The value of teledermoscopy to the expertise of general practitioners diagnosing skin disorders based on ICD-10 coding

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Abstract

Early recognition of skin cancer is vital to enhance patient outcomes. Teledermoscopy (TDsc), a telemedicine service, supports general practitioners (GPs) in gaining fast access to dermatologists' feedback to detect skin cancer. This study aimed to assess if GPs gain expertise in diagnosing skin disorders after continued use of TDsc, based on diagnosis classification by the International Statistical Classification of Diseases and Related Health Problems (ICD-10). A retrospective study was conducted on TDsc consultations sent by GPs to teledermatologists in the Netherlands (July 2015 - June 2018). GP sensitivity and confirmed cases in diagnosing skin disorders slightly increased over time. However, the total positive predictive value showed a decrease. In three years, 43 melanomas were diagnosed by the TD for which the GP did not provide a (correct) pre-diagnose. Though GPs appear to improve their expertise in skin disorder detection after continued TDsc use, TDsc remains imperative to early melanoma detection.
Original languageEnglish
Title of host publicationMEDINFO 2019: Health and Wellbeing e-Networks for All - Proceedings of the 17th World Congress on Medical and Health Informatics
EditorsBrigitte Seroussi, Lucila Ohno-Machado
PublisherIOS Press
Pages834-838
Number of pages5
Volume264
ISBN (Electronic)9781643680026
DOIs
Publication statusPublished - 21 Aug 2019
Event17th World Congress on Medical and Health Informatics, MEDINFO 2019 - Lyon, France
Duration: 25 Aug 201930 Aug 2019

Publication series

NameStudies in Health Technology and Informatics

Conference

Conference17th World Congress on Medical and Health Informatics, MEDINFO 2019
Country/TerritoryFrance
CityLyon
Period25/08/201930/08/2019

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