments, facilitating an assessment of score reproducibility. Linear weighted kappa statistics were applied to the PASI scores to ascertain agreement between sets of observations. RESULTS: While we found a moderate (ê = 0.51) agreement between the face-to-face scores, there was very good (ê = 0.83) agreement between the first round of telescores and moderate (ê = 0.60) agreement between the second round of telescores. Comparison between the face-to-face and telescores revealed good (ê = 0.67 and 0.63) agreement for the scorers respectively. CONCLUSION: We demonstrate that PASI scores can be determined with moderate to good accuracy by dermatologists using standardized digital images. Our results imply the implementation of a tele-PASI service may be a practical and effective adjunct to the dermatological care of patients with severe psoriasis where incapacity or distance prevent the realisation of face-to-face consultations.
© 2011 The Authors. Australasian Journal of Dermatology © 2011 The Australasian College of Dermatologists. - Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- Adult -
- Body Surface Area -
- Female -
- Humans -
- Male -
- Middle Aged -
- Observer Variation -
- Photography -
- Psoriasis - pathology
- Reproducibility of Results -
- Severity of Illness Index -
- Telemedicine -
- Young Adult -
- Find related publications in this database (Keywords)
- dermatology
- PASI
- psoriasis
- teledermatology
- telemedicine