Lara Ferr?ndiz published latest article in Journal of the American Academy of Dermatology entitled Internet-based skin cancer screening using clinical images alone or in conjunction with dermoscopic images: A randomized teledermoscopy trial. This article is available in PubMed with an unique identification number PMID: 28089728 and it is published in 2017. The coauthors of this article are Ferr?ndiz L, Ojeda-Vila T, Corrales A, Mart?n-Guti?rrez FJ, Ru?z-de-Casas A, Galdeano R, ?lvarez-Torralba I, S?nchez-Ib??ez F, Dom?nguez-Toro JM, Encina F, Narbona FJ, Herrer?as-Esteban JM, Moreno-Ram?rez D.
Latest Publication Details
Article Title: Internet-based skin cancer screening using clinical images alone or in conjunction with dermoscopic images: A randomized teledermoscopy trial.
Co-Author(s): Ferr?ndiz L, Ojeda-Vila T, Corrales A, Mart?n-Guti?rrez FJ, Ru?z-de-Casas A, Galdeano R, ?lvarez-Torralba I, S?nchez-Ib??ez F, Dom?nguez-Toro JM, Encina F, Narbona FJ, Herrer?as-Esteban JM, Moreno-Ram?rez D
Affiliation(s): Dermatology Unit and Teledermatology Network, Virgen Macarena University Hospital, Seville, Spain. Electronic address: firstname.lastname@example.org.
PMID 28089728, Year 2017
Abstract: Teledermoscopy?involves the use of dermoscopic images for remote consultation and decision-making in skin cancer screening.We sought to analyze the potential benefits gained from the addition of dermoscopic images to an internet-based skin cancer screening system.A randomized clinical trial assessed the diagnostic performance and cost-effectiveness of clinical teleconsultations (CTC) and clinical with dermoscopic teleconsultations.A total of 454 patients were enrolled in the trial (nCTC?=?226, nclinical with dermoscopic teleconsultation?=?228). Teledermoscopy improved sensitivity and specificity (92.86% and 96.24%, respectively) compared with CTC (86.57% and 72.33%, respectively). Correct decisions were made in 94.30% of patients through clinical with dermoscopic teleconsultations and in 79.20% in CTC (P?.001). The only variable associated with an increased likelihood of correct diagnosis was management using teledermoscopy (odds ratio 4.04; 95% confidence interval 2.02-8.09; P?.0001). The cost-effectiveness analysis showed teledermoscopy as the dominant strategy, with a lower cost-effectiveness ratio (65.13 vs 80.84).Potentially, a limitation is the establishment of an experienced dermatologist as the gold standard for the in-person evaluation.The addition of dermoscopic images significantly improves the results of an internet-based skin cancer screening system, compared with screening systems based on clinical images alone.
Journal: Journal of the American Academy of Dermatology