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Arzberger, E; Curiel-Lewandrowski, C; Blum, A; Chubisov, D; Oakley, A; Rademaker, M; Soyer, H; Hofmann-Wellenhof, R.
Teledermoscopy in High-risk Melanoma Patients: A Comparative Study of Face-to-face and Teledermatology Visits.
Acta Derm Venereol. 2016; 96(6):779-783 [OPEN ACCESS]
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Autor/innen der Med Uni Graz:
Arzberger Edith Johanna
Hofmann-Wellenhof Rainer
Soyer Hans Peter
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Abstract:
Teledermoscopy is considered a reliable tool for the evaluation of pigmented skin lesions. We compared the management decision in face-to-face visits vs. teledermatology in a high-risk melanoma cohort using total-body photography, macroscopic and dermoscopic images of single lesions. Patients were assessed both face-to face and by 4 remote teledermatologists. Lesions identified as suspicious for skin cancer by face-to-face evaluation underwent surgical excision. The teledermatologists recommended "self-monitoring", "short-term monitoring", or "excision". A 4-year monitoring was completed in a cohort of participating subjects. The general agreement, calculated by prevalence and bias-adjusted κ (PABAK), showed almost perfect agreement (PABAK 0.9-0.982). A total of 23 lesions were excised; all teledermatologists identified the 9 melanomas. The greatest discrepancy was detected in "short-term monitoring". During 4-year monitoring one melanoma was excised that had been considered benign. In conclusion, melanoma identification by experts in pigmented lesions appears to be equivalent between face-to-face and teledermatological consultation.

Find related publications in this database (Keywords)
melanoma
high-risk patients
total-body photography
telederrnoscopy
face-to-face assessment
teledermatology
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