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Master Thesis

Étude observationnelle des demandes de télé-expertise en dermatologie, par les médecins généralistes du Lot-et-Garonne, des Deux-Sèvres et de la Creuse pendant un an

Abstract : Introduction: in dermatology, consultation deadlines are longer over the years in France. In consequence, a dermatology teleexpertise project (SmartDerm project) has been implemented in departments in medical decline: Lot-et-Garonne, Deux-Sèvres and Creuse. The primary objective of our study was to assess the types of pathologies most frequently met during tele-expertise requests, as part of the SmartDerm project. Methods: we performed a retrospective observational cohort study over a period of twelve months. Firstly, the general practitioner sent his tele-expertise request on the PAACO / Globule server. Then, the dermatologists in his department had 48 hours to respond to the request. In the absence of a response, the request was sent to the dermatologists at the CHU concerned. Results : a total of 574 tele-expertise requests were sent during the twelve-month inclusion period: 278 in Lot-et-Garonne, 230 in Deux-Sèvres and 66 in Creuse. 99 general practitioners participated to the project: 35 in Lot-et-Garonne, 47 in Deux-Sèvres and 17 in Creuse. The most frequently met pathologies were inflammatory (30%) and tumoral (23.9%). For inflammatory dermatoses, 65 cases (37.8%) of eczema-like dermatoses were found. As far as tumor pathologies are concerned, they were distributed as 57 cases (41.6%) of skin cancer and 56 cases (40.9%) of benign tumors. The date of onset of lesions was between ten days and three months for 187 cases (32.6%). The lesions were mainly localized on the head (36.9%) and the trunk (34.3%). Finally, after the teledermatological opinion, a face-to-face consultation was necessary for 197 cases (34.3%). Conclusion: tele-expertise has many advantages: a sorting role, a rapid dermatological advice and a cost reduction for health insurance. Therefore, the SmartDerm project will be extended to other departments.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03124560
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Submitted on : Thursday, January 28, 2021 - 6:22:34 PM
Last modification on : Saturday, February 13, 2021 - 3:09:59 AM
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  • HAL Id : dumas-03124560, version 1

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Romain Chambon. Étude observationnelle des demandes de télé-expertise en dermatologie, par les médecins généralistes du Lot-et-Garonne, des Deux-Sèvres et de la Creuse pendant un an. Médecine humaine et pathologie. 2020. ⟨dumas-03124560⟩

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