BT18 Evaluation of a teledermatology service for lesion monitoring

Abstract Teledermatology (TD) is an established diagnostic and triage tool for the initial assessment of skin lesions increasingly being used monitoring. A previous study conducted at our trust found that 5% 2-week wait (2WW) referrals required follow-up lesion We therefore a TD pathway to accommodate these patients increase capacity face-to-face (F2F) appointments. retrospectively reviewed outcomes all seen from 1 April 2022 22 December 2022. The usually requested 4 months after assessment. evaluated proportion benign those requiring further or surgery. In total, 3796 were assessed via TD, with 319 (8.4%) comprising follow-up. Altogether, 292 (91.5%) initially 2WW referral 27 (8.5%) referred clinic. Forty-eight (15.0%) did not attend (DNA) their discharged. Of remaining 271 patients, seven (2.6%) who failed rebooked, 179 (66%) discharged one assessment, 16 (5.9%) booked follow-up, 19 (7.0%) routine F2F five (1.8%) urgent appointment. Patients also directly excision, 21 (7.7%) routinely 24 (8.8%) urgently. From excised urgently, (21%) dysplastic naevi, (4%) was moderately differentiated squamous cell carcinoma, 11 (46%) (naevi, seborrhoeic keratoses dermatofibroma) (29%), histology unavailable (DNA appointment, sought private treatment excision pending) time data collection. No confirmed histologically as melanoma. lesions, dermoscopic changes noted included new atypical amorphous streaks, darker globules, loss pigment erythema. Our suggest monitoring may offer suitable time-efficient approach helping alleviate pressure on services. Three six has previously been considered appropriate period short-term monitoring; however, optimal duration remains debatable. low numbers malignant detected encouraging safety profile. However, 66% we plan pilot collaborative team decision-making through mega processing clinics aim improving specificity ‘getting it right first time’ patients. Longer-term cost-effectiveness analyses are evaluate sustained efficacy this service.