Telediagnosis of oral lesions in primary care: The EstomatoNet Program

• DOI: 10.1111/odi.12851
• Publication Date: 2018-03-05T17:48:07Z
• Authors: VC Carrard; M Roxo Gonçalves; J Rodriguez Strey; C Pilz; MAT Martins; MD Martins; CA Schmitz; RG Dal Moro; OP D'Ávila; DRV Rados; E Harzheim; MR Gonçalves
• Keywords: Adult; Male; Primary Health Care; Attitude of Health Personnel; Middle Aged; Telemedicine; 3. Good health; Young Adult; 03 medical and health sciences; Cross-Sectional Studies; 0302 clinical medicine; Dentistry; Photography; Humans; Female; Mouth Diseases; Referral and Consultation; Brazil; Aged

Objective The diagnosis of oral lesions is often challenging for primary healthcare providers, which explains the high number referrals to specialist care. This favors increases in waiting lines and delays diagnosis, contributing mortality rates from cancer. study aimed summarize experience EstomatoNet, a telediagnosis program catering care dentists physicians southern Brazil. Study design exploratory included all queries received by EstomatoNet June 2015 December 2016. Health providers (71 18 care) submitted requests including clinical information photographs means cloud‐based platform. Specialized medicine teleconsultants data, conveyed diagnostic hypothesis, management recommendations. Results Actinic cheilitis ( n = 41, 15.8%), squamous cell carcinoma 22, 8.5%), inflammatory hyperplasia (21, 8.1%) were most frequent diagnoses. Teleconsultants recommended referral specialists 42.9% cases, total biopsy 23.6%, follow‐up 16.2%. After use, intention refer patients face‐to‐face consultation reduced 96.9% 35.1%. Conclusion Telediagnosis feasible has potential improve quality health bridging gap between specialized