Clinical trial NCT02122432: Teledermatology Versus Usual Care on Delay Before Diagnosis and Treatment of Dermatologic Conditions
Official title: Impact of Teledermatology Versus Usual Care on Delay Before Diagnosis and/or Treatment of Dermatologic Conditions in General Practice
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Dermatologic Conditions
Keywords: teledermatology
dermatology
general practice
organization of care
Lead sponsor: University Paris 7 - Denis Diderot
Sponsor class: OTHER
First posted: 2014-04-24
Enrollment: 109
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: DIAGNOSTIC

Brief 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.

Detailed 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.

Eligibility criteria: 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)

Primary outcomes:
measure: Delay before expertise by a dermatologist
timeFrame: 3 months
Secondary outcomes:
measure: Patient's satisfaction
timeFrame: 1 month after expertise by dermatologist
Other outcomes:
measure: Physicians satisfaction with teledermatology
timeFrame: 3 months
measure: Number of non usable photographs in teledermatology group
timeFrame: 3 months
Locations:
city: Paris
country: France
facility: University paris Diderot
Study officials:
affiliation: University paris Diderot
name: Viet Thi Tran, MD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Piette E, Nougairede M, Vuong V, Crickx B, Tran VT. Impact of a store-and-forward teledermatology intervention versus usual care on delay before beginning treatment: A pragmatic cluster-randomized trial in ambulatory care. J Telemed Telecare. 2017 Sep;23(8):725-732. doi: 10.1177/1357633X16663328. Epub 2016 Aug 5.