{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:03:38Z","timestamp":1777935818296,"version":"3.51.4"},"reference-count":17,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2015,6,26]],"date-time":"2015-06-26T00:00:00Z","timestamp":1435276800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Telemed Telecare"],"published-print":{"date-parts":[[2016,3]]},"abstract":"<jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a retrospective chart review and identified 186 Veterans in the VA Corporate Data Warehouse as having malignant melanomas or severely dysplastic nevi during the four-year period of observation from 1 July 2009 to 30 June 2013 and met inclusion and exclusion criteria for analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three hundred and sixty-six surgical procedures were performed for diagnosis and treatment of these conditions including biopsy and wide-local excision, of which 189 carefully selected cases were performed by primary care clinicians with 2.0% biopsy complication rate and a 7.7% wide-local excision complication rate. Cases not performed by primary care providers were referred to specialists (e.g. dermatologists, general surgeons or specialty surgeons) who had a 2.5% complication rate in biopsies and wide-local excision complication rate of 13.5% in severely dysplastic nevi and pTis and pT1a lesions and a 10.7% complication rate for lesions pT1b and greater.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>These results show that a significant fraction of surgical procedures for diagnosis and treatment of malignant melanoma and severely dysplastic nevi can be safely performed in rural clinics by trained primary care providers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1357633x15589861","type":"journal-article","created":{"date-parts":[[2015,6,27]],"date-time":"2015-06-27T19:59:53Z","timestamp":1435435193000},"page":"121-126","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Teledermatology-directed surgical care is safe and reduces travel"],"prefix":"10.1177","volume":"22","author":[{"given":"Kirtana","family":"Vedire","sequence":"first","affiliation":[{"name":"VA Puget Sound Health Care System, Seattle Division, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew L","family":"Joselow","sequence":"additional","affiliation":[{"name":"VA Puget Sound Health Care System, Seattle Division, USA"},{"name":"Tulane University School of Medicine, New Orleans, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Craig M","family":"Markham","sequence":"additional","affiliation":[{"name":"VA Puget Sound Health Care System, Seattle Division, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregory J","family":"Raugi","sequence":"additional","affiliation":[{"name":"VA Puget Sound Health Care System, Seattle Division, USA"},{"name":"University of Washington, Department of Medicine (Dermatology), Seattle, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2015,6,26]]},"reference":[{"key":"bibr1-1357633X15589861","doi-asserted-by":"publisher","DOI":"10.5694\/mja12.11781"},{"key":"bibr2-1357633X15589861","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2012.0260"},{"key":"bibr3-1357633X15589861","doi-asserted-by":"publisher","DOI":"10.1071\/AH09794"},{"key":"bibr4-1357633X15589861","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2010.08.026"},{"key":"bibr5-1357633X15589861","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2230.2004.01369.x-i1"},{"key":"bibr6-1357633X15589861","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2230.2008.02710.x"},{"key":"bibr7-1357633X15589861","first-page":"U848","volume":"117","author":"Talbot S","year":"2004","journal-title":"N Z Med J"},{"key":"bibr8-1357633X15589861","doi-asserted-by":"publisher","DOI":"10.1258\/jtt.2011.110518"},{"key":"bibr9-1357633X15589861","doi-asserted-by":"publisher","DOI":"10.1258\/jtt.2012.120417"},{"key":"bibr10-1357633X15589861","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2133.1998.02116.x"},{"key":"bibr11-1357633X15589861","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.305.6867.1476"},{"key":"bibr12-1357633X15589861","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1111\/j.1365-2133.2010.10103.x","volume":"164","author":"Skellett A","year":"2011","journal-title":"Br J Dermatol"},{"key":"bibr13-1357633X15589861","doi-asserted-by":"publisher","DOI":"10.1007\/s11845-013-1021-z"},{"key":"bibr14-1357633X15589861","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp13X670697"},{"key":"bibr15-1357633X15589861","doi-asserted-by":"publisher","DOI":"10.1089\/15305620260353207"},{"key":"bibr16-1357633X15589861","doi-asserted-by":"publisher","DOI":"10.1001\/archdermatol.2009.44"},{"key":"bibr17-1357633X15589861","doi-asserted-by":"publisher","DOI":"10.1258\/1357633001935121"}],"container-title":["Journal of Telemedicine and Telecare"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1357633X15589861","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1357633X15589861","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1357633X15589861","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:10:01Z","timestamp":1777691401000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1357633X15589861"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,6,26]]},"references-count":17,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2016,3]]}},"alternative-id":["10.1177\/1357633X15589861"],"URL":"https:\/\/doi.org\/10.1177\/1357633x15589861","relation":{},"ISSN":["1357-633X","1758-1109"],"issn-type":[{"value":"1357-633X","type":"print"},{"value":"1758-1109","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,6,26]]}}}