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Pediatric teledermatology: observations based on 429 consults.
Tina S Chen1, Marc E Goldyne2, Erin F D Mathes3
1Department of Dermatology, University of California, Irvine, California.
Journal of the American Academy of Dermatology
|November 21, 2009
Summary
Store-and-forward teledermatology improves pediatric skin care access. While diagnostic agreement was moderate, treatment recommendations showed room for improvement, with low repeat consultation rates.
Area of Science:
- Dermatology
- Telemedicine
- Pediatrics
Background:
- Store-and-forward teledermatology offers a novel approach to dermatological care for patients with limited access to specialists.
- This technology is particularly relevant for pediatric populations facing access barriers.
Purpose of the Study:
- To evaluate patient demographics, diagnostic accuracy, and treatment strategies in pediatric teledermatology.
- To assess the effectiveness of store-and-forward teledermatology for children under 13.
Main Methods:
- A descriptive retrospective cohort study was performed.
- Data from 429 pediatric patients utilizing teledermatology services were analyzed.
Main Results:
- Diagnostic concordance between teledermatology and in-person evaluations was 48%, with 42% discordant.
- Management recommendation concordance was 28%, with 36% discordant.
- Primary care providers showed tendencies towards underprescribing topical steroids and overprescribing topical antifungals and systemic antibiotics.
Conclusions:
- Store-and-forward teledermatology demonstrates potential to enhance diagnostic and therapeutic outcomes for pediatric skin conditions.
- Despite limitations in generalizability and potential diagnostic error, the service required repeat consultations in only a small percentage of cases (1.4% teledermatology, 6.0% in-person).
