Mehta Shanti, Metko Dea, Maazi Mahan, Wang Ou Jia Emilie, Li Monica K
Temerty Facuty of Medicine, University of Toronto, Toronto, ON, Canada.
Michael G. DeGroote School of Medicine, McMaster University, Hamilton, ON, Canada.
J Cutan Med Surg. 2025 Jan-Feb;29(1):63-68. doi: 10.1177/12034754241291028. Epub 2024 Nov 1.
Acne vulgaris is a common dermatological condition requiring individualized management. Teledermatology provides convenience and accessibility that is highly suitable for this dermatological condition. Herein, our review aimed to describe the current state of teledermatology in the context of acne management and to assess patient satisfaction, adherence to virtual care, and the experiences of health care providers in delivering remote dermatological services. A systematic search for articles was conducted in Medline, Embase, and PubMed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews. Title, abstract, full-text screening, and data abstraction were carried out in duplicate. One thousand one hundred three nonduplicate articles were screened based on title and abstract review. A total of 21 studies were included in the review. It was found that teledermatology is well-suited to the effective management of acne vulgaris. When compared to in-person care, teledermatology resulted in similar outcomes on several acne-grading scales. Additionally, patient satisfaction was comparable, with a large proportion of patients preferring virtual care to traditional in-person visits. However, compliance was found to be lower for virtual care. There are several secondary benefits to telemedicine, including time savings and greater accessibility to care for rural patients. Teledermatology is an evolving, promising medium for acne management for both clinicians and patients. Future research comparing the effectiveness of different teledermatology platforms, its limitations and pitfalls, and integration of patient and physician preferences to improve treatment outcomes is warranted.
寻常痤疮是一种常见的皮肤病,需要个体化管理。远程皮肤病学提供了便利和可及性,非常适合这种皮肤病。在此,我们的综述旨在描述远程皮肤病学在痤疮管理方面的现状,并评估患者满意度、对虚拟医疗的依从性以及医疗服务提供者提供远程皮肤病服务的经验。根据系统评价和Meta分析扩展的范围综述的首选报告项目,在Medline、Embase和PubMed中对文章进行了系统检索。标题、摘要、全文筛选和数据提取均进行了重复操作。基于标题和摘要审查筛选出1103篇非重复文章。本综述共纳入21项研究。结果发现,远程皮肤病学非常适合寻常痤疮的有效管理。与面对面护理相比,远程皮肤病学在几种痤疮分级量表上的结果相似。此外,患者满意度相当,很大一部分患者更喜欢虚拟医疗而不是传统的面对面就诊。然而,发现虚拟医疗的依从性较低。远程医疗还有几个次要好处,包括节省时间和为农村患者提供更多的医疗可及性。远程皮肤病学对于临床医生和患者来说,都是一种不断发展且有前景的痤疮管理媒介。有必要开展未来研究,比较不同远程皮肤病学平台的有效性、其局限性和陷阱,以及整合患者和医生的偏好以改善治疗效果。