Health Services Implications of a Teledermatology Consult System
NCT ID: NCT00013234
Last Updated: 2015-04-07
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
260 participants
INTERVENTIONAL
2003-09-30
Brief Summary
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Detailed Description
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We have previously shown (IIR 95-045) that teledermatology, using store and forward technology, can result in reliable and accurate diagnostic outcomes when compared to clinic-based dermatology consultations. This investigation builds on that fundamental diagnostic information by assessing the health services implications of a teledermatology consult system.
Objectives:
To investigate health services outcomes related to teledermatology implementation. Outcomes of interest were time to diagnosis and treatment initiation, the proportion of patients that avoided the need for a clinic-based encounter, and an economic analysis.
Methods:
Patients referred from the primary care clinics to the dermatology consult service were randomized to either usual care or a teledermatology consultation. A usual care consultation consisted a conventional text-based electronic consult request. A teledermatology consultation included digital images and a standardized history, in addition to the electronic text-based consult. Consultant dermatologists, reviewing the consult requests for both modalities, decided when, and if, a referral required a clinic-based evaluation.
Status:
Final report has been prepared and is in the review process at this time.
Conditions
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Study Design
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RANDOMIZED
SINGLE_GROUP
DIAGNOSTIC
NONE
Study Groups
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Arm 1
Teledermatology
Interventions
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Teledermatology
Eligibility Criteria
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Inclusion Criteria
18 Years
ALL
No
Sponsors
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US Department of Veterans Affairs
FED
Responsible Party
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Principal Investigators
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John D. Whited, MD MHS
Role: PRINCIPAL_INVESTIGATOR
Durham VA Medical Center, Durham, NC
Eugene Z. Oddone, MD MHSc
Role: PRINCIPAL_INVESTIGATOR
Durham VA Medical Center, Durham, NC
Locations
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Durham VA Medical Center, Durham, NC
Durham, North Carolina, United States
Countries
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References
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Whited JD, Datta S, Hall RP, Foy ME, Marbrey LE, Grambow SC, Dudley TK, Simel DL, Oddone EZ. An economic analysis of a store and forward teledermatology consult system. Telemed J E Health. 2003 Winter;9(4):351-60. doi: 10.1089/153056203772744671.
Whited JD. Teledermatology research review. Int J Dermatol. 2006 Mar;45(3):220-9. doi: 10.1111/j.1365-4632.2004.02427.x.
Whited JD, Hall RP, Foy ME, Marbrey LE, Grambow SC, Dudley TK, Datta SK, Simel DL, Oddone EZ. Patient and clinician satisfaction with a store-and-forward teledermatology consult system. Telemed J E Health. 2004 Winter;10(4):422-31. doi: 10.1089/tmj.2004.10.422.
Whited JD. The quality of telemedicine research. J Telemed Telecare. 2006;12(6):271-3. doi: 10.1258/135763306778558114. No abstract available.
Whited JD. Teledermatology. Current status and future directions. Am J Clin Dermatol. 2001;2(2):59-64. doi: 10.2165/00128071-200102020-00001.
Whited JD, Hall RP, Foy ME, Marbrey LE, Grambow SC, Dudley TK, Datta S, Simel DL, Oddone EZ. Teledermatology's impact on time to intervention among referrals to a dermatology consult service. Telemed J E Health. 2002 Fall;8(3):313-21. doi: 10.1089/15305620260353207.
Other Identifiers
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IIR 98-159
Identifier Type: -
Identifier Source: org_study_id
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