Randomized Open-Label Trial Comparing Teledermatology vs. Face-to-Face Consultation in the Follow-Up of Patients with Mild-to-Moderate Acne.

Heidemeyer, Kristine; Bodle, Lukas; Böll, Simone; Bossart, Simon; Jafari, S Morteza Seyed; Hunger, Robert E; Cazzaniga, Simone (2023). Randomized Open-Label Trial Comparing Teledermatology vs. Face-to-Face Consultation in the Follow-Up of Patients with Mild-to-Moderate Acne. Acta informatica medica, 31(1), pp. 31-36. Academy of Medical Sciences of Bosnia and Herzegovina 10.5455/aim.2023.31.31-36

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BACKGROUND

Acne vulgaris is one of the most common dermatological diseases, especially in adolescents and young adults.

OBJECTIVE

The current study aimed to compare teledermatology versus face-to-face consultation in the follow-up of patients with mild-to-moderate acne.

METHODS

In this investigator-initiated, parallel arms, open-label, randomized clinical trial, after screening, participants were randomly assigned in a 1:1 ratio to be followed up through teledermatology or standard face-to-face consultations for a period of 6 months. The primary endpoint was the cumulative time spent by physician for consultations or online assessments.

RESULTS

Out of 24 patients (21 females and 3 males; mean age 23.0 ± 3.3 years) underwent randomization in the two study groups. In intention-to-treat analysis, the cumulative time spent by physician was higher in the teledermatology group compared to face-to-face consultations with an average difference of 8:24 mm:ss (95% CI: 1:17-15:31). However, the cumulative time spent by the patient was significantly lower in the teledermatology group (mean difference 1:21:39 hh:mm:ss; 95% CI: 41:51-2:01:27). An optimal reduction of acne-severity was observed in both groups, without significant differences between them. The patient's satisfaction did not change significantly over time and between groups, and was generally quite high. AEs were reported by one patient in the teledermatology group and four patients in the consultation group.

CONCLUSION

Acne might be an optimal disease to be followed up using a teledermatology platform, to relieve the burden on patients and medical staff. However, it is necessary to implement more user-friendly platforms in order to achieve the best possible results in the treatment and follow-up of acne patients.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Dermatology, Urology, Rheumatology, Nephrology, Osteoporosis (DURN) > Clinic of Dermatology

UniBE Contributor:

Heidemeyer, Kristine, Böll, Simone, Bossart, Simon, Jafari, Morteza, Hunger, Robert, Cazzaniga, Simone

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0353-8109

Publisher:

Academy of Medical Sciences of Bosnia and Herzegovina

Language:

English

Submitter:

Pubmed Import

Date Deposited:

12 Apr 2023 07:48

Last Modified:

12 Apr 2023 07:48

Publisher DOI:

10.5455/aim.2023.31.31-36

PubMed ID:

37038496

Uncontrolled Keywords:

Acne Acne vulgaris Teledermatology Telehealth Telemedicine

URI:

https://boris.unibe.ch/id/eprint/181662

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