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Efficacy, perception, and utilization of pediatric teledermatology: A systematic review
Joshua Burshtein1, Maria Gnarra Buethe2, Mondana H Ghias3
1Department of Medicine, Mount Sinai Morningside-West, Icahn School of Medicine at Mount Sinai, New York, New York.
Insights
Pediatric teledermatology is effective for diagnosing and treating childhood skin conditions, with high patient and provider satisfaction. While it can improve access to care, technological challenges remain, especially in underserved areas.
Area of Science:
- Dermatology
- Health Informatics
- Pediatrics
Background:
- Teledermatology use surged during the COVID-19 pandemic.
- Pediatric teledermatology's efficacy, perception, and utilization are increasingly studied.
Purpose of the Study:
- To evaluate the current status of teledermatology within the pediatric population.
Main Methods:
- A comprehensive literature search was conducted across major databases (PubMed, Scopus, Embase, Google Scholar).
- Keywords included "pediatric," "teledermatology," "dermatology," "telemedicine," and "telehealth."
- 44 relevant articles published between 2008 and 2022 were analyzed.
Main Results:
- Diagnostic concordance between teledermatologists and in-person dermatologists ranged from 70.1% to 89%.
- Patient and provider satisfaction rates were high (70%-98% and ~95%, respectively).
- Teledermatology can reduce missed appointments and wait times, but technological barriers persist, particularly for underserved communities.
Conclusions:
- Teledermatology demonstrates effectiveness in diagnosing and treating pediatric dermatological conditions.
- High satisfaction among patients and providers supports its integration.
- While teledermatology offers potential for expanded healthcare access, challenges in implementation and engagement require further attention.
Background:
The use of teledermatology abruptly expanded with the arrival of COVID-19. Here, we review recent studies regarding the efficacy, perception, and utilization of telemedicine in the pediatric population.
Objective:
To evaluate the current state of pediatric teledermatology.
Methods:
A literature search was performed using the terms "pediatric," "teledermatology," "dermatology," "telemedicine" and "telehealth" in PubMed, Scopus, Embase, and Google Scholar. 44 articles published between 2008 and 2022 were included.
Results:
Diagnostic concordance between pediatric teledermatologist and in-person dermatologist ranged from 70.1% to 89%. Conditions treated with pediatric teledermatology were similar to those treated in-person. The rate of in-person follow-up after an initial telemedicine appointment pre and postpandemic was 12% to 51.9% and 13.5% to 28.1%, respectively. Patient satisfaction with teledermatology was between 70% to 98% and provider satisfaction was approximately 95%. The integration of teledermatology can reduce missed appointments and wait times among pediatric patients. However, considerable technological challenges exist, particularly in underserved communities. Globally, teledermatology may expand access to care though limited literature exists regarding its use in pediatric populations.
Conclusion:
Telemedicine is effective for the diagnosis and treatment of many dermatological conditions in children, with high patient and provider satisfaction. Implementation of teledermatology can potentially increase access to care both locally and globally, but obstacles to engagement remain.
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