Critical appraisal:Barnard CM, Goldyne ME 2000

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Critical Appraisal

Article being appraised

Barnard CM, Goldyne ME. Evaluation of an asynchronous teleconsultation system for diagnosis of skin cancer and other skin diseases. Telemed J E Health 2000;6(4):379-84 Abstract available at http://www.ncbi.nlm.nih.gov/pubmed/11242545.


Applicable clinical question

Key Facts

Study Design

case series

Number of Patients:

50


Includes an economic evaluation

no

Evidence ratings

Level of evidence

IV

Risk of bias
Moderate risk of bias Comments: Representative skin lesions were likely selected, blinding of telehealth dermatologist likely occurred although was not described.

Risk of bias assessment: case series

Subject selection:
Highly selected or not described (e.g. single-institution study)
Were the outcome measures blind to pre/post-intervention?
Yes
Follow-up complete and all patients included in the analysis?
Reasonable (follow-up >80%)
Size of effect
2 Reason for decision: Clinically important diagnostic percentages were provided. No statistical analysis provided accuracy.
Relevance of evidence
1 Additional comments: The accuracy of diagnosis, especially skin cancers, using teleoncology is critical to this question. This article directly compares the effectiveness of tele vs local diagnosis.
Result of appraisal

Jutta's tick icon.png Included




Completed by

Jessica Harris


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Article
Barnard CM, Goldyne ME. Evaluation of an asynchronous teleconsultation system for diagnosis of skin cancer and other skin diseases. Telemed J E Health 2000;6(4):379-84 Abstract available at http://www.ncbi.nlm.nih.gov/pubmed/11242545.
Assigned to
User:Rob.zielinski
Topic area
Guidelines:
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Clinical question
Form
Form:Critical appraisal


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