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Comparison of Skin Biopsy Triage Decisions in 49 Patients With Pigmented Lesions and Skin Neoplasms

Comparison of Skin Biopsy Triage Decisions in 49 Patients With Pigmented Lesions and Skin Neoplasms STUDY Comparison of Skin Biopsy Triage Decisions in 49 Patients With Pigmented Lesions and Skin Neoplasms Store-and-Forward Teledermatology vs Face-to-Face Dermatology Michael Shapiro, MD; William D. James, MD; Rex Kessler, MD; Francis C. Lazorik, MD†; Kenneth A. Katz, MD; John Tam, MD; David S. Nieves, MD; Jeffrey J. Miller, MD Objective: To determine the relative efficacy of store- face by a dermatologist. A biopsy was performed if either and-forward teledermatology vs face-to-face dermatol- dermatologist favored biopsy. ogy consultations in triage decisions about the need for a biopsy of neoplastic skin changes. Main Outcome Measures: Decisions to perform a bi- opsy. Agreement between the dermatologists was as- sessed. Design: Prospective study of consecutive patients judged by an internist to require dermatologic consultation for Results: Of the 49 patients with evaluable photographs, a skin growth. the face-to-face dermatologist and teledermatologist rec- ommended a biopsy for the same 26 patients, yielding a Setting: Private primary care and dermatology prac- sensitivity of the teledermatologist of 1.00 (95% confi- tices and an academic dermatology practice. dence interval [CI], 0.87-1.00) and a specificity of 1.00 (95% CI, 0.85-1.00). The agreement between the dermatolo- Patients: Patients requiring dermatology consultation gists () was 1.00 (95% CI, 0.72-1.00). http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Dermatology American Medical Association

Comparison of Skin Biopsy Triage Decisions in 49 Patients With Pigmented Lesions and Skin Neoplasms

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Publisher
American Medical Association
Copyright
Copyright 2004 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6068
eISSN
2168-6084
DOI
10.1001/archderm.140.5.525
pmid
15148095
Publisher site
See Article on Publisher Site

Abstract

STUDY Comparison of Skin Biopsy Triage Decisions in 49 Patients With Pigmented Lesions and Skin Neoplasms Store-and-Forward Teledermatology vs Face-to-Face Dermatology Michael Shapiro, MD; William D. James, MD; Rex Kessler, MD; Francis C. Lazorik, MD†; Kenneth A. Katz, MD; John Tam, MD; David S. Nieves, MD; Jeffrey J. Miller, MD Objective: To determine the relative efficacy of store- face by a dermatologist. A biopsy was performed if either and-forward teledermatology vs face-to-face dermatol- dermatologist favored biopsy. ogy consultations in triage decisions about the need for a biopsy of neoplastic skin changes. Main Outcome Measures: Decisions to perform a bi- opsy. Agreement between the dermatologists was as- sessed. Design: Prospective study of consecutive patients judged by an internist to require dermatologic consultation for Results: Of the 49 patients with evaluable photographs, a skin growth. the face-to-face dermatologist and teledermatologist rec- ommended a biopsy for the same 26 patients, yielding a Setting: Private primary care and dermatology prac- sensitivity of the teledermatologist of 1.00 (95% confi- tices and an academic dermatology practice. dence interval [CI], 0.87-1.00) and a specificity of 1.00 (95% CI, 0.85-1.00). The agreement between the dermatolo- Patients: Patients requiring dermatology consultation gists () was 1.00 (95% CI, 0.72-1.00).

Journal

JAMA DermatologyAmerican Medical Association

Published: May 1, 2004

References