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- Title
Teledermoscopy in High-risk Melanoma Patients: A Comparative Study of Face-to-face and Teledermatology Visits.
- Authors
ARZBERGER, Edith; CURIEL-LEWANDROWSKI, Clara; BLUM, Andreas; CHUBISOV, Dmitry; OAKLEY, Amanda; RADEMAKER, Marius; SOYER, H. Peter; HOFMANN-WELLENHOF, Rainer
- Abstract
Teledermoscopy is considered a reliable tool for the evaluation of pigmented skin lesions. We compared the management decision in face-to-face visits vs. teledermatology in a high-risk melanoma cohort using total-body photography, macroscopic and dermoscopic images of single lesions. Patients were assessed both face-to-face and by 4 remote teledermatologists. Lesions identified as suspicious for skin cancer by face-to-face evaluation underwent surgical excision. The teledermatologists recommended "self-monitoring", "short-term monitoring", or "excision". A 4-year monitoring was completed in a cohort of participating subjects. The general agreement, calculated by prevalence and bias-adjusted κ (PABAK), showed almost perfect agreement (PABAK 0.9-0.982). A total of 23 lesions were excised; all teledermatologists identified the 9 melanomas. The greatest discrepancy was detected in "short-term monitoring". During 4-year monitoring one melanoma was excised that had been considered benign. In conclusion, melanoma identification by experts in pigmented lesions appears to be equivalent between face-to-face and teledermatological consultation.
- Subjects
TISSUE wounds; SKIN diseases; DERMATOLOGY; MELANOMA; DERMATOLOGISTS
- Publication
Acta Dermato-Venereologica, 2016, Vol 96, Issue 6, p779
- ISSN
0001-5555
- Publication type
Article
- DOI
10.2340/00015555-2344