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Teledermatology in Atopic Dermatitis: A Systematic Review.
Luvneet Verma1, Tarek Turk1,2, Liz Dennett3
1Division of Dermatology, Department of Medicine, University of Alberta, Edmonton, AB, Canada.
Journal of Cutaneous Medicine and Surgery
|January 11, 2024
Summary
Teledermatology effectively manages atopic dermatitis (AD) follow-up, showing results comparable to in-person visits. However, the optimal telemedicine approach for AD assessment requires further research due to study variations.
Area of Science:
- Dermatology and Health Informatics
- Investigating the intersection of digital health technologies and skin disease management.
Background:
- Telemedicine adoption surged during the COVID-19 pandemic, offering benefits like improved health equity and reduced wait times.
- Atopic dermatitis (AD) management may benefit from telemedicine, yet evidence-based guidelines for its virtual assessment are lacking.
Approach:
- A systematic review following PRISMA guidelines was conducted to assess current evidence on telemedicine for AD.
- Studies evaluating any telemedicine assessment for AD were included, with data extracted by two independent reviewers.
- Five reports, utilizing asynchronous, store-and-forward models (online platforms, mobile apps, e-health portals), were analyzed.
Key Points:
- Teledermatology demonstrated effectiveness in AD follow-up, yielding outcomes equivalent to traditional in-person appointments.
- Various telemedicine models were employed, including direct-access online, web-based consultations, and e-health portals.
- Significant heterogeneity among studies prevents definitive conclusions on the most effective teledermatology model for AD.
Conclusions:
- Teledermatology is a valuable tool for triaging and monitoring patients with atopic dermatitis.
- Further research is necessary to identify the most effective teledermatology models for virtual AD assessment.
- Establishing best practices for telemedicine in dermatology is crucial for optimizing patient care.
