Oztas MO, Calikoglu E, Baz K, Birol A, Onder M, Calikoglu T, et al. Reliability of Web-based teledermatology consultations. J Telemed Telecare 2004;10(1):25-8 Abstract available at http://www.ncbi.nlm.nih.gov/pubmed/15006212.
To determine if a store and forward tele dermatology approach is as good as the histopathological diagnosis. Additionally to determine if clinical information adds to the diagnostic accuracy compared to using images alone.
Diagnostic accuracy of the 3 teledermatologists. Agreement rate between the 3 teledermatologists
Number of correct diagnoses increased from 68 to 76% when clinical information was added to the images. The agreement rate between the teledermatologists ranged from 0.46 to 0.70. Inter observer agreement rates were within the literature boundaries of 54% to 96%. Without clinical information the accuracy of tele dermatology was 55 to 61% and this increased to 62-80% with additional clinical information.
The tele dermatologists only had 3 or more years of experience so in all likelihood were junior.
|High risk of bias||Comments: Single institution but patients were randomly sleeted from the outpatient department. Not explicitly stated that the diagnoses were blinded. Minimal number of tumour cases included in the 125 patients.|
Risk of bias assessment: case series
- Highly selected or not described (e.g. single-institution study)
- Yes (follow-up >95%)
|5||Reason for decision: No statistical analysis performed of the results so no conclusions on the effect size possible.|
|4||Additional comments: Case series. Minimal skin tumour cases included. Technology used in 2004 is outdated in 2015.|
- Oztas MO, Calikoglu E, Baz K, Birol A, Onder M, Calikoglu T, et al. Reliability of Web-based teledermatology consultations. J Telemed Telecare 2004;10(1):25-8 Abstract available at http://www.ncbi.nlm.nih.gov/pubmed/15006212.
- Assigned to
- Topic area
- Guidelines:Property "Appraisal topic" (as page type) with input value "Guidelines:" contains invalid characters or is incomplete and therefore can cause unexpected results during a query or annotation process.
- Clinical question
Section below only relevant for Cancer Council Project Officer