{"id":"https://openalex.org/W4392297596","doi":"https://doi.org/10.1111/ajd.14239","title":"Effectiveness and diagnostic accuracy of teledermatology for the assessment of skin conditions","display_name":"Effectiveness and diagnostic accuracy of teledermatology for the assessment of skin conditions","publication_year":2024,"publication_date":"2024-02-29","ids":{"openalex":"https://openalex.org/W4392297596","doi":"https://doi.org/10.1111/ajd.14239","pmid":"https://pubmed.ncbi.nlm.nih.gov/38421885"},"language":"en","primary_location":{"id":"doi:10.1111/ajd.14239","doi":"https://doi.org/10.1111/ajd.14239","is_oa":false,"landing_page_url":"https://doi.org/10.1111/ajd.14239","pdf_url":null,"source":{"id":"https://openalex.org/S140888521","display_name":"Australasian Journal of Dermatology","issn_l":"0004-8380","issn":["0004-8380","0365-3609","1440-0960"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Australasian Journal of Dermatology","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5027317634","display_name":"Nikesh Patel","orcid":"https://orcid.org/0000-0002-4808-7964","observed_orcids":["https://orcid.org/0000-0002-4808-7964"]},"institutions":[{"id":"https://openalex.org/I4210129898","display_name":"Whittington Health NHS Trust","ror":"https://ror.org/02vg92y09","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210129898"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"Nikesh Patel","raw_affiliation_strings":["Whittington Health NHS Trust, London, UK"],"raw_orcid":"https://orcid.org/0000-0002-4808-7964","affiliations":[{"raw_affiliation_string":"Whittington Health NHS Trust, London, UK","institution_ids":["https://openalex.org/I4210129898"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5092935199","display_name":"Nada Aboukhatwah","orcid":"https://orcid.org/0009-0007-4744-4978","observed_orcids":["https://orcid.org/0009-0007-4744-4978"]},"institutions":[{"id":"https://openalex.org/I4210129898","display_name":"Whittington Health NHS Trust","ror":"https://ror.org/02vg92y09","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210129898"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Nada Aboukhatwah","raw_affiliation_strings":["Whittington Health NHS Trust, London, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Whittington Health NHS Trust, London, UK","institution_ids":["https://openalex.org/I4210129898"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5025054470","display_name":"Ben A. Esdaile","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210129898","display_name":"Whittington Health NHS Trust","ror":"https://ror.org/02vg92y09","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210129898"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Ben Esdaile","raw_affiliation_strings":["Whittington Health NHS Trust, London, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Whittington Health NHS Trust, London, UK","institution_ids":["https://openalex.org/I4210129898"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5027317634"],"corresponding_institution_ids":["https://openalex.org/I4210129898"],"apc_list":{"value":3960,"currency":"USD","value_usd":3960},"apc_paid":null,"fwci":2.6981,"has_fulltext":false,"cited_by_count":8,"citation_normalized_percentile":{"value":0.89445075,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":98},"biblio":{"volume":"65","issue":"4","first_page":"342","last_page":"349"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10912","display_name":"Telemedicine and Telehealth Implementation","score":0.7675999999046326,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10912","display_name":"Telemedicine and Telehealth Implementation","score":0.7675999999046326,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10392","display_name":"Cutaneous Melanoma Detection and Management","score":0.1088000014424324,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12918","display_name":"Healthcare Systems and Technology","score":0.013500000350177288,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/teledermatology","display_name":"teledermatology","score":1.0},{"id":"https://openalex.org/keywords/skin-diseases","display_name":"skin diseases","score":0.9350000023841858},{"id":"https://openalex.org/keywords/diagnostic-accuracy","display_name":"diagnostic accuracy","score":0.7329999804496765},{"id":"https://openalex.org/keywords/diagnostic-agreement","display_name":"diagnostic agreement","score":0.9679999947547913},{"id":"https://openalex.org/keywords/remote-management","display_name":"remote management","score":0.597000002861023},{"id":"https://openalex.org/keywords/skin-cancer","display_name":"skin cancer","score":0.7070000171661377},{"id":"https://openalex.org/keywords/histopathological-diagnosis","display_name":"histopathological diagnosis","score":0.9110000133514404},{"id":"https://openalex.org/keywords/telemedicine","display_name":"telemedicine","score":0.4440000057220459}],"concepts":[{"id":"https://openalex.org/C2776207752","wikidata":"https://www.wikidata.org/wiki/Q2842557","display_name":"Teledermatology","level":4,"score":0.9861379861831665},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9309670925140381},{"id":"https://openalex.org/C160798450","wikidata":"https://www.wikidata.org/wiki/Q4230870","display_name":"Concordance","level":2,"score":0.8680988550186157},{"id":"https://openalex.org/C3020132585","wikidata":"https://www.wikidata.org/wiki/Q2671652","display_name":"Diagnostic accuracy","level":2,"score":0.5119984745979309},{"id":"https://openalex.org/C2777789703","wikidata":"https://www.wikidata.org/wiki/Q192102","display_name":"Skin cancer","level":3,"score":0.47776925563812256},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.4118385910987854},{"id":"https://openalex.org/C16005928","wikidata":"https://www.wikidata.org/wiki/Q171171","display_name":"Dermatology","level":1,"score":0.329248309135437},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.3241223692893982},{"id":"https://openalex.org/C2779891985","wikidata":"https://www.wikidata.org/wiki/Q46994","display_name":"Telemedicine","level":3,"score":0.2941840887069702},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.25003963708877563},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.2241201102733612},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.18608754873275757},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.11330622434616089},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.09173658490180969},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003880","descriptor_name":"Dermatology","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012017","descriptor_name":"Referral and Consultation","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012871","descriptor_name":"Skin Diseases","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D012878","descriptor_name":"Skin Neoplasms","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D017216","descriptor_name":"Telemedicine","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D019114","descriptor_name":"Remote Consultation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D055815","descriptor_name":"Young Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1111/ajd.14239","doi":"https://doi.org/10.1111/ajd.14239","is_oa":false,"landing_page_url":"https://doi.org/10.1111/ajd.14239","pdf_url":null,"source":{"id":"https://openalex.org/S140888521","display_name":"Australasian Journal of Dermatology","issn_l":"0004-8380","issn":["0004-8380","0365-3609","1440-0960"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Australasian Journal of Dermatology","raw_type":"journal-article"},{"id":"pmid:38421885","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/38421885","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Australasian journal of dermatology","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.98580002784729,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":19,"referenced_works":["https://openalex.org/W1563310974","https://openalex.org/W1979296670","https://openalex.org/W1988118668","https://openalex.org/W2002424086","https://openalex.org/W2063796834","https://openalex.org/W2076685509","https://openalex.org/W2164777277","https://openalex.org/W2165061606","https://openalex.org/W2593633382","https://openalex.org/W2770670898","https://openalex.org/W2904735719","https://openalex.org/W3089724499","https://openalex.org/W3090090303","https://openalex.org/W3105640626","https://openalex.org/W3109953301","https://openalex.org/W3123895425","https://openalex.org/W3128714782","https://openalex.org/W3169669567","https://openalex.org/W4283834050"],"related_works":["https://openalex.org/W7133207311","https://openalex.org/W2560712575","https://openalex.org/W4400125763","https://openalex.org/W2103510276","https://openalex.org/W1994603799","https://openalex.org/W4403192749","https://openalex.org/W2050115096","https://openalex.org/W3123895425","https://openalex.org/W2063101736","https://openalex.org/W2051363693"],"abstract_inverted_index":{"BACKGROUND:":[0],"Teledermatology":[1],"provides":[2],"a":[3,42,48,52,79,134,157,201],"platform":[4,29,235],"for":[5,13,93,115],"swift":[6],"specialist":[7],"advice":[8],"without":[9],"the":[10,21,28,33,62,129,151,178],"potential":[11],"need":[12],"face-to-face":[14],"review.":[15,118],"Our":[16,227],"objectives":[17],"were":[18,78,88,101,112,125,170,188,199,218],"to":[19,32,133,145,249],"investigate":[20],"effectiveness,":[22],"accuracy":[23,246],"and":[24,72,104,153,210,220,240,247],"diagnostic":[25,63,245],"concordance":[26,64,141,248],"of":[27,36,54,81,85,98,110,121,123,127,136,142,160,167,183,238],"with":[30,106,243],"regard":[31],"remote":[34,241],"management":[35],"skin":[37,173,208],"conditions.":[38],"METHODS:":[39],"We":[40],"undertook":[41],"single-centre,":[43],"retrospective":[44],"chart":[45],"review":[46],"over":[47],"1-year":[49],"period,":[50],"comprising":[51],"total":[53,80,120,140],"1703":[55,82],"teledermatology":[56,231],"referrals.":[57],"Two":[58],"physicians":[59],"independently":[60],"assessed":[61],"between":[65],"telederm":[66],"diagnosis":[67,70,74,192,203,239],"(TD),":[68],"in-person":[69,117,250],"(ID)":[71],"histopathological":[73],"(HD).":[75],"RESULTS:":[76],"There":[77],"TD":[83,143,152],"referrals,":[84],"which":[86,128],"341":[87],"rejected,":[89,126],"leaving":[90],"1362":[91],"referrals":[92,100,124],"evaluation.":[94],"Sixty-five":[95],"per":[96],"cent":[97],"these":[99,111],"managed":[102],"remotely":[103],"discharged":[105],"advice,":[107],"although":[108],"4.6%":[109],"later":[113],"re-referred":[114],"an":[116,190,233],"A":[119],"20%":[122],"majority":[130],"was":[131,147],"due":[132],"lack":[135],"appropriate":[137],"imaging.":[138],"The":[139],"compared":[144],"ID":[146],"76.4%.":[148],"When":[149],"comparing":[150],"ID/HD,":[154],"we":[155],"obtained":[156],"Kappa":[158],"value":[159],"0.636":[161],"indicating":[162],"substantial":[163],"agreement.":[164],"In":[165],"terms":[166,237],"accuracy,":[168],"there":[169],"49":[171],"biopsy-proven":[172],"cancers":[174],"picked":[175],"up":[176],"by":[177],"service":[179],"in":[180,236],"this":[181],"cohort":[182],"data.":[184],"Of":[185],"these,":[186],"61.2%":[187],"given":[189,200],"accurate":[191],"on":[193],"first":[194],"impression":[195],"via":[196],"teledermatology,":[197],"14.3%":[198],"different":[202],"but":[204],"correctly":[205],"categorised":[206],"as":[207],"cancer":[209],"24.5%":[211],"could":[212],"not":[213],"be":[214],"assessed;":[215],"however,":[216],"they":[217],"triaged":[219],"escalated":[221],"based":[222],"upon":[223],"clinical":[224],"suspicion.":[225],"CONCLUSION:":[226],"study":[228],"demonstrates":[229],"that":[230],"is":[232],"effective":[234],"management,":[242],"adequate":[244],"diagnosis.":[251]},"counts_by_year":[{"year":2026,"cited_by_count":5},{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":1}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2024-03-05T00:00:00"}
