New! Sign up for our free email newsletter.
Science News
from research organizations

Online dermatologic follow-up for atopic dermatitis earns equivalent results

Date:
October 22, 2014
Source:
The JAMA Network Journals
Summary:
An online model for follow-up care of atopic dermatitis, better known as eczema, that gave patients direct access to dermatologists resulted in equivalent clinical improvement compared to patients who received traditional in-person care, a study finds.
Share:
FULL STORY

An online model for follow-up care of atopic dermatitis (eczema) that gave patients direct access to dermatologists resulted in equivalent clinical improvement compared to patients who received traditional in-person care writes author April W. Armstrong, M.D., M.P.H., of the University of Colorado, Denver, and colleagues.

There are not enough dermatologists in the United States to meet the demand for services. Teledermatology is a chance to improve access to care.

The authors conducted a one-year randomized controlled equivalency trial that included adults and children with atopic dermatitis who had access to the Internet, computers and digital cameras. The study included 156 patients: 78 patients visited dermatologists at their offices for follow-up care, while the remaining 78 patients accessed care online, which included electronically transmitting clinical pictures to dermatologists who evaluated them, provided treatment recommendations and prescribed medications. The severity of the atopic dermatitis was measured by patient-oriented eczema measure (POEM) and investigator global assessment (IGA).

Between baseline and 12 months, the average difference in POEM score in patients in the online group was -5.1 and -4.86 in the in-person follow-up group. The percentage of patients achieving clearance or near clearance of their atopic dermatitis (IGA score of 0 or 1) was 38.4 percent in the online group and 43.6 percent in the in-person group.

"Health services delivery in dermatology is an exciting and evolving field. With the changing health care environment and a growing demand for dermatologic services, technology-enabled health care delivery models have the potential to increase access and improve outcomes. ... As with any novel health services delivery models, comparative effectiveness studies investigating health outcomes are critical to evaluate these new models in an evidence-based approach.


Story Source:

Materials provided by The JAMA Network Journals. Note: Content may be edited for style and length.


Journal Reference:

  1. April W. Armstrong, Mary Ann Johnson, Steven Lin, Emanual Maverakis, Nasim Fazel, Fu-Tong Liu. Patient-Centered, Direct-Access Online Care for Management of Atopic Dermatitis. JAMA Dermatology, 2014; DOI: 10.1001/jamadermatol.2014.2299

Cite This Page:

The JAMA Network Journals. "Online dermatologic follow-up for atopic dermatitis earns equivalent results." ScienceDaily. ScienceDaily, 22 October 2014. <www.sciencedaily.com/releases/2014/10/141022163929.htm>.
The JAMA Network Journals. (2014, October 22). Online dermatologic follow-up for atopic dermatitis earns equivalent results. ScienceDaily. Retrieved June 17, 2024 from www.sciencedaily.com/releases/2014/10/141022163929.htm
The JAMA Network Journals. "Online dermatologic follow-up for atopic dermatitis earns equivalent results." ScienceDaily. www.sciencedaily.com/releases/2014/10/141022163929.htm (accessed June 17, 2024).

Explore More

from ScienceDaily

RELATED STORIES