Teledermatology for skin cancer prevention: an experience on 690 Austrian patients

Massone, C., Maak, D., Hofmann-Wellenhof, R., Soyer, H. P. and Fruhauf, J. (2014) Teledermatology for skin cancer prevention: an experience on 690 Austrian patients. Journal of the European Academy of Dermatology and Venereology, 28 8: 1103-1108. doi:10.1111/jdv.12351

Author Massone, C.
Maak, D.
Hofmann-Wellenhof, R.
Soyer, H. P.
Fruhauf, J.
Title Teledermatology for skin cancer prevention: an experience on 690 Austrian patients
Journal name Journal of the European Academy of Dermatology and Venereology   Check publisher's open access policy
ISSN 1468-3083
Publication date 2014-08-01
Year available 2013
Sub-type Article (original research)
DOI 10.1111/jdv.12351
Volume 28
Issue 8
Start page 1103
End page 1108
Total pages 6
Place of publication Chichester, West Sussex, United Kingdom
Publisher Wiley-Blackwell Publishing
Language eng
Formatted abstract
Recent studies investigated the value of teledermatology (TD) as a valid tool for a dermatologist-directed triage systems.

To investigate the feasibility of a store-and-forward TD triage system in a large number of patients.

Previously trained general practitioners selected suspicious skin tumours in the setting of a general preventive medicine screening programme and transmitted their dermoscopic images via virtual private network for decision-making. Within 48 h, two teleconsultants highly experienced in dermoscopy first assessed image quality, then made a diagnosis and answered if lesions were to follow-up, to excise or to be re-evaluated at face-to-face (FTF).

A total of 955 lesions were telediagnosed [743 (78%) benign melanocytic, six (0.6%) malignant melanocytic, 186 (19%) benign non-melanocytic and 20 (2%) malignant non-melanocytic]. Excision was recommended for 111 (12%) lesions, 10 lesions (1%) were referred to FTF examination. Follow-up was recommended for 707 (74%) lesions. The vast majority of the lesions (82%) were screened as benign and an intervention was requested in only 18% of cases. Eighty-two patients (12% of the total) were lost at follow-up. The diagnostic accuracy was of 94% with sensitivity of 100% and specificity of 95.8%.

We confirm that TD is suitable to triage skin cancers.
Keyword Teledermatology
Skin cancer
Triage system
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Article first published online: 24 DEC 2013

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Medicine Publications
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Citation counts: TR Web of Science Citation Count  Cited 12 times in Thomson Reuters Web of Science Article | Citations
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