Teledermatology: an intraobserver diagnostic correlation study, Part II.
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2003-07-03
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Abstract
This is part II of an intraobserver diagnostic correlation study comparing teledermatology with traditional face to face evaluation Part I discussed the methodology and diagnostic correlation results between teledermatology and in person consultation Cutis 2003 71 399 403 This second part reports the diagnostic certainty level between the 2 groups which are shown to be significantly different teledermatology 7 10 in person 9 10 This difference held true in every category of skin condition evaluated P Under or 0065 Unlike other studies we found that teledermatologists recommended biopsies 10 more frequently than clinic based evaluators We discuss the reasons for the lower diagnostic certainty level of teledermatologists as well as the limitations of this study Despite the limitations we conclude that teledermatology appears to be an effective method of delivering dermatologic care in the appropriate setting