Systematization of the teledermatology program at the Universidad de Caldas - Department of Caldas, 2002-2010
DOI:
https://doi.org/10.29176/2590843X.1532Keywords:
Telemedicine, Teledermatology, Dermatology, ColombiaAbstract
Introduction: Teledermatology has been introduced as a novel diagnostic tool for the daily dermatology practice. Several aspects explain why teledermatology would have a huge potential in a country like our own. Up to this date, a very few studies about the subject, and none of them quantify the field impact of large-scale teledermatology programs in Colombian population.
Material and methods: This was a retrospective observational study, accomplished within the program of teledermatology of the Universidad de Caldas, between 2002 and 2012. The sociodemographic features, frequency of disease, diagnosis agreement between to the general physician and dermatologist, resolution capacity, reasons for referral to face-to-face consultation and the difficulties present while making a diagnostic were studied.
Results: A sample of 4333 consults with 4713 dermatologic diagnoses were analyzed. The inflammatory diseases were the most frequent diagnosis group (49%), followed by benign neoplasms (19%). The percentage aggregate agreement between diagnoses was 52.4%. The resolution capacity was achieved of 66%. The main reason for a referral was the need diagnostic confirmation. In some cases (2.2%), due to low quality imaging, the dermatologists have had difficulties while providing with a diagnostic.
Conclusions: The distribution of the sociodemographic characteristics and dermatological diseases is similar to the ones found in previous studies. The resolution capacity achieved with teledermatology is representative enough to avoid almost half of the referrals to the face-to-face consultation. In few cases, there was issues regarding the develop of the teleconsult. The degree of agreement obtained with the general physician diagnosis was acceptable.
Author Biographies
Ana Patricia Insuasty
Médica dermatóloga, Universidad de Caldas, Manizales, Colombia.
Felipe Jaramillo
Médico dermatólogo, dermatopatólogo. Coordinador, posgrado de Dermatología, Universidad de Caldas, Manizales, Colombia.
José Arnoby Chacón
Médico, MSP. Profesor asociado, Universidad de Caldas, Manizales, Colombia.
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