Cargando…

Reasons for Dermatology Consultations in Nursing Homes and the Estimated Potential of Teledermatology as a Triage Tool

Considering the limited availability of dermatologists to perform live consultations in nursing homes, teledermatology could be used as a triage tool for selection of cases for which live consultations are considered to be of added value compared with teledermatology. This prospective, multicentre o...

Descripción completa

Detalles Bibliográficos
Autores principales: KLÖSTERS, Frederik M., VAN WINDEN, Marieke E. C., ANGENENT, Freya R., VAN BERGEN, Lambertus Henrikus, VAN STEVENINCK-WENSING, Marjolein, ZWEERS, Manon C., GALIMONT-COLLEN, Ann F. S., BRONKHORST, Ewald M., KOOPMANS, Raymond T. C. M., LUBEEK, Satish F. K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Society for Publication of Acta Dermato-Venereologica 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9811285/
https://www.ncbi.nlm.nih.gov/pubmed/36317859
http://dx.doi.org/10.2340/actadv.v102.4459
_version_ 1784863499874205696
author KLÖSTERS, Frederik M.
VAN WINDEN, Marieke E. C.
ANGENENT, Freya R.
VAN BERGEN, Lambertus Henrikus
VAN STEVENINCK-WENSING, Marjolein
ZWEERS, Manon C.
GALIMONT-COLLEN, Ann F. S.
BRONKHORST, Ewald M.
KOOPMANS, Raymond T. C. M.
LUBEEK, Satish F. K.
author_facet KLÖSTERS, Frederik M.
VAN WINDEN, Marieke E. C.
ANGENENT, Freya R.
VAN BERGEN, Lambertus Henrikus
VAN STEVENINCK-WENSING, Marjolein
ZWEERS, Manon C.
GALIMONT-COLLEN, Ann F. S.
BRONKHORST, Ewald M.
KOOPMANS, Raymond T. C. M.
LUBEEK, Satish F. K.
author_sort KLÖSTERS, Frederik M.
collection PubMed
description Considering the limited availability of dermatologists to perform live consultations in nursing homes, teledermatology could be used as a triage tool for selection of cases for which live consultations are considered to be of added value compared with teledermatology. This prospective, multicentre observational study aimed to determine the reasons for dermatology consultations in nursing homes and the estimated value of teledermatology as a triage tool, including potential predictors. Skin tumours were the most common reason (n = 161/270; 59.6%) for dermatology consultations in nursing homes. Dermatologists estimated that live consultations added value compared with teledermatology in 67.8% of cases (n = 183). Multivariable logistic regression showed that predictors for this added value of live consultations were: consultations because of a skin tumour; consultations during which a diagnostic or treatment procedure was performed; consultations during which a secondary diagnosis was made; and the dermatologist involved. These results indicate that using teledermatology as a triage tool potentially reduces the need for additional live consultations in one-third of patients, whereas live consultations are estimated to have added value over teledermatology in two-thirds of cases. To make optimal use of the limited capacity for live consultations by dermatologists, it could therefore be helpful if elderly care physicians use teledermatology more frequently.
format Online
Article
Text
id pubmed-9811285
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Society for Publication of Acta Dermato-Venereologica
record_format MEDLINE/PubMed
spelling pubmed-98112852023-02-08 Reasons for Dermatology Consultations in Nursing Homes and the Estimated Potential of Teledermatology as a Triage Tool KLÖSTERS, Frederik M. VAN WINDEN, Marieke E. C. ANGENENT, Freya R. VAN BERGEN, Lambertus Henrikus VAN STEVENINCK-WENSING, Marjolein ZWEERS, Manon C. GALIMONT-COLLEN, Ann F. S. BRONKHORST, Ewald M. KOOPMANS, Raymond T. C. M. LUBEEK, Satish F. K. Acta Derm Venereol Original Article Considering the limited availability of dermatologists to perform live consultations in nursing homes, teledermatology could be used as a triage tool for selection of cases for which live consultations are considered to be of added value compared with teledermatology. This prospective, multicentre observational study aimed to determine the reasons for dermatology consultations in nursing homes and the estimated value of teledermatology as a triage tool, including potential predictors. Skin tumours were the most common reason (n = 161/270; 59.6%) for dermatology consultations in nursing homes. Dermatologists estimated that live consultations added value compared with teledermatology in 67.8% of cases (n = 183). Multivariable logistic regression showed that predictors for this added value of live consultations were: consultations because of a skin tumour; consultations during which a diagnostic or treatment procedure was performed; consultations during which a secondary diagnosis was made; and the dermatologist involved. These results indicate that using teledermatology as a triage tool potentially reduces the need for additional live consultations in one-third of patients, whereas live consultations are estimated to have added value over teledermatology in two-thirds of cases. To make optimal use of the limited capacity for live consultations by dermatologists, it could therefore be helpful if elderly care physicians use teledermatology more frequently. Society for Publication of Acta Dermato-Venereologica 2022-11-30 /pmc/articles/PMC9811285/ /pubmed/36317859 http://dx.doi.org/10.2340/actadv.v102.4459 Text en © 2022 Acta Dermato-Venereologica https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the CC BY-NC license
spellingShingle Original Article
KLÖSTERS, Frederik M.
VAN WINDEN, Marieke E. C.
ANGENENT, Freya R.
VAN BERGEN, Lambertus Henrikus
VAN STEVENINCK-WENSING, Marjolein
ZWEERS, Manon C.
GALIMONT-COLLEN, Ann F. S.
BRONKHORST, Ewald M.
KOOPMANS, Raymond T. C. M.
LUBEEK, Satish F. K.
Reasons for Dermatology Consultations in Nursing Homes and the Estimated Potential of Teledermatology as a Triage Tool
title Reasons for Dermatology Consultations in Nursing Homes and the Estimated Potential of Teledermatology as a Triage Tool
title_full Reasons for Dermatology Consultations in Nursing Homes and the Estimated Potential of Teledermatology as a Triage Tool
title_fullStr Reasons for Dermatology Consultations in Nursing Homes and the Estimated Potential of Teledermatology as a Triage Tool
title_full_unstemmed Reasons for Dermatology Consultations in Nursing Homes and the Estimated Potential of Teledermatology as a Triage Tool
title_short Reasons for Dermatology Consultations in Nursing Homes and the Estimated Potential of Teledermatology as a Triage Tool
title_sort reasons for dermatology consultations in nursing homes and the estimated potential of teledermatology as a triage tool
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9811285/
https://www.ncbi.nlm.nih.gov/pubmed/36317859
http://dx.doi.org/10.2340/actadv.v102.4459
work_keys_str_mv AT klostersfrederikm reasonsfordermatologyconsultationsinnursinghomesandtheestimatedpotentialofteledermatologyasatriagetool
AT vanwindenmariekeec reasonsfordermatologyconsultationsinnursinghomesandtheestimatedpotentialofteledermatologyasatriagetool
AT angenentfreyar reasonsfordermatologyconsultationsinnursinghomesandtheestimatedpotentialofteledermatologyasatriagetool
AT vanbergenlambertushenrikus reasonsfordermatologyconsultationsinnursinghomesandtheestimatedpotentialofteledermatologyasatriagetool
AT vansteveninckwensingmarjolein reasonsfordermatologyconsultationsinnursinghomesandtheestimatedpotentialofteledermatologyasatriagetool
AT zweersmanonc reasonsfordermatologyconsultationsinnursinghomesandtheestimatedpotentialofteledermatologyasatriagetool
AT galimontcollenannfs reasonsfordermatologyconsultationsinnursinghomesandtheestimatedpotentialofteledermatologyasatriagetool
AT bronkhorstewaldm reasonsfordermatologyconsultationsinnursinghomesandtheestimatedpotentialofteledermatologyasatriagetool
AT koopmansraymondtcm reasonsfordermatologyconsultationsinnursinghomesandtheestimatedpotentialofteledermatologyasatriagetool
AT lubeeksatishfk reasonsfordermatologyconsultationsinnursinghomesandtheestimatedpotentialofteledermatologyasatriagetool