{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T14:14:28Z","timestamp":1791641668124,"version":"4.3.4"},"reference-count":33,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T00:00:00Z","timestamp":1762128000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T00:00:00Z","timestamp":1762128000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust J Dermatology"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Teledermatology improves access to care, but its reliability for scoring skin diseases compared with face\u2010to\u2010face assessments remains underexplored. We undertook a systematic review of studies comparing teledermatology and in\u2010person assessments using validated scoring tools. Following PRISMA guidelines, we searched MEDLINE and Embase for English\u2010language studies up to 16 December 2024. Eligible studies reported agreement metrics between photographic and in\u2010person evaluations. Two reviewers independently screened and extracted data. Meta\u2010analysis was performed for EASI and PASI using a random\u2010effects model. Risk of bias was assessed with QUADAS\u20102. No funding was received. This project was registered on PROSPERO [CRD420251026970]. Sixteen studies involving 927 participants were included: six on atopic dermatitis, five on plaque psoriasis, three on patch testing, and two on acne. Reported reliability metrics included the intraclass correlation coefficient (ICC) and kappa values. These ranged from moderate to excellent. Reliability was influenced by assessor experience, image quality, and disease severity. Nine studies were at risk of bias due to unclear methodology. Pooled ICCs demonstrated excellent reliability for atopic dermatitis (0.90) and good reliability for psoriasis (0.87). These findings suggest that teledermatology appears as reliable as in\u2010person review for atopic dermatitis and psoriasis, supporting its role in clinical practice. Standardisation of image capture and further research across a broader range of dermatological conditions is required.<\/jats:p>","DOI":"10.1111\/ajd.14616","type":"journal-article","created":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T08:02:08Z","timestamp":1762156928000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Reliability of Clinical Scoring Tools in Teledermatology Compared to Face\u2010To\u2010Face Assessment: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1111","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9596-4499","authenticated-orcid":false,"given":"Kelvin","family":"Truong","sequence":"first","affiliation":[{"name":"Department of Dermatology Westmead Hospital  New South Wales Australia"},{"name":"Sydney Medical School, Faculty of Medicine and Health The University of Sydney  New South Wales 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