• Telemed J E Health · Nov 2017

    Observational Study

    Diagnosis and Management of Malignant Melanoma in Store-and-Forward Teledermatology.

    • Melinda Wang, James L Gendreau, Jordan Gemelas, Dana Capulong, Clayton Lau, Sandra Mata-Diaz, Dustin M Bratten, Brittany Dougall, Craig Markham, and Gregory J Raugi.
    • 1 Department of Biochemistry, University of Washington , Seattle, Washington.
    • Telemed J E Health. 2017 Nov 1; 23 (11): 877-880.

    BackgroundPublished studies have led to concern that store-and-forward teledermatology (SFT) diagnosis and management of melanomas may be inferior to face-to-face (FTF) dermatology care.IntroductionTo ascertain the frequency of correctly managed and diagnosed melanomas within a population of veterans in Veterans Integrated Service Network 20 SFT.Materials And MethodsWe conducted a retrospective chart review of 7,960 veterans seen by SFT between July 1, 2009 and December 31, 2011.ResultsOf the 61 veterans that met inclusion and exclusion criteria, 45 (74%) melanomas were correctly diagnosed and 57 (93%) were correctly managed.DiscussionDiagnostic and management accuracy of SFT is comparable to FTF. Incorrect diagnosis or management of melanomas did not prove to have significant consequences for patient care. Cases subject to analysis of this study are not demographically representative of the general population.ConclusionDiagnosis and management of melanoma in SFT is comparable to FTF care.

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