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描述性和对应性数据异步远程皮肤病学咨询皮肤炎:一个回顾性研究
Vrusha K Shah1, Erik Jaklitsch1, Ashima Agarwal1
1Department of Dermatology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
概括
异步远程皮肤病学 (eDerm) 有效地管理皮肤炎,在97.6%的病例中修改治疗. 这种可访问的解决方案提供了与亲临诊所相比较的皮肤病治疗,提高了患者的便利性和常见皮肤疾病的结果.
科学领域:
- 皮肤病学 皮肤病学
- 医疗信息学 医疗信息学
- 数字健康数字健康
背景情况:
- 远程皮肤病学,特别是非同步的消费者对医生的eDerm咨询,为评估皮肤炎患者提供了潜力.
- 关于eDerm在大型皮肤炎队列中的诊断准确性,管理和后续情况的研究有限.
研究的目的:
- 为了追溯评估eDerm咨询与诊断准确性,管理和后续行动的关联.
- 评估异步远程皮肤病学在大量皮肤炎患者队列中的有效性.
主要方法:
- 从2020年4月到2021年10月,使用匹兹堡大学医疗中心健康系统的Epic EMR,审查了1,045次eDerm遭遇.
- 分析了eDerm和使用千平方测试的人身随访之间的描述性统计数据和诊断一致性.
主要成果:
- 在97.6%的病例中,eDerm修改或改变了治疗方法.
- 电子皮肤和面对面的随访之间的诊断一致性为78.3%.
- 患有三角关节性皮肤炎,先前存在的疾病或中度至高严重程度的患者更有可能遵守要求的随访时间表.
结论:
- 异步远程皮肤病学 (eDerm) 提供了一种快速且易于使用的方法,用于为皮肤炎提供皮肤病治疗.
- "eDerm"的诊断和管理结果与传统的面对面检查结果相提并论.
- 需要进行进一步的研究,将eDerm直接与面对面的访问进行比较.
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