University Hospitals of Leicester, UK.
Hand (N Y). 2023 Jan;18(1):139-144. doi: 10.1177/15589447211006834. Epub 2021 Apr 15.
Clinical goniometry for the assessment of contracture in Dupuytren disease is time-consuming and costly, and there is no universal method for evaluating the severity of the disease. This study aims to evaluate the feasibility of patient-taken photography for the remote assessment of Dupuytren disease.
Patients at our unit were provided with instructions on how to take standardized photographs of their diseased hand(s), which were subsequently analyzed by computer software to obtain formal measurements of the severity of disease. Compliance with photography instructions and ability to provide a photo of sufficient quality for analysis were measured.
In all, 222 patients supplied photos for analysis; 158 patients (71.2%) were able to take the photographs as instructed. The remaining 28.8% took 1 or more of the images incorrectly or of insufficient quality. There were no statistically significant differences between those able to take the photos as directly versus those who took the photos incorrectly when compared by sex, age, or severity of disease.
Patient-taken photography used to estimate disease severity in Dupuytren disease is an achievable, efficient, and reliable method of remotely assessing and monitoring patients and may be increasingly useful given the current health care climate and preference for remote consultations.
用于评估杜普伊特伦挛缩症的临床测角术既耗时又昂贵，而且目前还没有评估疾病严重程度的通用方法。本研究旨在评估患者拍摄照片进行远程评估杜普伊特伦病的可行性。
我们科室的患者收到了如何拍摄患病手部标准照片的说明，然后使用计算机软件对这些照片进行分析，以获得疾病严重程度的正式测量值。测量了拍照说明的依从性和提供可用于分析的足够质量照片的能力。
共有 222 名患者提供了照片进行分析；158 名患者（71.2%）能够按照指示拍照。其余 28.8%的患者拍摄的图像不正确或质量不够好。在比较性别、年龄或疾病严重程度时，能够直接拍照的患者与拍照不正确的患者之间没有统计学上的显著差异。
用于估计杜普伊特伦病疾病严重程度的患者拍摄照片是一种可行、高效和可靠的远程评估和监测患者的方法，鉴于当前的医疗保健环境和对远程咨询的偏好，这种方法可能会越来越有用。
