{"title":"一项回顾性研究：异步远程皮肤科减少了等待时间并保持了对扁平苔藓标准护理的高度依从性。","authors":"Taylor L Duffy, Joseph C English","doi":"10.1177/26924366251361365","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Lichen planus (LP) is a chronic inflammatory dermatosis with limited teledermatology data guiding its management.</p><p><strong>Objective: </strong>To assess whether asynchronous teledermatology provides timely, guideline-adherent LP care comparable to in-person visits.</p><p><strong>Methods: </strong>A retrospective study of 102 LP patients seen via asynchronous teledermatology (<i>n</i> = 45) or in-person (<i>n</i> = 57) from 2020 to 2024. Variables included demographics, response time, diagnostic concordance, treatment, and follow-up compliance.</p><p><strong>Results: </strong>Teledermatology provided rapid access (mean response time: 15 h) to dermatologic care. Diagnostic concordance between teledermatologists and in-person dermatologists was high (90.5%), while concordance with primary care providers was lower (18.5%, <i>p</i> < 0.001). Teledermatologists followed LP care standards, including hepatitis C virus screening (91.1%) and topical corticosteroid initiation (90%). Black patients used eVisits more frequently than in-person care (38.9% vs. 8.8%, <i>p</i> < 0.01), and follow-up compliance was lower among asynchronous patients (57.8% vs. 92.7%, <i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>Asynchronous teledermatology enables timely, high-quality LP care. However, strategies to improve follow-up are needed, particularly for younger teledermatology patients.</p>","PeriodicalId":94218,"journal":{"name":"Telemedicine reports","volume":"6 1","pages":"179-184"},"PeriodicalIF":1.6000,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12411894/pdf/","citationCount":"0","resultStr":"{\"title\":\"Asynchronous Teledermatology Reduces Wait Times and Maintains High Adherence to Standard Care for Lichen Planus: A Retrospective Study.\",\"authors\":\"Taylor L Duffy, Joseph C English\",\"doi\":\"10.1177/26924366251361365\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Lichen planus (LP) is a chronic inflammatory dermatosis with limited teledermatology data guiding its management.</p><p><strong>Objective: </strong>To assess whether asynchronous teledermatology provides timely, guideline-adherent LP care comparable to in-person visits.</p><p><strong>Methods: </strong>A retrospective study of 102 LP patients seen via asynchronous teledermatology (<i>n</i> = 45) or in-person (<i>n</i> = 57) from 2020 to 2024. Variables included demographics, response time, diagnostic concordance, treatment, and follow-up compliance.</p><p><strong>Results: </strong>Teledermatology provided rapid access (mean response time: 15 h) to dermatologic care. Diagnostic concordance between teledermatologists and in-person dermatologists was high (90.5%), while concordance with primary care providers was lower (18.5%, <i>p</i> < 0.001). Teledermatologists followed LP care standards, including hepatitis C virus screening (91.1%) and topical corticosteroid initiation (90%). Black patients used eVisits more frequently than in-person care (38.9% vs. 8.8%, <i>p</i> < 0.01), and follow-up compliance was lower among asynchronous patients (57.8% vs. 92.7%, <i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>Asynchronous teledermatology enables timely, high-quality LP care. However, strategies to improve follow-up are needed, particularly for younger teledermatology patients.</p>\",\"PeriodicalId\":94218,\"journal\":{\"name\":\"Telemedicine reports\",\"volume\":\"6 1\",\"pages\":\"179-184\"},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2025-07-24\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12411894/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Telemedicine reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/26924366251361365\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Telemedicine reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/26924366251361365","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
Asynchronous Teledermatology Reduces Wait Times and Maintains High Adherence to Standard Care for Lichen Planus: A Retrospective Study.
Background: Lichen planus (LP) is a chronic inflammatory dermatosis with limited teledermatology data guiding its management.
Objective: To assess whether asynchronous teledermatology provides timely, guideline-adherent LP care comparable to in-person visits.
Methods: A retrospective study of 102 LP patients seen via asynchronous teledermatology (n = 45) or in-person (n = 57) from 2020 to 2024. Variables included demographics, response time, diagnostic concordance, treatment, and follow-up compliance.
Results: Teledermatology provided rapid access (mean response time: 15 h) to dermatologic care. Diagnostic concordance between teledermatologists and in-person dermatologists was high (90.5%), while concordance with primary care providers was lower (18.5%, p < 0.001). Teledermatologists followed LP care standards, including hepatitis C virus screening (91.1%) and topical corticosteroid initiation (90%). Black patients used eVisits more frequently than in-person care (38.9% vs. 8.8%, p < 0.01), and follow-up compliance was lower among asynchronous patients (57.8% vs. 92.7%, p < 0.001).
Conclusion: Asynchronous teledermatology enables timely, high-quality LP care. However, strategies to improve follow-up are needed, particularly for younger teledermatology patients.
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