Evidence map›Paper›PMID 26394022›Full record

ReviewTelemedicine journal and e-health : the official journal of the American Telemedicine Association2015

The Empirical Foundations of Teledermatology: A Review of the Research Evidence.

Rashid L Bashshur, Gary W Shannon, Trilokraj Tejasvi, Joseph C Kvedar, Michael Gates

Open access · greenAbstract readReview
In one paragraph

Review in Telemedicine journal and e-health : the official journal of the American Telemedicine Association, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 3 pooled it
4.3field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 3 syntheses or guidelines pooled it, 93 citations in OpenAlex.

  1. Teledermatology for diagnosing skin cancer in adults.The Cochrane database of systematic reviews · 2018
    Pooled it
  2. Pooled it
  3. The Empirical Foundations of Telemedicine Interventions in Primary Care.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2016
    Pooled it
  4. Review
  5. Article
  6. Review
  7. Article
  8. Atopic Dermatitis Disease Education.Advances in experimental medicine and biology · 2024
    Article
  9. Article
  10. Teleneuropsychology: normative data for the assessment of memory in online settings.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2023
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Observational
  19. Article
  20. Telehealth Adoption Among Endocrinologists During The Covid-19 Pandemic.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Rashid L Bashshur1 eHealth Center, University of Michigan Health System , Ann Arbor, Michigan.
Gary W Shannon2 Department of Geography, University of Kentucky , Lexington, Kentucky.
Trilokraj Tejasvi3 Department of Dermatology, University of Michigan Health System , Ann Arbor, Michigan.
Joseph C Kvedar4 Center for Connected Health , Partners HealthCare, Boston, Massachusetts.
Michael Gates1 eHealth Center, University of Michigan Health System , Ann Arbor, Michigan.
University Health System · USPartners HealthCare Connected Health · USUniversity of Kentucky · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis article presents the scientific evidence for the merit of telemedicine interventions in the diagnosis and management of skin disorders (teledermatology) in the published literature. The impetus for this work derives from the high prevalence of skin disorders, the high cost, the limited availability of dermatologists in certain areas, and the promise of teledermatology to address unmet needs in this area. MATERIALS AND

methodsThe findings are based on a targeted review of scientific studies published from January 2005 through April 2015. The initial search yielded some 5,020 articles in Google Scholar and 428 in PubMed. A review of the abstracts yielded 71 publications that met the inclusion criteria for this analysis. Evidence is organized according to the following: feasibility and acceptance; intermediate outcomes (use of service, compliance, and diagnostic and treatment concordance and accuracy); outcomes (health improvement and problem resolution); and cost savings. A special section is devoted to studies conducted at the Veterans Health Administration.

resultsDefinitions of teledermatology varied across a wide spectrum of skin disorders, technologies, diagnostic tools, provider types, settings, and patient populations. Outcome measures included diagnostic concordance, treatment plans, and health.

conclusionsDespite these complexities, sufficient evidence was observed consistently supporting the effectiveness of teledermatology in improving accessibility to specialty care, diagnostic and treatment concordance, and skin care provided by primary care physicians, while also reducing cost. One study reported suboptimal clinical results from teledermatology for patients with pigmented skin lesions. On the other hand, confocal microscopy and advanced dermoscopy improved diagnostic accuracy, especially when rendered by experienced teledermatologists.

Indexed as

DermatologyEvidence-Based MedicineTelemedicineEmpirical ResearchHumansSkin DiseasesUnited Statesevidenceskin disordersteledermatologytelehealthtelemedicine

Identifiers

PMID26394022
PMCPMC4776540
OpenAlexW1713474794

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.