# Implementing Teledermoscopy to Shorten Doctors’ Diagnostic Process for Suspected Skin Cancer: Observational Pilot Study

## TL;DR

This study explores how teledermoscopy affects the time doctors spend diagnosing skin cancer, finding it saves time for specialists but may slow down primary care providers.

## Contribution

The study is one of the first to analyze the impact of teledermoscopy on physician time consumption across different diagnostic pathways.

## Key findings

- Teledermoscopy significantly shortened the diagnostic process for dermatologists.
- Primary care providers spent more time with teledermoscopy compared to without it.
- Time savings occurred in one diagnostic pathway but increased time in four others.

## Abstract

Skin cancers are the most frequent types of cancer, and the incidence continues to rise. Teledermoscopy is a promising tool in the diagnostic process of potential skin cancer, and new technologies are constantly being developed. However, little information is available on how teledermoscopy affects physicians’ time consumption.

This study aimed to investigate whether teledermoscopy can shorten the diagnostic process for physicians examining skin lesions suspected of skin cancer.

We recorded the time primary care providers, dermatologists, plastic surgeons, and pathologists spent examining lesions suspected of skin cancer, with and without teledermoscopy. Furthermore, we looked at five different diagnostic pathways, which reflected the most common ways through the Danish health care system for patients with suspected skin cancer, to estimate the total amount of time physicians spent examining these lesions with and without teledermoscopy.

A total of 118 time recordings were obtained. With teledermoscopy, the diagnostic process was significantly shortened for dermatologists (P=.008) but prolonged for primary care providers (P=.03). While the use of teledermoscopy saved time in one of the diagnostic pathways, it increased the time spent in the four others.

Our research suggests that the implementation of teledermoscopy could save time for dermatologists and potentially plastic surgeons and pathologists, provided that a sufficient number of benign skin lesions can be accurately diagnosed and excluded from further examination and treatment. In contrast, the implementation of teledermoscopy might prolong primary care providers’ consultation time.