IPROC iproc Iproceedings 2369-6893 JMIR Publications Toronto, Canada v7i1e35386 10.2196/35386 Abstract Abstract Healing From a Distance: A Cross-sectional Study on the Diagnostic Reliability of Store-and-Forward Teledermatology Derrick Thomas Chan Erika Kim R RN, MD, MBA 1
Department of Dermatology Rizal Medical Center Pasig Blvd, Metro Manila Pasig, 1600 Philippines 63 288658400 ekrchan@gmail.com
https://orcid.org/0000-0002-4980-1971 D Melendres Jacqueline Michelle MD, FPDS 1 https://orcid.org/0000-0002-0529-0452 Department of Dermatology Rizal Medical Center Pasig Philippines Corresponding Author: Erika Kim R Chan ekrchan@gmail.com Jan-Dec 2021 10 12 2021 7 1 e35386 2 12 2021 3 12 2021 ©Erika Kim R Chan, Jacqueline Michelle D Melendres. Originally published in Iproceedings (https://www.iproc.org), 10.12.2021. 2021

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 Background

Telemedicine delivers health care services between two distant locations through the use of information and communication technology. Several medical specializations, such as dermatology, have incorporated telemedicine into their practice. Since dermatologists are trained to diagnose skin, hair, and nail conditions with a clinical eye, teledermatology may be an alternative when a traditional face-to-face clinic visit is not feasible.

 Objective

The purpose of this study was to evaluate the diagnostic reliability of teledermatology.

 Methods

A cross-sectional study was conducted among patients from 2 government hospitals. A total of 39 patients were seen in a face-to-face setting and diagnosed by a consultant dermatologist. A written history of their present illness and accompanying photographs were taken and were shown to 3 consultant teledermatologists, who then diagnosed their condition. Two senior dermatology residents then rated the face-to-face and teledermatology diagnoses as either complete agreement, partial agreement, or no agreement. Descriptive statistics was used to summarize the general and clinical characteristics of the participants. The Cohen kappa was used to assess agreement in the evaluations between the teledermatology and face-to-face diagnoses by senior resident raters #1 and #2.

 Results

Over 70% of the diagnoses were deemed as either partial or in complete agreement with the face-to-face diagnosis for senior resident rater #1. Similarly, over 80% of the diagnoses were deemed as either partial or in complete agreement with the face-to-face diagnosis for senior resident rater #2. The agreement between the ratings of senior residents #1 and #2 ranged from fair to substantial.

 Conclusions

The findings of the study showed that the diagnostic concordance of in-person clinicians and teledermatologists ranges from fair to substantial, with over 70% of the diagnoses in partial or complete agreement. Although face-to-face consultations remain the gold standard, teledermatology is an important alternative where dermatologic care is not accessible.

 Conflicts of Interest

None declared.

 teledermatology concordance reliability