Oztas, MOCalikoglu, EBaz, KBirol, AOnder, MCalikoglu, TKitapci, MT2020-06-252020-06-252004closedAccess1357-633Xhttps://doi.org/10.1258/135763304322764158https://hdl.handle.net/20.500.12587/3353We 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.eninfo:eu-repo/semantics/closedAccessArticle101252810.1258/1357633043227641582-s2.0-234251675615006212Q1WOS:000189174400006Q4