Your browser doesn't support javascript.
Show: 20 | 50 | 100
Results 1 - 20 de 503
Cutis ; 109(4): 211-217, 2022 Apr.
Article in English | MEDLINE | ID: covidwho-1879659


The direct-to-consumer (DTC) telemedicine industry, including teledermatology, has seen rapid expansion in recent years, partly because of the COVID-19 pandemic. The shortage of dermatologists and the visual nature of dermatologic conditions attracted DTC companies to dermatology. As more patients continue to seek medical consultations and prescription medications from these for-profit companies, we must approach their growth with healthy skepticism. Shortcomings of DTC teledermatology include concerns about conflicts of interest (COIs), overdiagnosis, and overprescribing. Although DTC teledermatology is certainly here to stay, an appropriate understanding of this industry will allow dermatologists to advise patients and advocate for best practices.

COVID-19 , Dermatology , Skin Diseases , Telemedicine , Humans , Pandemics , Skin Diseases/diagnosis , Skin Diseases/therapy
Cutis ; 109(4): 228-230, 2022 Apr.
Article in English | MEDLINE | ID: covidwho-1879658


As a response to the COVID-19 pandemic, many institutions transitioned to online learning or participation in telehealth as a substitute for clinical rotations. The Uniformed Services University of the Health Sciences (Bethesda, Maryland) relied heavily on e-learning during this time as an alternative means for meeting educational objectives. We report the positive results of a prospective study evaluating short-term information recall and comprehension as well as students' confidence in their ability to apply course objectives over 3 months of an online distance learning (DL) dermatology course.

COVID-19 , Dermatology , Education, Distance , COVID-19/epidemiology , Education, Distance/methods , Humans , Pandemics , Prospective Studies , SARS-CoV-2
Stud Health Technol Inform ; 290: 465-468, 2022 Jun 06.
Article in English | MEDLINE | ID: covidwho-1879410


The aim of this study was to assess the patient experience with teledermatology among new versus existing clinic patients in the context of the rapid practice shift to teledermatology during the COVID-19 pandemic. We analyzed survey responses from 184 teledermatology patients seen during COVID-19 at a major Southeastern medical center from May 13th to June 5th 2020. Overall patient-reported satisfaction with teledermatology was high with the majority of respondents rating their overall satisfaction as excellent (68%) or very good (18%). As teledermatology experiences wider adoption with the COVID-19 pandemic, it is essential to examine patient experience and satisfaction with teledermatology.

COVID-19 , Dermatology , Skin Diseases , Telemedicine , Humans , Pandemics , Patient Satisfaction , Skin Diseases/diagnosis , Skin Diseases/therapy
Am J Clin Dermatol ; 23(3): 319-329, 2022 May.
Article in English | MEDLINE | ID: covidwho-1872794


Patient and public involvement (PPI) in research is defined as research being carried out 'with' or 'by' members of the public, patients, and carers, on both an individual and a group level, rather than simply 'about', or 'for' them. Within dermatology, PPI is increasingly recognised as a vital component of research as it helps to ensure that research remains relevant to the populations we intend to serve. Dermatology scholarship, with its rich psychosocial implications due to the stigma, physical disability, and mental health burdens these conditions may incur, is in a unique position to benefit from PPI to unlock previously inaccessible patient lived experiences or therapeutic consequences. Throughout the rapid growth of PPI, it has been infused throughout the research lifecycle, from design to dissemination and beyond. After first explaining the principles of PPI, we examine the existing evidence base at each research stage to explore whether our specialty has effectively harnessed this approach and to identify any subsequent impact of PPI. Finally, we scrutinise the challenges faced by those implementing PPI in dermatology research.

Dermatology , Caregivers/psychology , Humans , Mental Health , Patient Participation
Actas Dermosifiliogr ; 113(5): T467-T480, 2022 May.
Article in English, Spanish | MEDLINE | ID: covidwho-1850540


BACKGROUND AND OBJECTIVE: No recent data on health care resources and medical and surgical activity in Spanish dermatology departments are available in the literature. The aim of this study was to compile this information for 2019. MATERIAL AND METHODS: Cross-sectional study based on an online survey sent to the heads of dermatology departments at public hospitals in Spain. RESULTS: Of the 162 department heads contacted, 59 answered the survey (participation rate, 36.4%). General findings included a shortage of staff, especially dermatologists, in hospitals of low and medium complexity. The main reason given for the shortage of dermatologists was a lack of interested applicants. Large hospital complexes had more infrastructure and equipment. Over 50% of the departments surveyed used a combination of in-person and virtual visits. Psoriasis units were the most common specialized care units. Approximately 75% of the hospitals had operating rooms with an anesthetist. More complex procedures such as sentinel lymph node biopsy and Mohs micrographic surgery were performed more often in large hospital complexes. Hospitalization and the presence of dermatology residents working call shifts were also more common in these hospitals. Teaching and research activity differed according to hospital complexity. CONCLUSIONS: We have mapped health care resource availability and medical and surgical activity in Spanish dermatology departments prior to the COVID-19 pandemic. Our findings could be useful for improving clinical management and defining future actions and areas for improvement.

COVID-19 , Dermatology , COVID-19/epidemiology , Cross-Sectional Studies , Delivery of Health Care , Hospitals, Public , Humans , Pandemics
Hautarzt ; 73(3): 212-215, 2022 Mar.
Article in German | MEDLINE | ID: covidwho-1838290


BACKGROUND: The advantages and disadvantages of the nationwide skin cancer screening which was introduced in 2008 are regularly discussed. OBJECTIVES: Do missed skin cancer screenings change the tumor depths? METHODS: Evaluation and analysis of office data from the second quarters of 2019, 2020 and 2021 were compared using the one-way analysis of variance (ANOVA) with Welch's F test. RESULTS: There was a significant increase in the tumor thickness in squamous cell carcinoma and basal cell carcinoma, while there was only a tendency due to the small amount of data available for malignant melanoma. CONCLUSIONS: The results of the analysis emphasize the importance of the skin cancer screening as a method of early detection and reduction of mutilating operations and expensive immunotherapies by the prompt detection of malignant tumors.

COVID-19 , Carcinoma, Basal Cell , Dermatology , Skin Neoplasms , COVID-19/epidemiology , Carcinoma, Basal Cell/diagnosis , Dermatology/methods , Early Detection of Cancer , Humans , Pandemics , SARS-CoV-2 , Skin Neoplasms/diagnosis , Skin Neoplasms/epidemiology , Skin Neoplasms/pathology
Clin Exp Dermatol ; 47(5): 982-983, 2022 05.
Article in English | MEDLINE | ID: covidwho-1822048
Rev Med Suisse ; 18(775): 571-572, 2022 03 30.
Article in French | MEDLINE | ID: covidwho-1819203

COVID-19 , Dermatology , Humans
J Dermatolog Treat ; 33(2): 605, 2022 03.
Article in English | MEDLINE | ID: covidwho-1815800

Dermatology , Humans
Skinmed ; 20(1): 29-32, 2022.
Article in English | MEDLINE | ID: covidwho-1790217


Lockdown was enforced in many countries across the globe to flatten the coronavirus disease (COVID-19) curve. In these difficult times, people with skin diseases faced unique challenge, as major clinical facilities came to a standstill. Teledermatology helped to an extent to bridge this provider-seeker gap to an extent. We compiled data of patients seeking dermatology services during this period in Bangladesh, India, and Nepal. Most of the patients were middle-aged (70%) and had good access to teledermatology. Dermatoses were primarily due to frequent handwashing, use of alcohol-based sanitizers, excessive use of water (12.6%), improper skin care (43.3%), sun exposure (20.5%), lockdown-induced stress (22.04%), infections (15.75%), flare of preexisting diseases (8.66%), and hair disorders (11%). Many dermatoses had a causal overlap. Teledermatology proved to be useful for patients with skin diseases who were unable to access direct face-to-face consultations.

COVID-19 , Dermatology , Skin Diseases , Telemedicine , COVID-19/epidemiology , Communicable Disease Control , Humans , Middle Aged , Skin Diseases/epidemiology
Rev Med Chil ; 149(10): 1467-1472, 2021 Oct.
Article in Spanish | MEDLINE | ID: covidwho-1760907


BACKGROUND: The day after COVID-19 quarantine started, we initiated patient care through Tele-dermatology. AIM: To report the experience of the implementation of Telemedicine in dermatology and to assess its impact on the number of dermatological visits compared with the pre-pandemic period. MATERIAL AND METHODS: The study was conducted between March 27th, 2020, and April 30th, 2020. All patients submitted clinical images of their skin condition via secure email before the telemedicine visit. All telemedicine visits were conducted using the Zoom video conferencing platform. Patient demographics and medical history were recorded. If the dermatologist was unable to reach a diagnosis, the patient was sent for an in-person visit, skin biopsy, or additional laboratory workup. RESULTS: We recorded 1,357 Tele dermatology visits from 1,222 patients aged 29 ± 18 years (38% males). Visits increased from 104 to 298 from the first to the last week, corresponding to 17% of the patient volume seen before the pandemic (1,709 in-person patients/week). A preliminary diagnosis was made in 95% of cases. Ninety percent of patients sent photos. Fifty eight percent of cases were chronic diseases, and were classified as inflammatory in 68%, infectious in 15%, neoplastic/tumoral in 7%, or other conditions in 11%. Less than 1% of these visits were COVID-19 related. CONCLUSIONS: In this prospective study of Tele-dermatology lasting five weeks, a preliminary diagnosis could be made in approximately 95% of cases and in the first five weeks of implementation, a volume of consultations equivalent to 17% of those made in the pre-pandemic period was carried out. Therefore, Tele-dermatology can be implemented quickly and successfully in practices when healthcare access is limited.

COVID-19 , Dermatology , Telemedicine , Adolescent , Adult , COVID-19/epidemiology , Child , Dermatology/methods , Female , Humans , Male , Middle Aged , Pandemics , Prospective Studies , Young Adult
BMJ Case Rep ; 15(3)2022 03 15.
Article in English | MEDLINE | ID: covidwho-1745763
Int J Environ Res Public Health ; 19(5)2022 02 22.
Article in English | MEDLINE | ID: covidwho-1736890


(1) Background: The aim of this systematic review was to compare the cost-effectiveness of two follow-up methods (face-to-face and telemedicine) used in dermatology in the last ten years. (2) Methods: A search for articles that included economic analyses was conducted in August 2021 in the databases PubMed, Medline, Scielo and Scopus using the following keywords: "Cost-Benefit Analysis", "Dermatology", "Telemedicine", "Primary Health Care", as well as other search terms and following the PICOS eligibility criteria. (3) Results: Three clinical trials and five observational studies were analyzed, providing information for approximately 16,539 patients (including four cost-minimization or saving analyses, three cost-effectiveness analyses, and one cost-utility analysis) in Europe and the United States. They describe the follow-up procedures in each of the cases and measure and analyze the direct and indirect costs and effectiveness. All the articles indicate that teledermatology lowers costs and proves satisfactory to both patients and professionals. (4) Conclusions: Although it has been found that follow-up via teledermatology can be more efficient than traditional hospital follow-up, more work is needed to establish evaluation protocols and procedures that measure key variables more equally and demonstrate the quality of the evidence of said studies.

Dermatology , Telemedicine , Cost-Benefit Analysis , Europe , Humans , Telemedicine/methods , United States