Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
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SHR Neuro Krebs Kardio Lipid Stoffw Microb
Massone, C; Maak, D; Hofmann-Wellenhof, R; Soyer, HP; Frühauf, J.
Teledermatology for skin cancer prevention: an experience on 690 Austrian patients.
J Eur Acad Dermatol Venereol. 2014; 28(8):1103-1108
Doi: 10.1111/jdv.12351
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- Führende Autor*innen der Med Uni Graz
- Massone Cesare
- Co-Autor*innen der Med Uni Graz
- Frühauf Julia
- Hofmann-Wellenhof Rainer
- Soyer Hans Peter
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- Abstract:
- Recent studies investigated the value of teledermatology (TD) as a valid tool for a dermatologist-directed triage systems. To investigate the feasibility of a store-and-forward TD triage system in a large number of patients. Previously trained general practitioners selected suspicious skin tumours in the setting of a general preventive medicine screening programme and transmitted their dermoscopic images via virtual private network for decision-making. Within 48 h, two teleconsultants highly experienced in dermoscopy first assessed image quality, then made a diagnosis and answered if lesions were to follow-up, to excise or to be re-evaluated at face-to-face (FTF). A total of 955 lesions were telediagnosed [743 (78%) benign melanocytic, six (0.6%) malignant melanocytic, 186 (19%) benign non-melanocytic and 20 (2%) malignant non-melanocytic]. Excision was recommended for 111 (12%) lesions, 10 lesions (1%) were referred to FTF examination. Follow-up was recommended for 707 (74%) lesions. The vast majority of the lesions (82%) were screened as benign and an intervention was requested in only 18% of cases. Eighty-two patients (12% of the total) were lost at follow-up. The diagnostic accuracy was of 94% with sensitivity of 100% and specificity of 95.8%. We confirm that TD is suitable to triage skin cancers. © 2013 European Academy of Dermatology and Venereology.
- Find related publications in this database (using NLM MeSH Indexing)
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- Dermatology -
- Humans -
- Skin Neoplasms - prevention & control
- Telemedicine -