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...
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Mary Ann Liebert
2025-01-01
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| Series: | Telemedicine Reports |
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| Online Access: | https://www.liebertpub.com/doi/10.1177/26924366251361365 |
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| author | Taylor L. Duffy Joseph C. English |
| author_facet | Taylor L. Duffy Joseph C. English |
| author_sort | Taylor L. Duffy |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-28fa8337378642eabcc79d7b0b547529 |
| institution | Kabale University |
| issn | 2692-4366 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Mary Ann Liebert |
| record_format | Article |
| series | Telemedicine Reports |
| spelling | doaj-art-28fa8337378642eabcc79d7b0b5475292025-08-20T03:56:41ZengMary Ann LiebertTelemedicine Reports2692-43662025-01-016117918410.1177/26924366251361365Asynchronous Teledermatology Reduces Wait Times and Maintains High Adherence to Standard Care for Lichen Planus: A Retrospective StudyTaylor L. Duffy0Joseph C. English1Department of Dermatology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.Department of Dermatology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.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.https://www.liebertpub.com/doi/10.1177/26924366251361365lichen planusteledermatologyasynchronousdiagnostic concordanceretrospective |
| spellingShingle | Taylor L. Duffy Joseph C. English Asynchronous Teledermatology Reduces Wait Times and Maintains High Adherence to Standard Care for Lichen Planus: A Retrospective Study Telemedicine Reports lichen planus teledermatology asynchronous diagnostic concordance retrospective |
| title | Asynchronous Teledermatology Reduces Wait Times and Maintains High Adherence to Standard Care for Lichen Planus: A Retrospective Study |
| title_full | Asynchronous Teledermatology Reduces Wait Times and Maintains High Adherence to Standard Care for Lichen Planus: A Retrospective Study |
| title_fullStr | Asynchronous Teledermatology Reduces Wait Times and Maintains High Adherence to Standard Care for Lichen Planus: A Retrospective Study |
| title_full_unstemmed | Asynchronous Teledermatology Reduces Wait Times and Maintains High Adherence to Standard Care for Lichen Planus: A Retrospective Study |
| title_short | Asynchronous Teledermatology Reduces Wait Times and Maintains High Adherence to Standard Care for Lichen Planus: A Retrospective Study |
| title_sort | asynchronous teledermatology reduces wait times and maintains high adherence to standard care for lichen planus a retrospective study |
| topic | lichen planus teledermatology asynchronous diagnostic concordance retrospective |
| url | https://www.liebertpub.com/doi/10.1177/26924366251361365 |
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