Damsin Thomas, Canivet Gregory, Jacquemin Pauline, Seidel Laurence, Gillet Pierre, Giet Didier, Nikkels Arjen F
Department of Dermatology, University Hospital Centre, CHU du Sart-Tilman, Liege, Belgium.
Department of Computer Applications, University Hospital Centre, CHU du Sart-Tilman, Liege, Belgium.
Dermatol Ther (Heidelb). 2020 Dec;10(6):1405-1413. doi: 10.1007/s13555-020-00445-0. Epub 2020 Sep 18.
Teledermoscopy using smartphone-based applications is becoming more and more important in a setting of increasing frequency of skin cancer and difficult access to specialized care. The TELESPOT project aimed to provide rapid diagnosis and speed up patient flow between primary healthcare centers and a tertiary care center in Belgium. The aim of the present study is to describe the development of an in-house smartphone-based dermoscopy application, evaluate its real-life value in a series of primary healthcare centers, and present preliminary diagnostic data.
Modified Likert scales were used to assess patient and general practitioner (GP) satisfaction rates for the system. Furthermore, a total of 105 photographic and dermoscopic images were acquired in a series of 80 patients at participating centers.
Overall, patient and GP satisfaction levels were 89% and 94%, respectively. High-priority management was recommended in 7.6% of cases (8/105: 3 basal cell carcinoma, 1 primary cutaneous B-cell lymphoma, 1 Spitz melanocytic nevus, 1 congenital nevus, 1 in situ melanoma, and 1 invasive melanoma, proven by histology).
The primary healthcare centers were highly satisfied with the TELESPOT project in terms of user-friendliness, efficacy, and reliability as well as in providing a reinforced image of first-line medicine efforts in combating skin cancer.
在皮肤癌发病率不断上升且难以获得专科护理的背景下，使用基于智能手机应用程序的远程皮肤镜检查正变得越来越重要。TELESPOT项目旨在提供快速诊断，并加快比利时初级医疗保健中心与三级护理中心之间的患者流程。本研究的目的是描述一款基于智能手机的内部皮肤镜检查应用程序的开发过程，评估其在一系列初级医疗保健中心的实际应用价值，并展示初步诊断数据。
使用改良的李克特量表来评估患者和全科医生（GP）对该系统的满意度。此外，在参与研究的中心，对80名患者共采集了105张照片和皮肤镜图像。
总体而言，患者和全科医生的满意度分别为89%和94%。在7.6%的病例（105例中的8例：3例基底细胞癌、1例原发性皮肤B细胞淋巴瘤、1例斯皮茨黑素细胞痣、1例先天性痣、1例原位黑色素瘤和1例浸润性黑色素瘤，经组织学证实）中建议进行高优先级管理。
初级医疗保健中心对TELESPOT项目在用户友好性、有效性和可靠性方面以及在提供抗击皮肤癌一线医疗工作的强化形象方面高度满意。
