Diagnosis and Management of Malignant Melanoma in Store-and-Forward Teledermatology
Diagnosis and Management of Malignant Melanoma in Store-and-Forward Teledermatology
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DOI：
10.1089/tmj.2017.0009
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发表时间：
2017-11-01
影响因子：
4.7
通讯作者：
Raugi, Gregory J.
中科院分区：
文献类型：
--
作者：
Wang, Melinda;Gendreau, James L.;Raugi, Gregory J.
背景：已发表的研究引起了人们的担忧，即存储转发远程皮肤病(SFT)对黑色素瘤的诊断和管理可能不如面对面(FTF)皮肤病护理。简介：确定退伍军人综合服务网络20SFT中正确管理和诊断的退伍军人中黑色素瘤的频率。材料和方法：我们对2009年7月1日至2011年12月31日通过SFT诊断的7960名退伍军人进行了回顾性图表审查。结果：在符合纳入和排除标准的61名退伍军人中，45例(74%)黑色素瘤得到正确诊断，57例(93%)得到正确处理。黑色素瘤的不正确诊断或处理并未证明对患者护理有显著影响。接受本研究分析的病例在人口学上不能代表一般人群。结论：SFT中黑色素瘤的诊断和治疗与FTF护理相当。
Background: Published studies have led to concern that store-and-forward teledermatology (SFT) diagnosis and management of melanomas may be inferior to face-to-face (FTF) dermatology care.Introduction: To ascertain the frequency of correctly managed and diagnosed melanomas within a population of veterans in Veterans Integrated Service Network 20 SFT.Materials and Methods: We conducted a retrospective chart review of 7,960 veterans seen by SFT between July 1, 2009 and December 31, 2011.Results: Of the 61 veterans that met inclusion and exclusion criteria, 45 (74%) melanomas were correctly diagnosed and 57 (93%) were correctly managed.Discussion: Diagnostic and management accuracy of SFT is comparable to FTF. Incorrect diagnosis or management of melanomas did not prove to have significant consequences for patient care. Cases subject to analysis of this study are not demographically representative of the general population.Conclusion: Diagnosis and management of melanoma in SFT is comparable to FTF care.