Reliability of Web-based teledermatology consultations
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Tarih
2004
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Royal Soc Medicine Press Ltd
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
We studied the reliability of teledermatology diagnoses made using a Web-based system. Clinical photographs and information relating to 125 patients were placed on a Web server. Three dermatologists made the most likely diagnosis via a Web interface. The reference diagnosis was made in a face-to-face consultation with a fourth dermatologist; where appropriate it was confirmed histologically. The teledermatologists were correct in 57% of cases when viewing the images alone. Their diagnostic accuracy improved to 70% when additional clinical information was available. The rate of agreement between the teledermatologists ranged from 44% to 70% (kappa =0.22-0.32). Seventy-seven per cent of the patients were correctly diagnosed by at least two dermatologists when clinical information was provided. A Web-based system appears to be reliable for teledermatology. A single well trained teledermatologist may give better results than a group of less well trained clinicians.
Açıklama
Anahtar Kelimeler
Kaynak
Journal Of Telemedicine And Telecare
WoS Q Değeri
Q4
Scopus Q Değeri
Q1
Cilt
10
Sayı
1
Künye
closedAccess
