Desenvolvimento de manual digital de fotodocumentação de lesões de pele para pacientes para teledermatologia

Abstract

Teleconsultation in dermatology necessitates patients to provide high-quality images of their skin lesions for accurate diagnoses and treatment by dermatologists. Consequently, patients assume a pivotal role in teledermatology and must acquire proficiency in documenting their skin lesions effectively through standardized photographs. This study endeavors to develop a digital manual that guides patients on the proper photo documentation of skin lesions for teleconsultation in dermatology. The study involved a comprehensive review of pertinent literature to ascertain the prerequisites for high-quality photo documentation in dermatology. We synthesized these findings into a comprehensible digital manual designed for patients. Subsequently, we validated the manual by dermatologists (n=10) and laypeople (n=33) through an online questionnaire and statistically analyzed the reliability and concordance. We reviewed twenty articles based on eligibility criteria. The most pertinent guidelines on photo documentation in teledermatology were adapted into the digital manual, with clear and accessible language to patients. Regarding the questionnaires' reliability analysis, Cronbach's alpha coefficient was 0.945 for the laypeople group and 0.718 for the expert group. The ICC for the concordance analysis of the experts' questionnaire yielded a value of 0.79 (95% CI 0.48-0.95), with an F-test statistic of 4.83 (p < 0.001). The scarcity of published works on this subject and patients' challenges in sharing high-quality photos with physicians during virtual consultations underscore the necessity for a digital manual to guide patients. The validation process, encompassing dermatologists and laypeople, affirmed the consensus and acceptance of the digital manual, indicating its potential practical utility.