SynthesisBMJ open2023
Diagnostic reliability in teledermatology: a systematic review and a meta-analysis.
Synthesis in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Diagnostic accuracy of teledermatology for skin diseases: a systematic review and meta-analysis.Frontiers in medicine · 2026Pooled it
- Diagnostic stewardship and dermatology consultation in cellulitis management: a systematic literature review and meta-analysis.Archives of dermatological research · 2024Pooled it
- Diagnostic Accuracy of Smartphone-Based Patient-Initiated Store-and-Forward Teledermatology: A Cross-Sectional Direct-to-Specialist Study.Diagnostics (Basel, Switzerland) · 2026Article
- European Expert Consensus on Essential Variables for Teledermatological Assessment of Skin Tumours.Acta dermato-venereologica · 2026Article
- Teledermoscopy-Assisted Referral for Cutaneous Melanoma: Diagnostic Timeliness, Histopathologic Severity, and Stage at Excision in a Comparative Cohort.Journal of clinical medicine · 2026Article
- Diagnostic Concordance and Interobserver Variability Between Tele-Dermatology (Store-and-Forward) and In-Person Evaluation for Inpatient Dermatology Consultations.Indian dermatology online journal · 2026Article
- Perceptions and utilization of telemedicine for hair loss treatment: A survey-based analysis of Korean consumers.JPRAS open · 2026Article
- Innovations in geriatric care: leveraging technology to meet the needs of an aging world, a narrative review.The Journal of the Egyptian Public Health Association · 2026Review
- Integration of a tele-dermatology model for Epidermolysis Bullosa improves patient outreach: a before and after observational study.Frontiers in digital health · 2026Article
- Patient-Centered Teledermatology: Bridging Pharmacies and Dermatologists.International journal of telemedicine and applications · 2026Article
- Pruritus in Europe's Aging Populations: Regional and National Patterns, 1990-2023, and Forecasts to 2050: A Systematic Analysis for the Global Burden of Disease Study 2023.Clinical, cosmetic and investigational dermatology · 2026Article
- Teledermatology and Teledermoscopy for Melanoma Care Pathways: Timeliness, Diagnostic Performance, and Stage at Diagnosis: A Systematic Review.Diagnostics (Basel, Switzerland) · 2025Review
- Using deep learning systems for diagnosing common skin lesions in sexual health.Communications medicine · 2025Article
- Medical Photography in Dermatology: Quality and Safety in the Referral Process to Secondary Healthcare.Diagnostics (Basel, Switzerland) · 2025Article
- The impact of tele-expertise in oncology: current state and future perspectives.Frontiers in digital health · 2025Article
- Asynchronous Teledermatology for Non-Scarring Alopecia: A Retrospective Study.Telemedicine reports · 2025Article
- Increased use of Dermoscopy in Primary Healthcare Following the Implementation of Teledermatology in Southeast Sweden: A Retrospective Cohort Study of 2,137 Patients.Acta dermato-venereologica · 2024Article
- Challenges in Teledermoscopy Diagnostic Outcome Studies: Scoping Review of Heterogeneous Study Characteristics.JMIR dermatology · 2024Article
- Developing and evaluating a mobile-based teledermatology system for skin lesion diagnosis in Iran.Scientific reports · 2024Article
- A Review on Teledermatology in Saudi Arabia: Framework, Barriers, and Opportunities.Inquiry : a journal of medical care organization, provision and financingReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo compare teledermatology and face-to-face (F2F) agreement in primary diagnoses of dermatological conditions.
designSystematic review and meta-analysis
methodsMEDLINE, Embase, Cochrane Library (Wiley), CINAHL and medRxiv were searched between January 2010 and May 2022. Observational studies and randomised clinical trials that reported percentage agreement or kappa concordance for primary diagnoses between teledermatology and F2F physicians were included. Titles, abstracts and full-text articles were screened in duplicate. From 7173 citations, 44 articles were included. A random-effects meta-analysis was conducted to estimate pooled estimates. Primary outcome measures were mean percentage and kappa concordance for assessing diagnostic matches between teledermatology and F2F physicians. Secondary outcome measures included the agreement between teledermatologists, F2F dermatologists, and teledermatology and histopathology results.
results44 studies were extracted and reviewed. The pooled agreement rate was 68.9%, and kappa concordance was 0.67. When dermatologists conducted F2F and teledermatology consults, the overall diagnostic agreement was significantly higher at 71% compared with 44% for non-specialists. Kappa concordance was 0.69 for teledermatologist versus specialist and 0.52 for non-specialists. Higher diagnostic agreements were also noted with image acquisition training and digital photography. The agreement rate was 76.4% between teledermatologists, 82.4% between F2F physicians and 55.7% between teledermatology and histopathology. CONCLUSIONS AND RELEVANCE: Teledermatology can be an attractive option particularly in resource-poor settings. Future efforts should be placed on incorporating image acquisition training and access to high-quality imaging technologies. TRIAL REGISTRATION NUMBER: 10.17605/OSF.IO/FJDVG.
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Registered trials
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.