Dermatology Specialist Nurse, Western Isles Hospital.
Br J Nurs. 2021 May 27;30(10):574-579. doi: 10.12968/bjon.2021.30.10.574.
Teledermatology has been in use as a supplemental tool in dermatology for many years. This study will focus on its use for dermatology patients with suspected skin cancer, in the remote and rural setting.
Evaluation of the efficacy and accuracy of skin cancer detection using teledermatology.
Literature review from last inclusion date of The Cochrane review of 2016 to August 2020. Due to high heterogeneity, resulting data were synthesised narratively.
All 6 studies agreed that 'high-quality' and dermoscopy images improve accuracy of diagnosis. All 6 studies showed its potential usage as 1) supplemental to face-to-face, 2) triage, or 3) a way of providing a specialist service where none is available. None considered it an adequate replacement for a traditional clinic setting.
Teledermatology has enormous potential but more robust evidence is required.
远程皮肤病学作为皮肤科的辅助工具已经使用多年。本研究将专注于在偏远和农村地区，利用远程皮肤病学对疑似皮肤癌的皮肤病患者进行诊断。
评估使用远程皮肤病学检测皮肤癌的效果和准确性。
对 2016 年 Cochrane 综述的最新收录日期至 2020 年 8 月的文献进行回顾。由于异质性较高，因此以叙述性的方式对数据进行综合分析。
所有 6 项研究均认为“高质量”和皮肤镜图像可提高诊断准确性。所有 6 项研究都表明其具有潜在的用途：（1）作为面对面诊疗的补充，（2）分诊，或（3）提供在没有专科医生的地方提供专科服务的方式。但没有研究认为其可以替代传统的临床诊疗环境。
远程皮肤病学具有巨大的潜力，但需要更多可靠的证据。
