Abstract
Rapidly evolving technology, improved mobile device optics, and the uniquely visual nature of dermatology all promote mobile device use in the clinic. This paper examines how dermatologists use mobile device technology in direct patient care. We discuss mobile applications (apps) for both dermatologists and patients, as well as for integration with the electronic health record. Furthermore, we discuss aspects of teledermatology (including teledermoscopy), both from consults from a primary care provider and in using teledermatology to directly connect to the patient. Finally, we address patient perception of mobile devices in the clinic.
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Mobile trends report 2014. Epocrates. Web. 17 Aug 2015. http://www.epocrates.com/oldsite/2014MobileTrendsReport/MT14_WP_03.pdf.
Landman A, Emani S, Carlile N, et al. A mobile app for securely capturing and transferring clinical images to the electronic health record: description and preliminary usability study. JMIR Mhealth Uhealth. 2015;3(1):e1.
Patel S, Eluri M, Boyers LN, Karimkhani C, Dellavalle RP. Update on mobile applications in dermatology. Dermatol Online J. 2014;9:21(2).
March J, Hand M, Grossman D. Practical application of new technologies for melanoma diagnosis: part I. Noninvasive approaches. J Am Acad Dermatol. 2015;72(6):929–41. quiz 941-2. Article reviews the current state of technology in non-invasive technologies regarding melanoma diagnosis.
Wolf JA, Moreau JF, Akilov O, et al. Diagnostic inaccuracy of smartphone applications for melanoma detection. JAMA Dermatol. 2013;149:422–6.
Brewer AC, Endly DC, Henley J, et al. Mobile applications in dermatology. JAMA Dermatol. 2013;149:1300–4. Comprehensive overview of the types of apps currently being used in dermatology.
Mayer JE, Swetter SM, Fu T, Geller AC. Screening, early detection, education, and trends for melanoma: current status (2007-2013) and future directions: part I. Epidemiology, high-risk groups, clinical strategies, and diagnostic technology. J Am Acad Dermatol. 2014;71:599. e1-.e12; quiz 610, 599.e12. Summary of new technologies for the detection of melanoma.
Ali FR. The unadulterated smartphone camera: obviating the need for apps. J Am Acad Dermatol. 2015;72:e119.
Cohen DK, Nardone B, Cotton M, West DP, Kundu RV. Use of a mobile application to characterize a remote and global population of acne patients and to disseminate peer-reviewed acne-related health education. JAMA Dermatol. 2014;150:660–2.
Wu X, Oliveria SA, Yagerman S, et al. Feasibility and efficacy of patient-initiated mobile teledermoscopy for short-term monitoring of clinically atypical nevi. JAMA Dermatol. 2015;151:489–96.
Pak H, Triplett CA, Lindquist JH, Grambow SC, Whited JD. Store-and-forward teledermatology results in similar clinical outcomes to conventional clinic-based care. J Telemed Telecare. 2007;13:26–30.
Whited JD, Warshaw EM, Edison KE, et al. Effect of store and forward teledermatology on quality of life: a randomized controlled trial. JAMA Dermatol. 2013;149:584–91.
Whited JD, Hall RP, Foy ME, et al. Patient and clinician satisfaction with a store-and-forward teledermatology consult system. Telemed J E Health. 2004;10:422–31.
Coates SJ, Kvedar J, Granstein RD. Teledermatology: from historical perspective to emerging techniques of the modern era: part I: history, rationale, and current practice. J Am Acad Dermatol. 2015;72(4):563–74. quiz 75-6.
Vidmar DA. The history of teledermatology in the Department of Defense. Dermatol Clin. 1999;17(1):113–24. ix.
Thaker DA, Monypenny R, Olver I, Sabesan S. Cost savings from a telemedicine model of care in northern Queensland, Australia. Med J Aust. 2013;199(6):414–7.
Lipoff JB, Cobos G, Kaddu S, Kovarik CL. The Africa Teledermatology Project: a retrospective case review of 1229 consultations from sub-Saharan Africa. J Am Acad Dermatol. 2015;72(6):1084–5.
Livingstone J, Solomon J. An assessment of the cost-effectiveness, safety of referral and patient satisfaction of a general practice teledermatology service. Lon J Prim Care. 2015;7(2):31–5.
Boyers LN, Schultz A, Baceviciene R, et al. Teledermatology as an educational tool for teaching dermatology to residents and medical students. Telemed J E Health. 2015;21(4):312–4.
Peart JM, Kovarik C. Direct-to-patient teledermatology practices. J Am Acad Dermatol. 2015;72(5):907–9. Explains the pros and cons of a possible new avenue of patient care.
Giambrone D, Rao BK, Esfahani A, Rao S. Obstacles hindering the mainstream practice of teledermatopathology. J Am Acad Dermatol. 2014;71(4):772–80.
Romero G, Sanchez P, Garcia M, et al. Randomized controlled trial comparing store-and-forward teledermatology alone and in combination with web-camera videoconferencing. Clin Exp Dermatol. 2010;35(3):311–7.
Mehrotra A. The convenience revolution for treatment of low-acuity conditions. JAMA. 2013;310(1):35–6.
Frühauf J, Kröck S, Quehenberger F, et al. Mobile teledermatology helping patients control high-need acne: a randomized controlled trial. J Eur Acad Dermatol Venereol. 2015;29(5):919–24.
Kanthraj GR. Patient-assisted teledermatology practice: what is it? When, where, and how it is applied? Indian J Dermatol Venereol Leprol. 2015;81(2):136–43.
Fruhauf J, Schwantzer G, Ambros-Rudolph CM, et al. Pilot study on the acceptance of mobile teledermatology for the home monitoring of high-need patients with psoriasis. Australas J Dermatol. 2012;53(1):41–6.
Lamel SA, Haldeman KM, Ely H, et al. Application of mobile teledermatology for skin cancer screening. J Am Acad Dermatol. 2012;67(4):576–81.
Coates SJ, Kvedar J, Granstein RD. Teledermatology: from historical perspective to emerging techniques of the modern era: part II: emerging technologies in teledermatology, limitations and future directions. J Am Acad Dermatol. 2015;72(4):577–86. quiz 87-8.
Krupinski E, Burdick A, Pak H, et al. American Telemedicine Association’s practice guidelines for teledermatology. Telemed J E Health. 2008;14(3):289–302.
American Academy of Dermatology and AAD Association Position Statement on Teledermatology. Available at: https://www.aad.org/forms/policies/uploads/ps/ps-teledermatology.pdf.
Blum A, Giacomel J. “Tape dermatoscopy”: constructing a low-cost dermatoscope using a mobile phone, immersion fluid and transparent adhesive tape. Dermatol Pract Concept. 2015;5(2):87–93.
Borve A, Terstappen K, Sandberg C, Paoli J. Mobile teledermoscopy—there’s an app for that! Dermatol Pract Concept. 2013;3(2):41–8.
Chao JT, Loescher LJ, Soyer HP, Curiel-Lewandrowski C. Barriers to mobile teledermoscopy in primary care. J Am Acad Dermatol. 2013;69(5):821–4.
“Handyscope - Mobile Dermatoscope: Handyscope.” Handyscope—mobile dermatoscope: handyscope. Web. 17 Aug. 2015. <http://www.handyscope.net/>.
Manahan MN, Soyer HP, Loescher LJ, et al. A pilot trial of mobile, patient-performed teledermoscopy. Br J Dermatol. 2015;172(4):1072–80.
Braun RP, Marghoob A. High-dynamic-range dermoscopy imaging and diagnosis of hypopigmented skin cancers. JAMA Dermatol. 2015;151(4):456–7.
Kaliyadan F, Ashique KT. A simple and cost-effective device for mobile dermoscopy. Indian J Dermatol Venereol Leprol. 2013;79(6):817–9.
Anyanwu CO, Lipoff JB. Smartphones, photography, and security in dermatology. J Am Acad Dermatol. 2015;72(1):193–5.
Hsieh C, Yun D, Bhatia AC, Hsu JT, de Luzuriaga AM R. Patient perception on the usage of smartphones for medical photography and for reference in dermatology. Dermatol Surg. 2015;41(1):149–54. Article provides actual statistics on acceptability of medical photography from a patient perspective.
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Dr. RP Dellavalle is an employee of the U.S. Department of Veterans Affairs. The U.S. Department of Veterans Affairs had no role in the writing of this manuscript. Any opinions expressed herein do not necessarily reflect the opinions of the U.S. Department of Veterans Affairs. Dr. SJ Lofgreen, Mr. KA Burton, and Mr. KA Ashack report no conflicts of interest.
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This article is part of the Topical Collection on Teledermatology
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Lofgreen, S.J., Ashack, K., Burton, K.A. et al. Mobile Device Use in Dermatologic Patient Care. Curr Derm Rep 5, 77–82 (2016). https://doi.org/10.1007/s13671-016-0132-y
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DOI: https://doi.org/10.1007/s13671-016-0132-y