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Clinical Features Associated with the Demand of In-Person Care by Dermatologists: An Observational Cross-Sectional Study.
Costa, Manuela Martins; Schmitz, Carlos André Aita; Almeida da Silveira, Marcus; Bakos, Renato Marchiori; Umpierre, Roberto Nunes; Gonçalves, Marcelo Rodrigues.
Afiliação
  • Costa MM; Epidemiology Postgraduation Program, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
  • Schmitz CAA; Dermatology Department, Clinical Director's Office, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
  • Almeida da Silveira M; Public Health Department, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
  • Bakos RM; Primary Care Unit, Clinical Director's Office, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
  • Umpierre RN; Computer Science School, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
  • Gonçalves MR; Dermatology Department, Clinical Director's Office, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
Telemed J E Health ; 30(3): 754-762, 2024 Mar.
Article em En | MEDLINE | ID: mdl-37843919
Background: The factors necessitating the need for referrals for in-person evaluations by a dermatologist are not adequately understood and have not been studied using automated text mining so far. The objective of this study was to compare the prevalence of required in-person dermatologist care in the presence or absence of certain clinical features. Methods: Observational cross-sectional study of 11,661 teledermatology reports made from February 2017 to March 2020. Results: The need for dermoscopy was associated with a 348% increase in the possibility of referral for in-person dermatologist evaluations (prevalence ratio [PR]: 4.48, 95% confidence interval [CI]: 4.17-4.82). Infectious diseases were associated with a 64% lower possibility of referral (PR: 0.36, 95% CI: 0.30-0.43). Discussion: Some lesions and poorly documented cases are challenging to assess remotely. This study presents a different approach to research more detailed data from teledermatology reports, using text mining, and points out the risk magnitude for demanding dermatologic in-person care of which feature analyzed. As limitations, the variables related to lesion location, size, and extension were not analyzed and the dictionaries used were originally in Brazilian Portuguese. Conclusions: Teledermatology seems sufficient for the management of 75% of clinical cases, especially acute in young patients with inflammatory or infectious lesions. Referrals for in-person dermatologist consultations were not only strongly associated with the need for dermoscopy, but also for therapeutic reasons like surgical procedures, phototherapy, and the use of some systemic medications.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Dermatopatias / Telemedicina / Dermatologia Limite: Humans Idioma: En Revista: Telemed J E Health Assunto da revista: INFORMATICA MEDICA / SERVICOS DE SAUDE Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Dermatopatias / Telemedicina / Dermatologia Limite: Humans Idioma: En Revista: Telemed J E Health Assunto da revista: INFORMATICA MEDICA / SERVICOS DE SAUDE Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos