title: Concordance and time estimation of store-and-forward mobile teledermatology compared to classical face-to-face consultation.
abstract: Smartphones have overcome the limitations of image quality seen in older devices and opened a new field of telemedicine called "mobile teledermatology". Technological advances and the need to reduce health service costs will strongly promote the development of telemedicine. For this reason, we evaluated the concordance between store-and-forward mobile teledermatology and the classical face-to-face dermatological visit. We also measured the time taken to submit a teleconsultation using a smartphone. Before conventional face-to-face visit, a final-year resident of the three-year course for general practitioners collected medical history, took digital images of skin diseases with a smartphone and, measuring the time required to complete this operation, transmitted them to an expert teledermatologist. In 391 patients we obtained a concordance between face-to-face and store-and-forward diagnosis of 91.05% (Cohen κ coefficient = 0.906). On average only few minutes needs to be added to a normal visit to transmit the cases to an expert teledermatologist.
authors.affiliation: Department of Medical, Surgical and Neuro Sciences, Dermatology Section, University of Siena, Policlinico.
authors.forename: Niccolò
authors.initials: N
authors.lastname: Nami
authors.forename: Cesare
authors.initials: C
authors.lastname: Massone
authors.forename: Pietro
authors.initials: P
authors.lastname: Rubegni
authors.forename: Gabriele
authors.initials: G
authors.lastname: Cevenini
authors.forename: Michele
authors.initials: M
authors.lastname: Fimiani
authors.forename: Rainer
authors.initials: R
authors.lastname: Hofmann-Wellenhof
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D040421:Cell Phone; D002648:Child; D002675:Child, Preschool; D003880:Dermatology / Q000295:instrumentation* / Q000379:methods; D004526:Efficiency; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D015588:Observer Variation; D009819:Office Visits; D011237:Predictive Value of Tests; D019114:Remote Consultation / Q000295:instrumentation* / Q000379:methods; D015203:Reproducibility of Results; D012871:Skin Diseases / Q000473:pathology* / Q000628:therapy; D013647:Task Performance and Analysis; D019113:Telepathology / Q000295:instrumentation* / Q000379:methods; D013997:Time Factors; D055815:Young Adult