Teledermatology Versus Usual Care on Delay Before Diagnosis and Treatment of Dermatologic Conditions

Dermatologic Conditions Clinical Trial

— TELEDERMATO  

Official title:

Impact of Teledermatology Versus Usual Care on Delay Before Diagnosis and/or Treatment of Dermatologic Conditions in General Practice

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02122432
• Other study ID #: DMG002
• Status: Completed
• Phase: N/A
• First received: April 22, 2014
• Last updated: June 19, 2015
• Start date: April 2014
• Est. completion date: January 2015

Study information

• Verified date: June 2015
• Source: University Paris 7 - Denis Diderot
• Contact: n/a
• Is FDA regulated: No
• Health authority: France: Ministry of HealthFrance: Ministère de l'Enseignement supérieur et de la Recherche
• Study type: Interventional

Clinical Trial Summary

In France, there is usually a long delay (approximately 6 weeks) before a general practitioner can obtain a specialized advice by dermatologists for diagnosis of "unusual" dermatologic conditions of their patients.

Previous studies have shown that teledermatology is a reliable way for diagnosis in dermatology.

We hypothesize that a teledermatology advice could reduce delay before diagnosis and therefore treatment for patients.

Description:

In France, there is usually a long delay (approximately 6 weeks) before a general practitioner can obtain a specialized advice by dermatologists for diagnosis of "unusual" dermatologic conditions of their patients.

Previous studies have shown that teledermatology is a reliable way for diagnosis in dermatology.

We hypothesize that a teledermatology advice could reduce delay before diagnosis and therefore treatment for patients.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 109
• Est. completion date: January 2015
• Est. primary completion date: January 2015
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Both
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Consultation with a general practitioner for any motive during which, the general practitioner deems necessary to obtain a dermatologic expertise for a skin lesion (for diagnosis or treatment)

Exclusion Criteria:

• Emergency, assessed by the general practitioner (needs care or quick telephonic advice in the next 24 hours)

• Patients for which diagnosis and/or treatment are known by the general practitioner (the GP needs a dermatologic advice for a specific treatment (for example= laser, instrumental treatment...))

• Patient cannot go the dermatologic consultation by himself (for example: dependant patients...)

• Cognitive or psychiatric impairment (cannot give informed consent)

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Diagnostic

Related Conditions & MeSH terms

• Dermatologic Conditions
• Disease
• Skin Diseases

Intervention

Other:
• Teledermatology
General practitioner takes 3 photographs per dermatologic lesion using either a telephone with a 3Mega Pixel minimum camera or a standard camera following recommendations of the practice guidelines for teledermatology (2007) of the American Telemedicine Association. Photographs are sent by email using a secured mail server with at least the following information=date of symptoms, symptomatology, topography of lesions, description of lesions, extension, recent drug intakes) Photographs are read and analyzed by a single dermatologist who gives an expert answer (diagnosis and/or treatment). Answer is sent back to the general practitioner by email (using a secured mail server). Answer contains at least the following information= are photographs usable? What is the diagnosis? If necessary, which treatment should the general practitioner begin ? If necessary, does the patient need a consultation with a dermatologist ?

Locations

Country	Name	City	State
France	University paris Diderot	Paris

Sponsors (1)

Lead Sponsor	Collaborator
University Paris 7 - Denis Diderot

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Physicians satisfaction with teledermatology	questionnaire at the end of the study using simple rating scales ranging from "Not satisfied" (1) to "very satisfied" (4)	3 months	No
Other	Number of non usable photographs in teledermatology group	Number of non usable photographs in teledermatology group. Assessment by dermatologists who received the photograph. Reasons for non usability	3 months	No
Primary	Delay before expertise by a dermatologist	Delay, in days, between a patient's consultation with his general practitioner and expertise by a dermatologist (teledermatology or classic consultation) that allows either diagnostic and/or initiation of treatment.; For example: in the teledermatology group, if the specialist needs to see the patient because the photographs cannot be analyzed correctly, date of expertise is the date of the consultation with the dermatologist.; Data is censured after 3 months.	3 months	No
Secondary	Patient's satisfaction	An investigator will call patients by telephone and assess their satisfaction with their care for the dermatologic condition using a simple rating scale with 4 items ranging from "Not satisfied" (1) to "very satisfied" (4).	1 month after expertise by dermatologist	No