The Value of Teledermoscopy to the Expertise of General Practitioners Diagnosing Skin Disorders Based on ICD-10 Coding
Early recognition of skin cancer is vital to enhance patient outcomes. Teledermoscopy (TDsc), a telemedicine service, supports general practitioners (GPs) in gaining fast access to dermatologists' feedback to detect skin cancer. This study aimed to assess if GPs gain expertise in diagnosing ski...
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Published in | Studies in health technology and informatics Vol. 264; p. 834 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
Netherlands
21.08.2019
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Abstract | Early recognition of skin cancer is vital to enhance patient outcomes. Teledermoscopy (TDsc), a telemedicine service, supports general practitioners (GPs) in gaining fast access to dermatologists' feedback to detect skin cancer. This study aimed to assess if GPs gain expertise in diagnosing skin disorders after continued use of TDsc, based on diagnosis classification by the International Statistical Classification of Diseases and Related Health Problems (ICD-10). A retrospective study was conducted on TDsc consultations sent by GPs to teledermatologists in the Netherlands (July 2015 - June 2018). GP sensitivity and confirmed cases in diagnosing skin disorders slightly increased over time. However, the total positive predictive value showed a decrease. In three years, 43 melanomas were diagnosed by the TD for which the GP did not provide a (correct) pre-diagnose. Though GPs appear to improve their expertise in skin disorder detection after continued TDsc use, TDsc remains imperative to early melanoma detection. |
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AbstractList | Early recognition of skin cancer is vital to enhance patient outcomes. Teledermoscopy (TDsc), a telemedicine service, supports general practitioners (GPs) in gaining fast access to dermatologists' feedback to detect skin cancer. This study aimed to assess if GPs gain expertise in diagnosing skin disorders after continued use of TDsc, based on diagnosis classification by the International Statistical Classification of Diseases and Related Health Problems (ICD-10). A retrospective study was conducted on TDsc consultations sent by GPs to teledermatologists in the Netherlands (July 2015 - June 2018). GP sensitivity and confirmed cases in diagnosing skin disorders slightly increased over time. However, the total positive predictive value showed a decrease. In three years, 43 melanomas were diagnosed by the TD for which the GP did not provide a (correct) pre-diagnose. Though GPs appear to improve their expertise in skin disorder detection after continued TDsc use, TDsc remains imperative to early melanoma detection. |
Author | van Sinderen, Femke Peute, Linda W P Jaspers, Monique W M Witkamp, Leonard Tensen, Esmée |
Author_xml | – sequence: 1 givenname: Esmée surname: Tensen fullname: Tensen, Esmée organization: Ksyos Health Management Research, Amstelveen, Netherlands – sequence: 2 givenname: Femke surname: van Sinderen fullname: van Sinderen, Femke organization: Ksyos Health Management Research, Amstelveen, Netherlands – sequence: 3 givenname: Leonard surname: Witkamp fullname: Witkamp, Leonard organization: Ksyos Health Management Research, Amstelveen, Netherlands – sequence: 4 givenname: Monique W M surname: Jaspers fullname: Jaspers, Monique W M organization: Amsterdam UMC, University of Amsterdam, Department of Medical Informatics, Amsterdam Public Health Research Institute, Meibergdreef 9, Amsterdam, Netherlands – sequence: 5 givenname: Linda W P surname: Peute fullname: Peute, Linda W P organization: Amsterdam UMC, University of Amsterdam, Department of Medical Informatics, Amsterdam Public Health Research Institute, Meibergdreef 9, Amsterdam, Netherlands |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/31438041$$D View this record in MEDLINE/PubMed |
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Snippet | Early recognition of skin cancer is vital to enhance patient outcomes. Teledermoscopy (TDsc), a telemedicine service, supports general practitioners (GPs) in... |
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SubjectTerms | Early Detection of Cancer General Practitioners Humans International Classification of Diseases Netherlands Retrospective Studies Skin Neoplasms |
Title | The Value of Teledermoscopy to the Expertise of General Practitioners Diagnosing Skin Disorders Based on ICD-10 Coding |
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