Table 1.
Study details | Location | Study type | Practitioners | Patients | Control group | Intervention group | Gender of patients (except where indicated) (F/M) (%) |
Age of patients (except where indicated) (years), mean (range) | ||||||||
PCPs | SCPs | PCPs and SCPs | DPCSCCs | Studies with patients from: | Studies using images from: | |||||||||||
Primary care | Secondary care | DPCSCCs | Primary care | Secondary care | DPCSCCs | |||||||||||
Dermoscopy papers | ||||||||||||||||
Ahmadi et al 27 | Maastricht/Limburg, The Netherlands | Case series | None | Patients from 3 primary care practices | F=57.8 | 54.7 (60–79) | ||||||||||
Argenziano et al 23 | Barcelona, Spain; Naples, Italy | RCT | Naked eye | Dermoscopy | C: F=62.4 I: F=62.3 |
C: 40 (2–90) I: 41 (3–94) |
||||||||||
Bourne et al 28 | Brisbane, Australia | DA study | Clinical assessment and algorithms | BLINCK algorithm | F=52.2 | 58 (30–60) | ||||||||||
Chappuis et al 38 | 4 regions of France | Survey | None | PCPs in France | GPs: F=42.4 | GPs: <30=8 30–50=169 >50=246 |
||||||||||
Koelink et al 24 | Groningen, The Netherlands | RCT | Naked eye | Dermoscopy | C: F=61.6 I: F=68.2 |
C: 54.7 I: 53.2 |
||||||||||
Menzies et al 29 | USA, Germany and Australia | DA study | Independent clinicians | SolarScan assessment | NR | NR | ||||||||||
Menzies et al 14 | Perth, Australia | SIT | PCP decision before intervention | Outcome after dermoscopy and SDDI | NR | NR | ||||||||||
Morris et al 39 | Florida, USA | Survey | None | PCPs | Clinicians: F=41.6 | Clinicians: median 40–49 years |
||||||||||
Morris et al 40 | Florida, USA | Survey | None | Practising physicians | Clinicians: F=34.7 | Clinicians: NR |
||||||||||
Pagnanelli et al 30 | Rome, Italy | DA study | * | Pretraining | Post-training | NR | NR | |||||||||
Rogers et al 31 | New York, USA | DA study | Histology/expert opinion | Clinicians using 3 algorithms | F=53.3 | Median 31–40 years |
||||||||||
Rogers et al 32 | New York, USA | DA study | Histology/expert opinion | Clinicians using 3 algorithms | F=53.3 | Median 31–40 years |
||||||||||
Rosendahl et al 43 | Queensland, Australia | SIT | † | Naked eye | Dermoscopy images | F=32.6 | 57 SD: 17 years |
|||||||||
Rosendahl et al 25 | Australian SCARD database | Cohort study | Histology diagnosis | PCP decision | NR | NR | ||||||||||
Secker et al 44 | Leiden, The Netherlands | DA study | PCPs before education | After education | F=51.8 | 45.2 (28–63) |
||||||||||
Westerhoff et al 33 | Sydney, Australia | DA study | PCP diagnosis | PCPs ± dermoscopy ± education | NR | NR | ||||||||||
Teledermoscopy papers | ||||||||||||||||
Börve et al 34 | Gothenburg, Sweden | Case–control study | Paper-based referrals | Teledermoscopy referrals | C: F=57.1 I: F=61.4 |
C: 61 (18–97) I: 54 (18–93) |
||||||||||
Ferrándiz et al 26 | Andalucia, Spain | RCT | Clinical images | Clinical and dermoscopy images | C: F=52.88 I: F=62.28 |
C: 57.33 I: 54.96 |
||||||||||
Grimaldi et al 35 | Siena, Italy | DA study | Judgement before dermoscopy | Judgement after dermoscopy | NR | NR | ||||||||||
Livingstone and Solomon41 | Ruislip, UK | Case series | Expert diagnosis and standard costs | Teledermoscopy referrals | NR | NR | ||||||||||
Moreno-Ramirez et al 36 | Sevilla, Spain | DA study | Tele dermatology referrals |
Same patients + dermoscopy images |
F=70.5 | 38.8 (1–73) | ||||||||||
Stratton and Loescher42 | Arizona, USA | Survey | None | Nurse practitioners | Nurse practitioners: F=92 | Nurse practitioners: 48 |
||||||||||
van der Heijden et al 37 | Amsterdam, The Netherlands | Cohort study | Face-to-face consult ± histology | Teledermoscopy consult (same patients) | F=55 | Median 47 years, 6–84 years |
Coloured boxes denote that practitioners and patients from these populations were included in the corresponding study
*Minimal dermoscopy experience, although secondary care physicians.
†Practitioner population not specified.
BLINCK, Benign, Lonely, Irregular, Nervous, Change, Known clues; C, control group; DA, diagnostic accuracy; DPCSCC, dedicated primary care skin cancer clinic; F, female; GP, General Practitioner; I, intervention group; M, male; NR, not reported; PCP, primary care physician; RCT, randomised controlled trial; SCARD, Skin Cancer Audit Research Database; SCP, secondary care physician; SD, Standard Deviation; SDDI, short-term sequential digital dermoscopy imaging; SIT, sequential intervention trial.