Evidence map›Paper›PMID 32300838›Full record

ArticleDer Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete2020

[Successful regional teledermatological and teledermatoscopic triage networking between general practitioners and dermatologists].

Andreas Blum, Sylvie Haase, Stefanie Barlinn, Diana Kopplin, Stephan Neher, Nanette Ott, Maximilian Ottinger, Jörn Ridder, Christiane Seifert-Ibach, Achim Witzel and 3 more

Abstract read
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In one paragraph

Article in Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. [Artificial intelligence and smartphone program applications (Apps) : Relevance for dermatological practice].Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete · 2020
    Review
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

13 authors.

Andreas BlumHautarztpraxis Blum & Haase, Augustinerplatz 7, 78462, Konstanz, Deutschland. a.blum@derma.de.
Sylvie HaaseHautarztpraxis Blum & Haase, Augustinerplatz 7, 78462, Konstanz, Deutschland.
Stefanie BarlinnHausarztpraxis Ott, Konstanz, Deutschland.
Diana KopplinHausarztpraxis Ott, Konstanz, Deutschland.
Stephan NeherHausarztpraxis Neher, Konstanz, Deutschland.
Nanette OttHausarztpraxis Ott, Konstanz, Deutschland.
Maximilian OttingerHausarztpraxis Ottinger, Konstanz, Deutschland.
Jörn RidderHausarztpraxis Ridder & Michael, Konstanz, Deutschland.
Christiane Seifert-IbachHausarztpraxis Seifert-Ibach & Zantl, Konstanz, Deutschland.
Achim WitzelHausarztpraxis Witzel, Konstanz, Deutschland.
Petra ZantlHausarztpraxis Seifert-Ibach & Zantl, Konstanz, Deutschland.
Elena EberUniv.-Klinik für Dermatologie und Venerologie, Medizinische Universität Graz, Graz, Österreich.
Rainer Hofmann-WellenhofUniv.-Klinik für Dermatologie und Venerologie, Medizinische Universität Graz, Graz, Österreich.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is an increasing need by general practitioners (GPs) for consultations regarding skin diseases or skin lesions. Teledermatological and teledermoscopic diagnoses are possible with good results.

objectivesThis descriptive study analyzed whether the increasing need for dermatological consultations could be improved by regional teledermatological and teledermoscopic triage between GPs and dermatologists. MATERIALS AND

methodsVia an internet platform, six GPs sent images of unclear skin diseases or skin lesions to a dermatology practice (2 dermatologists) over a period of 9 months. Possible triage answers were (1) stay at the GP, (2) urgent consultation at the dermatologist (days), or (3) later (week/months) consultation at the dermatologist, respectively, with the diagnosis and therapeutic suggestions. A feedback (grade 1-6) were given by the dermatologists about the image quality and from the GPs about the appraisal. The dermatologists' appraisals were done independently and were audited by a third dermatologist.

resultsThe patients' acceptance was 100% and a very good to good image quality was achieved in 94%; 66.3% of patients could stay at their GP and 20.7% of patients should come urgently to the dermatologist. The teletriage decisions of an urgent consultation at the dermatologist were confirmed in 41.5%. The GPs' feedback about the teletriage appraisal received an overall average grade of 1.1.

conclusionSuccessful regional teledermatological and teledermoscopic triage between GPs and dermatologists is possible. Specifications on data privacy laws must be followed and an appropriate remuneration is preferable.

Indexed as

DermatologistsGeneral PractitionersInterprofessional RelationsSkin DiseasesTelemedicineDermatologyHumansPatient Care TeamReferral and ConsultationTriageDiagnosisImage qualityPatient acceptanceSkin cancerSkin diseases

Identifiers

What OpenQuestion holds

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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.