Diagnostic Concordance in Tertiary (Dermatologists-to-Experts) Teledermoscopy: A Final Diagnosis-Based Study on 290 Cases

Background: Teledermoscopy (TDS) improves diagnostic accuracy and decreases the number of unnecessary consultations. Objectives: To determine the diagnostic concordance in tertiary (dermatologist-to-experts) TDS with histopathology/follow-up–based diagnosis. Methods: A descriptive retrospecti...

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Autores principales:	Anne Marchetti, Stephane Dalle, Delphine Maucort Boulch, Mona Amini-Adl, Sébastien Debarbieux, Nicolas Poulalhon, Marie Perier-Muzet, Alice Phan, Luc Thomas
Formato:	article
Lenguaje:	EN
Publicado:	Mattioli1885 2020
Materias:	teledermoscopy tertiary teledermatology nail pediatric dermoscopy Dermatology RL1-803
Acceso en línea:	https://doaj.org/article/1a5a2af4452d422fb55e2c835d4d2689
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spelling	oai:doaj.org-article:1a5a2af4452d422fb55e2c835d4d26892021-11-17T08:28:37ZDiagnostic Concordance in Tertiary (Dermatologists-to-Experts) Teledermoscopy: A Final Diagnosis-Based Study on 290 Cases10.5826/dpc.1003a712160-9381https://doaj.org/article/1a5a2af4452d422fb55e2c835d4d26892020-06-01T00:00:00Zhttp://dpcj.org/index.php/dpc/article/view/1243https://doaj.org/toc/2160-9381 Background: Teledermoscopy (TDS) improves diagnostic accuracy and decreases the number of unnecessary consultations. Objectives: To determine the diagnostic concordance in tertiary (dermatologist-to-experts) TDS with histopathology/follow-up–based diagnosis. Methods: A descriptive retrospective cohort study including 290 requests. Results: Perfect diagnostic concordance was found in 202 (69.7%) cases and partial agreement in 29 (10%). Disagreement was found in 59 (20.3%) cases. Perfect concordance on the benign/malignant nature of the lesion was found in 227 (78.3%) cases and disagreement in 63 (21.7%). In onychology, diagnostic concordance was perfect in 43 (76.8%) cases, partial in 7 (12.5%), and there was disagreement in 6 (10.7%). Final concordance on the benign/malignant nature of the lesion was perfect in 48 (85.7%) and there was disagreement in 8 (14.3%) nail cases. For pediatric requests, diagnostic concordance was perfect in 29 (65.9%) cases, partial in 5 (11.4%), and there was disagreement in 10 (22.7%). Final concordance on the benign/malignant nature of the lesion was observed in 34 (77.3%) cases, disagreement in 10 (22.7%). Conclusions: This study confirms that tertiary TDS improves diagnostic accuracy of pigmented skin lesions. Moreover, it shows encouraging results in unusual conditions such as ungual and pediatric skin tumors. The main limitation was the retrospective nature and the “real-life” setting of our study that could have created a selection bias toward inclusion of the most difficult cases. Anne MarchettiStephane DalleDelphine Maucort BoulchMona Amini-AdlSébastien DebarbieuxNicolas PoulalhonMarie Perier-MuzetAlice PhanLuc ThomasMattioli1885articleteledermoscopytertiary teledermatologynailpediatricdermoscopyDermatologyRL1-803ENDermatology Practical & Conceptual, Vol 10, Iss 3 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	teledermoscopy tertiary teledermatology nail pediatric dermoscopy Dermatology RL1-803
spellingShingle	teledermoscopy tertiary teledermatology nail pediatric dermoscopy Dermatology RL1-803 Anne Marchetti Stephane Dalle Delphine Maucort Boulch Mona Amini-Adl Sébastien Debarbieux Nicolas Poulalhon Marie Perier-Muzet Alice Phan Luc Thomas Diagnostic Concordance in Tertiary (Dermatologists-to-Experts) Teledermoscopy: A Final Diagnosis-Based Study on 290 Cases
description	Background: Teledermoscopy (TDS) improves diagnostic accuracy and decreases the number of unnecessary consultations. Objectives: To determine the diagnostic concordance in tertiary (dermatologist-to-experts) TDS with histopathology/follow-up–based diagnosis. Methods: A descriptive retrospective cohort study including 290 requests. Results: Perfect diagnostic concordance was found in 202 (69.7%) cases and partial agreement in 29 (10%). Disagreement was found in 59 (20.3%) cases. Perfect concordance on the benign/malignant nature of the lesion was found in 227 (78.3%) cases and disagreement in 63 (21.7%). In onychology, diagnostic concordance was perfect in 43 (76.8%) cases, partial in 7 (12.5%), and there was disagreement in 6 (10.7%). Final concordance on the benign/malignant nature of the lesion was perfect in 48 (85.7%) and there was disagreement in 8 (14.3%) nail cases. For pediatric requests, diagnostic concordance was perfect in 29 (65.9%) cases, partial in 5 (11.4%), and there was disagreement in 10 (22.7%). Final concordance on the benign/malignant nature of the lesion was observed in 34 (77.3%) cases, disagreement in 10 (22.7%). Conclusions: This study confirms that tertiary TDS improves diagnostic accuracy of pigmented skin lesions. Moreover, it shows encouraging results in unusual conditions such as ungual and pediatric skin tumors. The main limitation was the retrospective nature and the “real-life” setting of our study that could have created a selection bias toward inclusion of the most difficult cases.
format	article
author	Anne Marchetti Stephane Dalle Delphine Maucort Boulch Mona Amini-Adl Sébastien Debarbieux Nicolas Poulalhon Marie Perier-Muzet Alice Phan Luc Thomas
author_facet	Anne Marchetti Stephane Dalle Delphine Maucort Boulch Mona Amini-Adl Sébastien Debarbieux Nicolas Poulalhon Marie Perier-Muzet Alice Phan Luc Thomas
author_sort	Anne Marchetti
title	Diagnostic Concordance in Tertiary (Dermatologists-to-Experts) Teledermoscopy: A Final Diagnosis-Based Study on 290 Cases
title_short	Diagnostic Concordance in Tertiary (Dermatologists-to-Experts) Teledermoscopy: A Final Diagnosis-Based Study on 290 Cases
title_full	Diagnostic Concordance in Tertiary (Dermatologists-to-Experts) Teledermoscopy: A Final Diagnosis-Based Study on 290 Cases
title_fullStr	Diagnostic Concordance in Tertiary (Dermatologists-to-Experts) Teledermoscopy: A Final Diagnosis-Based Study on 290 Cases
title_full_unstemmed	Diagnostic Concordance in Tertiary (Dermatologists-to-Experts) Teledermoscopy: A Final Diagnosis-Based Study on 290 Cases
title_sort	diagnostic concordance in tertiary (dermatologists-to-experts) teledermoscopy: a final diagnosis-based study on 290 cases
publisher	Mattioli1885
publishDate	2020
url	https://doaj.org/article/1a5a2af4452d422fb55e2c835d4d2689
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Diagnostic Concordance in Tertiary (Dermatologists-to-Experts) Teledermoscopy: A Final Diagnosis-Based Study on 290 Cases

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