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Diagnostic agreement and interobserver concordance with teledermoscopy referrals
Skaraborg Hospital, Sweden.
University of Gothenburg, Sweden.
Lund University, Sweden.
Umeå University, Sweden.
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2017 (Engelska)Ingår i: Journal of the European Academy of Dermatology and Venereology, ISSN 0926-9959, E-ISSN 1468-3083, Vol. 31, nr 5, s. 898-903Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

BackgroundMalignant melanoma and non-melanoma skin cancers are among the fastest increasing malignancies in many countries. With the help of new tools, such as teledermoscopy referrals between primary health care and dermatology clinics, the management of these patients could be made more efficient. ObjectiveTo evaluate the diagnostic agreement and interobserver concordance achieved when assessing referrals sent through a mobile teledermoscopic referral system as compared to referrals sent via the current paper-based system without images. MethodsThe referral information from 80 teledermoscopy referrals and 77 paper referrals were evaluated by six Swedish dermatologists. They were asked to answer questions about the probable diagnosis, the priority, and a management decision. ResultsTeledermoscopy generally resulted in higher diagnostic agreement, better triaging and more malignant tumours being booked directly to surgery. The largest difference between the referral methods was seen for invasive melanomas. Referrals for benign lesions were significantly more often correctly resent to primary health care with teledermoscopy. However, referrals for cases of melanoma in situ were also incorrectly resent five times. The interobserver concordance was moderate with both methods. ConclusionBy adding clinical and dermoscopic images to referrals, the triage process for both benign and dangerous skin tumours can be improved. With teledermoscopy, patients with melanoma especially can receive treatment more swiftly.

Ort, förlag, år, upplaga, sidor
WILEY , 2017. Vol. 31, nr 5, s. 898-903
Nationell ämneskategori
Dermatologi och venereologi
Identifikatorer
URN: urn:nbn:se:liu:diva-137853DOI: 10.1111/jdv.14147ISI: 000400188900051PubMedID: 28150389OAI: oai:DiVA.org:liu-137853DiVA, id: diva2:1105060
Anmärkning

Funding Agencies|Research Fund at Skaraborg Hospital; Skaraborg Research and Development Council

Tillgänglig från: 2017-06-02 Skapad: 2017-06-02 Senast uppdaterad: 2017-06-02

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Synnerstad, Ingrid
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Dermatologi och venerologiHudkliniken i ÖstergötlandMedicinska fakulteten
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Journal of the European Academy of Dermatology and Venereology
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