Table 2. Diagnostic Accuracy and Realibility of the Clinical (ABCDE) and Teledermoscopical (ABCD) diagnosis .

Diagnostic diferentiation	Diagnostic level	Statistics
		Sensitivity (95% CI)	Specificity (95% CI)	Accuracy (95% CI	Kappa (95% CI)
Malignant Vs Benign	Teledermoscopy (2SDP) Vs Histopathology	89.13% (76.43% to 96.38%)	92% (83.40% to 97.01%)	90.91% (84.32% to 95.37%)	0.81 (0.700 to 0.916)
	Clinic (ABCDE) Vs Histopathology	80.43% (66.09°% to 90.64%)	84% (73.72% to 91.45%)	82.64% (74.70% to 88.92%)	0.64 (0.496 to 0.777)
	Vs Clinic (ABCDE) Vs Teledermoscopy (2SDP)	78.72% (64.34% to 89.30%)	83.78% (73.39% to 91.33%)	81.82% (73.78% to 88.24%)	0.62 0.477 to 0.763

Abbrevation: 2SDP, a two-step dermoscopy procedure; ABCDE , ABCDE rule for skin cancers detection