Evaluation of Skin Cancer in Northern California Kaiser Permanente's Store-and-Forward Teledermatology Referral Program
Objective: To determine whether teledermatology referrals yield a shorter time to biopsy of the most common types of skin cancer versus conventional dermatology referrals. Subjects and Methods: A retrospective chart review was performed of California's Central Valley Kaiser Permanente conventio...
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| Veröffentlicht in: | Telemedicine journal and e-health 2013-10, Vol.19 (10), p.78-785 |
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| container_title | Telemedicine journal and e-health |
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| creator | Kahn, Estelle Sossong, Sarah Goh, Anne Carpenter, Diane Goldstein, Sanford |
| description | Objective:
To determine whether teledermatology referrals yield a shorter time to biopsy of the most common types of skin cancer versus conventional dermatology referrals.
Subjects and Methods:
A retrospective chart review was performed of California's Central Valley Kaiser Permanente conventional dermatology or teledermatology referrals that yielded a positive skin cancer biopsy over a 7-month period. Four primary care clinics at Kaiser Permanente's Stockton Medical Center in California's Central Valley were included. Patients who were studied were treated for squamous cell carcinoma of skin, basal cell carcinoma of skin, and malignant melanoma. We compared the time interval between initial evaluation and biopsy of the most common types of skin cancer for teledermatology versus traditional referrals from primary care.
Results:
Our study criteria were met by 293 patient cases (58% conventional referrals and 42% teledermatology referrals). The mean time to biopsy of skin cancer was 13.8 days for conventional referrals (median, 12.0 days) versus a mean of 9.7 days (median, 9.0 days) for teledermatology referrals (
p |
| doi_str_mv | 10.1089/tmj.2012.0260 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1443396807</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1443396807</sourcerecordid><originalsourceid>FETCH-LOGICAL-c370t-1c3c1b714119b1a3e951c7df6426096babf973865dfd388ffa64473a0b1e7593</originalsourceid><addsrcrecordid>eNqFkEFv1DAQRi1ERUvLkSvyDS5Z7Nix4yNatYCoaNXuPZok45Li2GXspeq_J9EWrpxmNPP0aeYx9laKjRSt-1jm-00tZL0RtREv2IlsGlMpY9zLtVeiakxtj9nrnO-FEFra-hU7rrWwrjb6hD2e_4awhzKlyJPntz-nyLcQByS-dN8TlR9I6yhMPlGcgH-DKS_ba6QZIsaC7zO_LYmwgjhWF4kegUa-w4DjipQU0t0Tv0GPRBD4NaU7gvmMHXkIGd8811O2uzjfbb9Ul1efv24_XVaDsqJUclCD7K3UUrpegkLXyMGO3ujlW2d66L2zqjXN6EfVtt6D0doqEL1E2zh1yj4cYh8o_dpjLt085QFDWE5P-9xJrZVyphV2QasDOlDKmdB3DzTNQE-dFN2qultUd6vqblW98O-eo_f9jOM_-q_bBVAHYB1DjGHCHqn8J_YPkXuMNw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1443396807</pqid></control><display><type>article</type><title>Evaluation of Skin Cancer in Northern California Kaiser Permanente's Store-and-Forward Teledermatology Referral Program</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Kahn, Estelle ; Sossong, Sarah ; Goh, Anne ; Carpenter, Diane ; Goldstein, Sanford</creator><creatorcontrib>Kahn, Estelle ; Sossong, Sarah ; Goh, Anne ; Carpenter, Diane ; Goldstein, Sanford</creatorcontrib><description>Objective:
To determine whether teledermatology referrals yield a shorter time to biopsy of the most common types of skin cancer versus conventional dermatology referrals.
Subjects and Methods:
A retrospective chart review was performed of California's Central Valley Kaiser Permanente conventional dermatology or teledermatology referrals that yielded a positive skin cancer biopsy over a 7-month period. Four primary care clinics at Kaiser Permanente's Stockton Medical Center in California's Central Valley were included. Patients who were studied were treated for squamous cell carcinoma of skin, basal cell carcinoma of skin, and malignant melanoma. We compared the time interval between initial evaluation and biopsy of the most common types of skin cancer for teledermatology versus traditional referrals from primary care.
Results:
Our study criteria were met by 293 patient cases (58% conventional referrals and 42% teledermatology referrals). The mean time to biopsy of skin cancer was 13.8 days for conventional referrals (median, 12.0 days) versus a mean of 9.7 days (median, 9.0 days) for teledermatology referrals (
p
<0.0001).
Conclusions:
The use of teledermatology in remote areas results in a shorter time to biopsy than traditional referral methods as a result of improved triaging measures.</description><identifier>ISSN: 1530-5627</identifier><identifier>EISSN: 1556-3669</identifier><identifier>DOI: 10.1089/tmj.2012.0260</identifier><identifier>PMID: 24079264</identifier><language>eng</language><publisher>United States: Mary Ann Liebert, Inc</publisher><subject>Aged ; California ; Dermatology ; Female ; Humans ; Male ; Medical Audit ; Middle Aged ; Original Research ; Referral and Consultation ; Retrospective Studies ; Rural Population ; Skin Neoplasms - diagnosis ; Telemedicine ; Time Factors</subject><ispartof>Telemedicine journal and e-health, 2013-10, Vol.19 (10), p.78-785</ispartof><rights>2013, Mary Ann Liebert, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c370t-1c3c1b714119b1a3e951c7df6426096babf973865dfd388ffa64473a0b1e7593</citedby><cites>FETCH-LOGICAL-c370t-1c3c1b714119b1a3e951c7df6426096babf973865dfd388ffa64473a0b1e7593</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24079264$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kahn, Estelle</creatorcontrib><creatorcontrib>Sossong, Sarah</creatorcontrib><creatorcontrib>Goh, Anne</creatorcontrib><creatorcontrib>Carpenter, Diane</creatorcontrib><creatorcontrib>Goldstein, Sanford</creatorcontrib><title>Evaluation of Skin Cancer in Northern California Kaiser Permanente's Store-and-Forward Teledermatology Referral Program</title><title>Telemedicine journal and e-health</title><addtitle>Telemed J E Health</addtitle><description>Objective:
To determine whether teledermatology referrals yield a shorter time to biopsy of the most common types of skin cancer versus conventional dermatology referrals.
Subjects and Methods:
A retrospective chart review was performed of California's Central Valley Kaiser Permanente conventional dermatology or teledermatology referrals that yielded a positive skin cancer biopsy over a 7-month period. Four primary care clinics at Kaiser Permanente's Stockton Medical Center in California's Central Valley were included. Patients who were studied were treated for squamous cell carcinoma of skin, basal cell carcinoma of skin, and malignant melanoma. We compared the time interval between initial evaluation and biopsy of the most common types of skin cancer for teledermatology versus traditional referrals from primary care.
Results:
Our study criteria were met by 293 patient cases (58% conventional referrals and 42% teledermatology referrals). The mean time to biopsy of skin cancer was 13.8 days for conventional referrals (median, 12.0 days) versus a mean of 9.7 days (median, 9.0 days) for teledermatology referrals (
p
<0.0001).
Conclusions:
The use of teledermatology in remote areas results in a shorter time to biopsy than traditional referral methods as a result of improved triaging measures.</description><subject>Aged</subject><subject>California</subject><subject>Dermatology</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical Audit</subject><subject>Middle Aged</subject><subject>Original Research</subject><subject>Referral and Consultation</subject><subject>Retrospective Studies</subject><subject>Rural Population</subject><subject>Skin Neoplasms - diagnosis</subject><subject>Telemedicine</subject><subject>Time Factors</subject><issn>1530-5627</issn><issn>1556-3669</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEFv1DAQRi1ERUvLkSvyDS5Z7Nix4yNatYCoaNXuPZok45Li2GXspeq_J9EWrpxmNPP0aeYx9laKjRSt-1jm-00tZL0RtREv2IlsGlMpY9zLtVeiakxtj9nrnO-FEFra-hU7rrWwrjb6hD2e_4awhzKlyJPntz-nyLcQByS-dN8TlR9I6yhMPlGcgH-DKS_ba6QZIsaC7zO_LYmwgjhWF4kegUa-w4DjipQU0t0Tv0GPRBD4NaU7gvmMHXkIGd8811O2uzjfbb9Ul1efv24_XVaDsqJUclCD7K3UUrpegkLXyMGO3ujlW2d66L2zqjXN6EfVtt6D0doqEL1E2zh1yj4cYh8o_dpjLt085QFDWE5P-9xJrZVyphV2QasDOlDKmdB3DzTNQE-dFN2qultUd6vqblW98O-eo_f9jOM_-q_bBVAHYB1DjGHCHqn8J_YPkXuMNw</recordid><startdate>20131001</startdate><enddate>20131001</enddate><creator>Kahn, Estelle</creator><creator>Sossong, Sarah</creator><creator>Goh, Anne</creator><creator>Carpenter, Diane</creator><creator>Goldstein, Sanford</creator><general>Mary Ann Liebert, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20131001</creationdate><title>Evaluation of Skin Cancer in Northern California Kaiser Permanente's Store-and-Forward Teledermatology Referral Program</title><author>Kahn, Estelle ; Sossong, Sarah ; Goh, Anne ; Carpenter, Diane ; Goldstein, Sanford</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c370t-1c3c1b714119b1a3e951c7df6426096babf973865dfd388ffa64473a0b1e7593</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Aged</topic><topic>California</topic><topic>Dermatology</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical Audit</topic><topic>Middle Aged</topic><topic>Original Research</topic><topic>Referral and Consultation</topic><topic>Retrospective Studies</topic><topic>Rural Population</topic><topic>Skin Neoplasms - diagnosis</topic><topic>Telemedicine</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kahn, Estelle</creatorcontrib><creatorcontrib>Sossong, Sarah</creatorcontrib><creatorcontrib>Goh, Anne</creatorcontrib><creatorcontrib>Carpenter, Diane</creatorcontrib><creatorcontrib>Goldstein, Sanford</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Telemedicine journal and e-health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kahn, Estelle</au><au>Sossong, Sarah</au><au>Goh, Anne</au><au>Carpenter, Diane</au><au>Goldstein, Sanford</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of Skin Cancer in Northern California Kaiser Permanente's Store-and-Forward Teledermatology Referral Program</atitle><jtitle>Telemedicine journal and e-health</jtitle><addtitle>Telemed J E Health</addtitle><date>2013-10-01</date><risdate>2013</risdate><volume>19</volume><issue>10</issue><spage>78</spage><epage>785</epage><pages>78-785</pages><issn>1530-5627</issn><eissn>1556-3669</eissn><abstract>Objective:
To determine whether teledermatology referrals yield a shorter time to biopsy of the most common types of skin cancer versus conventional dermatology referrals.
Subjects and Methods:
A retrospective chart review was performed of California's Central Valley Kaiser Permanente conventional dermatology or teledermatology referrals that yielded a positive skin cancer biopsy over a 7-month period. Four primary care clinics at Kaiser Permanente's Stockton Medical Center in California's Central Valley were included. Patients who were studied were treated for squamous cell carcinoma of skin, basal cell carcinoma of skin, and malignant melanoma. We compared the time interval between initial evaluation and biopsy of the most common types of skin cancer for teledermatology versus traditional referrals from primary care.
Results:
Our study criteria were met by 293 patient cases (58% conventional referrals and 42% teledermatology referrals). The mean time to biopsy of skin cancer was 13.8 days for conventional referrals (median, 12.0 days) versus a mean of 9.7 days (median, 9.0 days) for teledermatology referrals (
p
<0.0001).
Conclusions:
The use of teledermatology in remote areas results in a shorter time to biopsy than traditional referral methods as a result of improved triaging measures.</abstract><cop>United States</cop><pub>Mary Ann Liebert, Inc</pub><pmid>24079264</pmid><doi>10.1089/tmj.2012.0260</doi><tpages>708</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1530-5627 |
| ispartof | Telemedicine journal and e-health, 2013-10, Vol.19 (10), p.78-785 |
| issn | 1530-5627 1556-3669 |
| language | eng |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Aged California Dermatology Female Humans Male Medical Audit Middle Aged Original Research Referral and Consultation Retrospective Studies Rural Population Skin Neoplasms - diagnosis Telemedicine Time Factors |
| title | Evaluation of Skin Cancer in Northern California Kaiser Permanente's Store-and-Forward Teledermatology Referral Program |
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