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银屑病管理的远程医疗方法,是应用的时候了吗?已发表研究的系统评价

Telemedicine approach for psoriasis management, time for application? A systematic review of published studies.

作者信息

Dahy Abdullah, El-Qushayri Amr Ehab, Mahmoud Abdalla Reda, Al-Kelany Tareq Adel, Salman Samar

机构信息

Faculty of Medicine, Minia University, Minia, Egypt.

Faculty of Medicine, Department of Dermatology and Venereology, Tanta University Hospital, Tanta University, Tanta, Egypt.

出版信息

Dermatol Ther. 2020 Nov;33(6):e13908. doi: 10.1111/dth.13908. Epub 2020 Jul 13.

Abstract

Psoriasis is a common chronic inflammatory skin condition. It has a chronic course with multiple evolving relapses and patients require long-term treatment and follow-up. Teledermatology was introduced for diagnosis, treatment and follow-up of chronic diseases. Thus, we performed a systematic review for collecting the evidence regarding the efficacy of telemedicine in psoriasis management. Out of 287 records, we included seven studies (four of which were randomized controlled trials). We found that telemedicine alone or combined with usual care had the same or higher efficacy of psoriasis management compared to usual care or control group. We recommend further studies for assessing the pros and cons of this intervention which can replace conventional strategies especially in pandemic times.

摘要

银屑病是一种常见的慢性炎症性皮肤病。它病程漫长,有多次病情演变和复发,患者需要长期治疗及随访。远程皮肤病学被引入用于慢性病的诊断、治疗和随访。因此,我们进行了一项系统综述,以收集有关远程医疗在银屑病管理中疗效的证据。在287条记录中,我们纳入了7项研究(其中4项为随机对照试验)。我们发现,与常规护理或对照组相比,单独使用远程医疗或与常规护理相结合在银屑病管理方面具有相同或更高的疗效。我们建议进一步开展研究,以评估这种干预措施的利弊,尤其是在大流行时期,它可以替代传统策略。

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