Evidence map›Paper›PMID 41936571›Full record

ArticlePediatric dermatology

Dermatology Electronic Consults Versus In-Person Consults: A Comparative Analysis in a Pediatric Emergency Department.

Katharina W Horn, Priya R Pathak, Maria C Garzon, Daniel B Fenster, Melissa S Stockwell, Christine T Lauren

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Pediatric dermatology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Katharina W HornVagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA.ORCID https://orcid.org/0000-0001-6048-1203
Priya R PathakDepartment of Pediatrics, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA.
Maria C GarzonDepartment of Pediatrics, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA.
Daniel B FensterNewYork-Presbyterian Hospital, New York, New York, USA.
Melissa S StockwellDepartment of Pediatrics, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA.
Christine T LaurenDepartment of Pediatrics, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA.ORCID https://orcid.org/0000-0002-7278-4831

Funding

NewYork-Presbyterian Hospital NYPHCU20-3026
6 · The paper itself

Abstract

backgroundLimited research exists on the performance of dermatology electronic consults (eConsults) in pediatric emergency departments (PEDs).

objectiveTo compare dermatology eConsults and in-person consults from a PED based on (1) note completion time and (2) diagnostic concordance with in-person dermatology evaluations.

methodsWe conducted a retrospective analysis of dermatology consults in a children's hospital PED between February 2020 and June 2024. Time elapsed between consult request and note completion was compared for eConsults versus in-person consults using t-tests. We assessed diagnostic concordance between initial consult and follow-up in-person dermatology evaluation using chi-square analysis.

resultsA total of 1118 consults were included (315 eConsults, 803 in-person consults), with 514 cases (135 eConsults, 379 in-person) having follow-up in-person dermatology evaluations. eConsults had a significantly faster mean time to note completion (1.94 vs. 4.70 h, p < 0.001). Diagnostic concordance rates did not significantly differ for full (77.0% vs. 73.9%), partial (20.0% vs. 23.2%), and non-concordance (3.0% vs. 2.9%) between eConsults and in-person consults, respectively (p = 0.75). LIMITATIONS: Retrospective nature and single-institution dataset.

conclusionAs implemented in our PED, pediatric dermatology eConsults were faster than, and as diagnostically concordant as, in-person consults.

Indexed as

DermatologyEmergency Service, HospitalReferral and ConsultationRemote ConsultationSkin DiseasesChildChild, PreschoolEmergency Room VisitsFemaleHospitals, PediatricHumansInfantMaleRetrospective StudiesTime Factorselectronic consultspediatric dermatologypediatric emergency roomstore and forward consultsteledermatology

Identifiers

PMID41936571
PMCPMC13422988

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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.