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Teledermatology can save up to 40% of consultations. Rest

Get the dermatologist's diagnosis without having to go to his office. Teledermatology not only saves the patient a trip to the hospital, but also the specialist can prevent up to 40% of patient visits. Is what concludes a study published in the English magazine 'Actas Dermo-Sifiliográficas'.

This choice of care increasingly has more arguments. Previous studies have suggested it as a solution to reduce the waiting lists of Dermatology and, now, a group of experts led by dermatologist Sergio Vañó shows how the query could relieve the dermatologist.

The key is to maintain close collaboration between primary care physicians and dermatologists emergency room. That is, the patient go to his family doctor or ER and then to capture images of skin lesions, they would be sent through intranet or e-mail to the specialist, who would be responsible to analyze and make a diagnosis.

is a methodology which is already used in some English hospitals, especially, according to an analysis conducted in 2009 by a dermatologist at the Hospital La Princesa, Diego de Argila Fernández-Durán, Madrid, Andalusia and Extremadura. As the expert noted, if this technique is no longer is instituted "a lack of resources and recognition, and also by the lack of management of certain hospitals and certain managers."

In order to demonstrate and advocate the benefits of teledermatology, the team of Sergio Vañó collected digital images and medical records of 100 patients, half from primary care and half of service Emergency Hospital Ramón y Cajal de Madrid.

- A reliable diagnostic
A total of 20 dermatologists looked at the photographs and completed a questionnaire on the diagnosis and treatment. The medical opinion was clear between 70% and 87% of cases, so that, as stressed by the doctor come to his article, "the teledermatology has high diagnostic accuracy, especially in patients referred from primary care and infectious diseases. "

As for handling, 40% were treated via tele (with the indications of general medical specialist) and 60% were referred to a specialist. "The main reason why we decided to face consultation was because" the photographs were of poor quality or because the required palpation skin disorder, skin biopsy, dermoscopy, face treatment such as cryotherapy or other reasons such as testing or contact making crops, "qualifies the dermatologist Ramón y Cajal. In some situations, it would face consultation, and patients with tumors of the skin.

Now, given the results of this study English, "would be interesting to design a test to assess whether the query is for Teledermatology more cost-effective than face to the dermatologist and establish in what situations is well to establish some indications or criteria for using this method targets, "Sergio Vañó concludes.