Evidence map›Paper›PMID 29117934›Full record

ArticleJMIR mHealth and uHealth2017

Uses of Mobile Device Digital Photography of Dermatologic Conditions in Primary Care.

Jennifer L Pecina, Kirk D Wyatt, Nneka I Comfere, Matthew E Bernard, Frederick North

Abstract read
In one paragraph

Article in JMIR mHealth and uHealth, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

  1. Implementing a Photodocumentation Program.Journal of imaging informatics in medicine · 2025
    Article
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  3. Telehealth in Primary Health Care: A Scoping Review of the Literature.Perspectives in health information managemen · 2022
    Article
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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.

Jennifer L Pecina *Department of Family Medicine, Mayo Clinic, Rochester, MN, United States.ORCID http://orcid.org/0000-0003-1970-1344
Kirk D WyattDepartment of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, MN, United States.ORCID http://orcid.org/0000-0002-3856-2055
Nneka I ComfereDepartments of Dermatology and Laboratory Medicine & Pathology, Mayo Clinic, Rochester, MN, United States.ORCID http://orcid.org/0000-0002-8001-2639
Matthew E BernardDepartment of Family Medicine, Mayo Clinic, Rochester, MN, United States.ORCID http://orcid.org/0000-0002-1891-6880
Frederick NorthDepartment of Primary Care Internal Medicine, Mayo Clinic, Rochester, MN, United States.ORCID http://orcid.org/0000-0002-3696-4595

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPhotoExam is a mobile app that incorporates digital photographs into the electronic health record (EHR) using iPhone operating system (iOS, Apple Inc)-based mobile devices.

objectiveThe aim of this study was to describe usage patterns of PhotoExam in primary care and to assess clinician-level factors that influence the use of the PhotoExam app for teledermatology (TD) purposes.

methodsRetrospective record review of primary care patients who had one or more photos taken with the PhotoExam app between February 16, 2015 to February 29, 2016 were reviewed for 30-day outcomes for rates of dermatology consult request, mode of dermatology consultation (curbside phone consult, eConsult, and in-person consult), specialty and training level of clinician using the app, performance of skin biopsy, and final pathological diagnosis (benign vs malignant).

resultsDuring the study period, there were 1139 photo sessions on 1059 unique patients. Of the 1139 sessions, 395 (34.68%) sessions documented dermatologist input in the EHR via dermatology curbside consultation, eConsult, and in-person dermatology consult. Clinicians utilized curbside phone consults preferentially over eConsults for TD. By clinician type, nurse practitioners (NPs) and physician assistants (PAs) were more likely to utilize the PhotoExam for TD as compared with physicians. By specialty type, pediatric clinicians were more likely to utilize the PhotoExam for TD as compared with family medicine and internal medicine clinicians. A total of 108 (9.5%) photo sessions had a biopsy performed of the photographed site. Of these, 46 biopsies (42.6%) were performed by a primary care clinician, and 27 (25.0%) biopsies were interpreted as a malignancy. Of the 27 biopsies that revealed malignant findings, 6 (22%) had a TD consultation before biopsy, and 10 (37%) of these biopsies were obtained by primary care clinicians.

conclusionsClinicians primarily used the PhotoExam for non-TD purposes. Nurse practitioners and PAs utilized the app for TD purposes more than physicians. Primary care clinicians requested curbside dermatology consults more frequently than dermatology eConsults.

Indexed as

mobile applicationsmobile phoneprimary health careremote consultationsmartphoneteledermatologytelemedicine

Identifiers

PMID29117934
PMCPMC5700409

What OpenQuestion holds

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Registered trials

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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.