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Review article
Telemedicine and Teledermatology (II): Current State of Research on Dermatology Teleconsultations
Telemedicina y Teledermatología (II): Estado Actual de la Investigación en Teleconsulta Dermatológica
G. Romero
Corresponding author
gromeroa@meditex.es

Correspondence: C/ Castillo de Caracuel, 30, 13005 Ciudad Real, Spain.
, P. Cortina, E. Vera
Unidad de Dermatología, Hospital General de Ciudad Real, Ciudad Real, Spain
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        "titulo" => "Telemedicina y Teledermatolog&#237;a &#40;II&#41;&#58; Estado Actual de la Investigaci&#243;n en Teleconsulta Dermatol&#243;gica"
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        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">The rapid increase in the use of telemedicine makes a critical appraisal of these services essential&#46; This article reviews the current evidence from studies of teledermatology with sufficiently rigorous methodology to allow reasonable conclusions to be drawn&#46; The review is organized according to areas of research in teledermatology&#58; reliability of diagnosis and management&#44; accuracy&#44; outcomes&#44; costs&#44; and satisfaction&#46; The conclusion of this review is that teledermatology has been shown to be feasible and reliable but that it has a long way to go before maturing as a medical technology in daily practice&#46; The largest body of evidence relates to the reliabity of diagnosis and management&#44; but although numerous studies have been performed&#44; many have marked methodological shortcomings&#46; Accuracy studies have been conducted in skin oncology with appropriate methodology that show an accuracy comparable to that of face-to-face consultations&#46; Studies of health outcomes should be designed such that a faithful assessment of the final outcomes&#44; costs&#44; and satisfaction with teledermatology systems can be carried out&#46;</p>"
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        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">El r&#225;pido incremento en el desarrollo de los servicios en telemedicina hace crucial su evaluaci&#243;n cr&#237;tica&#46; Este art&#237;culo revisa la evidencia actual en art&#237;culos de investigaci&#243;n en teledermatolog&#237;a con la suficiente calidad metodol&#243;gica como para alcanzar conclusiones razonables&#46; La revisi&#243;n se organiza analizando las &#225;reas de investigaci&#243;n en teledermatolog&#237;a&#58; fiabilidad en el diagn&#243;stico y el manejo&#44; validez&#44; resultados&#44; costes y satisfacci&#243;n&#46; Las conclusiones de la misma indican que la teledermatolog&#237;a ha demostrado ser factible y fiable pero que est&#225; lejos de alcanzar su madurez como tecnolog&#237;a m&#233;dica para su pr&#225;ctica habitual&#46; El cuerpo de evidencia con mayor desarrollo es el &#225;rea de fiabilidad en el diagn&#243;stico y el manejo&#44; donde existen un gran n&#250;mero de estudios&#44; aunque muchos de ellos adolecen de importantes defectos metodol&#243;gicos&#46; Existen estudios de validez en oncolog&#237;a cut&#225;nea con metodolog&#237;a correcta que muestran unos resultados comparables con la consulta presencial&#46; Se hace preciso el dise&#241;o de estudios en resultados de salud que permitan un an&#225;lisis fidedigno de resultados finales&#44; costes y satisfacci&#243;n de los sistemas de teledermatolog&#237;a&#46;</p>"
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ISSN: 15782190
Original language: English
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