Teledermatology protocol for screening of Skin Cancer
An. bras. dermatol
; 90(2): 202-210, Mar-Apr/2015. tab
Article
in English
| LILACS
| ID: lil-741065
Responsible library:
BR1.1
ABSTRACT
BACKGROUND:
Telemedicine refers to the use of technology as improvement of healthcare delivery to places where distance becomes an obstacle. Its use represents a great potential for dermatology, a specialty whose visual analysis phase is essential in diagnosis.OBJECTIVES:
To analyze the compatibility index of skin cancer diagnoses between primary care and teledermatology, and to validate a protocol for standardization of digital imaging to obtain the reports in teledermatology.METHODS:
An observational cross-sectional study developed through the census of 333 examination requests, received between January/2012 and July/2012, in the Center for Telemedicine and Telehealth of SES-SC. We used a protocol for photographic lesion standardization, consisting of three steps (panoramic photo, close-up with ruler and dermoscopy). After collection, the data were sent to a virtual site on the Internet, and recorded with the use of an electronic health record containing the images, the skin phototype and demographic characteristics.RESULTS:
The level of compatibility between the diagnosis of skin cancer in Santa Catarina's primary care and the diagnosis proposed by teledermatology was 19.02%. Proportionally, it was 21.21% for BCC, 44.44% for SCC and 6.98% for MM. The protocol was statistically significant (p <0.05), with an OR of 38.77.CONCLUSION:
The rate of diagnostic compatibility of skin cancer was low and the use of the protocol optimized the chance of validating requests for examination. .
Full text:
Available
Collection:
International databases
Health context:
SDG3 - Target 3.8 Achieve universal access to health
/
Sustainable Health Agenda for the Americas
Health problem:
Delivery Arrangements
/
Goal 6: Information systems for health
Database:
LILACS
Main subject:
Primary Health Care
/
Skin Neoplasms
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Image Interpretation, Computer-Assisted
/
Telemedicine
/
Dermatology
Type of study:
Diagnostic study
/
Practice guideline
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Observational study
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Prevalence study
/
Prognostic study
/
Risk factors
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Screening study
Limits:
Adult
/
Aged
/
Female
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Humans
/
Male
Language:
English
Journal:
An. bras. dermatol
Journal subject:
Dermatology
Year:
2015
Document type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Universidade do Sul de Santa Catarina/BR