Comparative Analysis of Quality of Life of Patients with Dermatological Problems: Teledermatology Versus Face-to-Face Dermatology.
Por:
Lopez-Liria R, Lopez-Villegas A, Valverde-Martinez MA, Perez-Heredia M, Vega-Ramirez FA, Peiro S and Leal-Costa C
Publicada:
30 oct 2022
Ahead of Print:
30 oct 2022
Resumen:
The health-related quality of life (HRQoL) of the patients cared for with teledermatology (TD) services was analyzed as compared with face-to-face dermatology (F-F/D) at the hospital. This study was a controlled, non-blinded, intra-level, and multicenter randomized clinical trial, with a 6-month follow-up. A total of 450 patients were randomly assigned to two different groups. The Spanish version of the generic EuroQol-5-dimensions-5-Levels (EQ-5D-5L) questionnaire and the specific Skindex-29 questionnaire were used at 0 and 6 months. The number of primary care visits (2.24 TD; 1.68 F-F/D) and number of hospital visits (0.01 TD; 1.48 F-F/D) were statistically significant. It was observed that from month 0 onwards, the users included in the F-F/D group self-perceived a lower HRQoL than the users included in the TD group (Skindex-29 total: p = 0.00; EQ-5D-5L VAS = p = 0.00; EQ-5D-5L utilities = p = 0.00). At the end of the study, the patients included in the F-F/D group still obtained lower scores in their perception of HRQoL, as compared to those included in the other type of follow-up (Skindex-29 total: p = 0.00; EQ-5D-5L VAS = p = 0.00; EQ-5D-5L utilities = p = 0.00). TD was an effective diagnosis and follow-up tool. At the end of the study period, the HRQoL of the patients in both groups was significantly higher as compared to their baseline levels. Additionally, both the general and specific HRQoL perceived by the TD patients was higher than the F-F/D group from the start of the study.
Filiaciones:
Lopez-Liria R:
Health Research Centre, Department of Nursing, Physiotherapy and Medicine, University of Almeria, Carretera del Sacramento s/n, La Cañada de San Urbano, 04120 Almeria, Spain
Lopez-Villegas A:
Research Unit, Poniente University Hospital, El Ejido, 04700 Almeria, Spain
Valverde-Martinez MA:
Health Research Centre, Department of Nursing, Physiotherapy and Medicine, University of Almeria, Carretera del Sacramento s/n, La Cañada de San Urbano, 04120 Almeria, Spain
Perez-Heredia M:
Research Management Department, Primary Care District Poniente of Almería, El Ejido, 04700 Almeria, Spain
Vega-Ramirez FA:
Research Team Hum-498, Torrecardenas University Hospital, 04009 Almeria, Spain
:
Health Services Research Unit, Foundation for the Promotion of Health and Biomedical Research of Valencia Region (FISABIO), 46020 Valencia, Spain
Leal-Costa C:
Nursing Department, University of Murcia, 30003 Murcia, Spain
Green Published, gold
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