远程皮肤医学中存储转发模式下的恶性黑色素瘤的诊断和治疗。
Diagnosis and Management of Malignant Melanoma in Store-and-Forward Teledermatology.
机构信息
1 Department of Biochemistry, University of Washington , Seattle, Washington.
2 School of Public Health, University of Washington , Seattle, Washington.
出版信息
Telemed J E Health. 2017 Nov;23(11):877-880. doi: 10.1089/tmj.2017.0009. Epub 2017 May 12.
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.
背景
已发表的研究报告引起人们的担忧，即存储转发远程皮肤病学（SFT）诊断和黑素瘤管理可能不如面对面的皮肤病学护理。
引言
为了确定退伍军人综合服务网络 20 号 SFT 中退伍军人人群中黑素瘤的正确管理和诊断频率。
材料和方法
我们对 2009 年 7 月 1 日至 2011 年 12 月 31 日期间通过 SFT 就诊的 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 名（74％）黑素瘤得到正确诊断，57 名（93％）得到正确管理。
讨论
SFT 的诊断和管理准确性与 FTF 相当。黑素瘤的误诊或管理并未对患者护理产生重大影响。本研究分析的病例在人口统计学上并不代表一般人群。
结论
SFT 中的黑素瘤诊断和管理与 FTF 护理相当。
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