Evaluation of Rheumatologists' Teledermatology Practices and Perspectives.

IF 1.3 Q4 RHEUMATOLOGY European journal of rheumatology Pub Date : 2024-10-14 DOI:10.5152/eurjrheum.2024.24044
Gökçe Kenar-Artın
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Abstract

Objective: In their regular practice, rheumatologists often come across patients with skin and nail abnormalities, so they need dermatology consultations. A new option available today is the use of telemedicine for dermatology consultations. The aim of this study is to assess how frequently rheumatologists use this method, known as teledermatology (TD), and to investigate their perspectives.

Methods: This study is a survey of rheumatologists in Türkiye. The survey, generated with Google Docs, was e-mailed to rheumatologists who are members of the Turkish Rheumatology Association and asked them to complete it.

Results: A total of 122 rheumatologists completed the survey, with 85 women (70%) and 37 men (30%). The rheumatologists claimed that they encounter a mean of 6.60 (SD: 6.90) patients with skin/ nail lesions each week in their clinical practice and consult them for face-to-face (FTF) dermatology examinations for a mean of 12.3 (SD: 15.56) patients every month. Of the rheumatologists who took part in the trial, 38.5% said they experienced the TD approach. Most of them (n: 30, 62.5%) use TD “occasionally.” A significant proportion of rheumatologists stated that they used TD to consult with dermatologists in their personal networks (54.2%), dermatologists at the hospital where they work (47.2%), or dermatologists with advanced academic training in their field (45.8%). Most rheumatologists (60.8%) reported that, following TD, they only refer their patients to FTF examinations if the dermatologist requests it (e.g., for a biopsy). Some of the rheumatologists (37.5%) stated that TD would be effective in all skin lesions, but most rheumatologists (52.1%) stated TD would be more beneficial for special skin/nail lesions like infectious skin lesions or inflammatory dermatoses.

Conclusion: This study showed that a considerable number of rheumatologists use TD. Most rheumatologists schedule TD consults with dermatologists to gain speed for diagnosis and due to a lack of appointment availability from dermatologists. In rheumatology practice, clinicians have noted that they found TD effective for a wide range of skin/nail lesions.

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风湿病学家远程皮肤病学实践与观点评估》(Evaluation of Rheumatologists' Teledermatology Practices and Perspectives)。
目的:风湿病医生在日常工作中经常会遇到皮肤和指甲异常的病人,因此需要皮肤科会诊。如今,一种新的选择是使用远程医疗进行皮肤科会诊。本研究旨在评估风湿病医生使用这种被称为远程皮肤科(TD)的方法的频率,并调查他们的观点:本研究是一项针对土耳其风湿病学家的调查。该调查通过谷歌文档生成,并通过电子邮件发送给土耳其风湿病学协会的风湿病学家,请他们填写:共有 122 名风湿病学家完成了调查,其中女性 85 人(占 70%),男性 37 人(占 30%)。这些风湿病医生称,他们在临床实践中平均每周遇到 6.60 名(标度:6.90)皮肤/指甲病变患者,平均每月为 12.3 名(标度:15.56)患者进行面对面(FTF)皮肤科检查。在参与试验的风湿免疫科医生中,38.5% 的人表示他们体验过 TD 方法。其中大多数人(30 人,62.5%)"偶尔 "使用 TD。相当一部分风湿免疫科医生表示,他们使用 TD 咨询其个人网络中的皮肤科医生(54.2%)、其工作所在医院的皮肤科医生(47.2%)或在其领域接受过高级学术培训的皮肤科医生(45.8%)。大多数风湿免疫科医生(60.8%)表示,在进行 TD 检查后,他们只在皮肤科医生提出要求(如活组织检查)时才会将病人转诊至 FTF 检查。一些风湿免疫科医生(37.5%)表示,TD对所有皮肤病变都有效,但大多数风湿免疫科医生(52.1%)表示,TD对感染性皮肤病变或炎症性皮肤病等特殊皮肤/指甲病变更有益:这项研究表明,相当多的风湿病学家使用 TD。大多数风湿病医生与皮肤科医生安排 TD 会诊,以加快诊断速度,这也是由于皮肤科医生无法提供预约服务。在风湿病学实践中,临床医生发现 TD 对各种皮肤/指甲病变都很有效。
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审稿时长
7 weeks
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