Positive Predictive Value of Melanoma Diagnosis in Store-and-Forward Teledermatology.
Telemed J E Health
; 25(8): 701-707, 2019 08.
Article
em En
| MEDLINE
| ID: mdl-30332329
ABSTRACT
Background:
Although store-and-forward teledermatology (SFT) has demonstrated good diagnostic sensitivity for melanoma, little is known about the diagnostic precision (positive predictive value [PPV]).Introduction:
We conducted this investigation to ascertain the PPV of melanoma diagnosis among teledermatology readers. Materials andMethods:
We reviewed teledermatology consultations on 8,706 patients completed during the period February 1, 2015-January 31, 2016. Melanoma was included in the differential diagnosis of 551 conditions. We conducted a chart review of each condition to determine the final diagnosis.Results:
We ascertained a final diagnosis in 503 conditions. Sixty-nine conditions were ultimately diagnosed as melanoma, a PPV of 13.7%. There was considerable variability in PPV among readers. Image quality was associated with higher PPV.Discussion:
Overall, SFT program PPV compared favorably with that found in two published studies of face-to-face dermatology clinic care.Conclusion:
To increase the diagnostic precision of SFT program melanoma diagnosis, efforts should be directed toward improving selected individual reader's PPV and image quality.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Neoplasias Cutâneas
/
Telemedicina
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Dermatologia
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Melanoma
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Limite:
Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article