Can teledermatology meet the needs of the remote and rural population?
1Dermatology Specialist Nurse, Western Isles Hospital.
Background:
Teledermatology has been in use as a supplemental tool in dermatology for many years. This study will focus on its use for dermatology patients with suspected skin cancer, in the remote and rural setting.
Objectives:
Evaluation of the efficacy and accuracy of skin cancer detection using teledermatology.
Methods:
Literature review from last inclusion date of The Cochrane review of 2016 to August 2020. Due to high heterogeneity, resulting data were synthesised narratively.
Results:
All 6 studies agreed that 'high-quality' and dermoscopy images improve accuracy of diagnosis. All 6 studies showed its potential usage as 1) supplemental to face-to-face, 2) triage, or 3) a way of providing a specialist service where none is available. None considered it an adequate replacement for a traditional clinic setting.
Conclusion:
Teledermatology has enormous potential but more robust evidence is required.
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