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Concordância entre diagnósticos dermatológicos obtidos por consulta presencial e por análise de imagens digitais / Agreement between dermatological diagnoses made by live examination compared to analysis of digital images
Ribas, Jonas; Cunha, Maria da Graça Souza; Schettini, Antônio Pedro Mendes; Ribas, Carla Barros da Rocha.
  • Ribas, Jonas; s.af
  • Cunha, Maria da Graça Souza; s.af
  • Schettini, Antônio Pedro Mendes; s.af
  • Ribas, Carla Barros da Rocha; s.af
An. bras. dermatol ; 85(4): 441-447, jul.-ago. 2010. tab
Article in Portuguese | LILACS | ID: lil-560573
Responsible library: BR1.1
RESUMO
FUNDAMENTOS A teledermatologia, pouco utilizada no Brasil e com iniciativas incipientes no Amazonas, necessita de estudos para demonstrar sua factibilidade e eficácia.

OBJETIVOS:

Avaliar a eficácia de um método assíncrono de teledermatologia, utilizando recursos tecnológicos simples e de baixo custo.

MÉTODOS:

Cento e setenta e quatro pacientes foram examinados por quatro dermatologistas; dois efetuaram diagnóstico presencial (A1 e A2) e dois por meio de imagens das lesões e história clínica (B1 e B2). Foi investigada a concordância entre as avaliações presenciais e por imagens.

RESULTADOS:

A concordância do diagnóstico principal entre os examinadores presenciais (A1 e A2) foi de 83,3 por cento e entre os de imagens (B1 e B2), de 81 por cento. A concordância entre o diagnóstico principal estabelecido pelo método presencial e o obtido por meio de imagens variou de 78,2 por cento a 83,9 por cento.

CONCLUSÃO:

O diagnóstico de doenças dermatológicas realizado por imagens digitais demonstrou concordância ótima quando comparado àquele realizado com a presença física do paciente.
ABSTRACT

BACKGROUND:

Teledermatology is seldom used in Brazil, although some incipient initiatives have been implemented in the state of Amazonas. Further studies are still required to confirm the feasibility and efficacy of this diagnostic tool.

OBJECTIVES:

To evaluate the efficacy of an asynchronous method of teledermatology using simple, inexpensive technological resources.

METHODS:

One hundred and seventy-four patients were examined by four dermatologists, two clinic-based dermatologists, who diagnosed the patients following live examination (A1 and A2), and two consultant specialists in image dermatology, who reached diagnoses by examining images of the lesions and the patients' clinical histories (B1 and B2). The agreement between live examination and examination of images was evaluated.

RESULTS:

Agreement between the two live examiners (A1 and A2) with respect to the principal diagnosis was 83.3 percent compared to 81.0 percent between the physicians who diagnosed by examining images (B1 and B2). Agreement between the principal diagnosis established by live examination and that obtained from examining images ranged from 78.2 percent to 83.9 percent,

CONCLUSION:

Agreement between diagnoses of dermatological diseases reached following examination of digital images and those reached following live examination of the patient was excellent.
Subject(s)

Full text: Available Index: LILACS (Americas) Main subject: Physical Examination / Skin Diseases / Photography / Telemedicine Type of study: Evaluation studies / Observational study / Prevalence study Limits: Adolescent / Adult / Aged / Child / Child, preschool / Female / Humans / Male Language: Portuguese Journal: An. bras. dermatol Journal subject: Dermatology Year: 2010 Type: Article

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Full text: Available Index: LILACS (Americas) Main subject: Physical Examination / Skin Diseases / Photography / Telemedicine Type of study: Evaluation studies / Observational study / Prevalence study Limits: Adolescent / Adult / Aged / Child / Child, preschool / Female / Humans / Male Language: Portuguese Journal: An. bras. dermatol Journal subject: Dermatology Year: 2010 Type: Article