2023年用于评估皮肤癌的存储转发远程皮肤病学：文献综述
Store-and-Forward Teledermatology for Assessing Skin Cancer in 2023: Literature Review.
作者信息
Jones Leah Kirsten, Oakley Amanda
机构信息
Te Whatu Ora Waikato, Hamilton, New Zealand.
The University of Auckland, Auckland, New Zealand.
出版信息
JMIR Dermatol. 2023 May 17;6:e43395. doi: 10.2196/43395.
BACKGROUND
The role of teledermatology for skin lesion assessment has been a recent development, particularly, since the COVID-19 pandemic has impacted the ability to assess patients in person. The growing number of studies relating to this area reflects the evolving interest.
OBJECTIVE
This literature review aims to analyze the available research on store-and-forward teledermatology for skin lesion assessment.
METHODS
MEDLINE was searched for papers from January 2010 to November 2021. Papers were searched for assessment of time management, effectiveness, and image quality.
RESULTS
The reported effectiveness of store-and-forward teledermatology for skin lesion assessment produces heterogeneous results likely due to significant procedure variations. Most studies show high accuracy and diagnostic concordance of teledermatology compared to in-person dermatologist assessment and histopathology. This is improved through the use of teledermoscopy. Most literature shows that teledermatology reduces time to advice and definitive treatment compared to outpatient clinic assessment.
CONCLUSIONS
Overall, teledermatology offers a comparable standard of effectiveness to in-person assessment. It can save significant time in expediting advice and management. Image quality and inclusion of dermoscopy have a considerable bearing on the overall effectiveness.
背景
远程皮肤病学在皮肤病变评估中的作用是最近才发展起来的，特别是自新冠疫情影响了当面评估患者的能力以来。与该领域相关的研究数量不断增加，反映出人们对此兴趣日增。
目的
本综述旨在分析关于存储转发式远程皮肤病学用于皮肤病变评估的现有研究。
方法
在MEDLINE数据库中检索2010年1月至2021年11月的论文。检索论文以评估时间管理、有效性和图像质量。
结果
所报告的存储转发式远程皮肤病学用于皮肤病变评估的有效性产生了异质性结果，这可能是由于显著的程序差异所致。与皮肤科医生当面评估和组织病理学相比，大多数研究表明远程皮肤病学具有较高的准确性和诊断一致性。通过使用皮肤镜检查，这一点得到了改善。大多数文献表明，与门诊评估相比，远程皮肤病学减少了获得建议和确定性治疗的时间。
结论
总体而言，远程皮肤病学提供了与当面评估相当的有效性标准。它可以在加快建议和管理方面节省大量时间。图像质量和皮肤镜检查的纳入对整体有效性有相当大的影响。
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