{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T23:32:40Z","timestamp":1792798360647,"version":"4.5.0"},"reference-count":186,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T00:00:00Z","timestamp":1772409600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Skin diseases affect nearly one-third of the global population, yet limited access to dermatological care remains an unmet challenge. Teledermatology offers a promising solution, however, concerns about technological and workforce demands have limited its broader adoption. Furthermore, its diagnostic reliability across communication platforms and types, and different skin conditions remains unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>We aimed to evaluate the diagnostic accuracy of teledermatology compared to in-person consultations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We searched PubMed, Embase, and CENTRAL on November 19, 2023, for observational and experimental studies, without date or language restrictions. Primary outcomes included diagnostic concordance, Cohen\u2019s kappa, sensitivity, specificity, and predictive values; secondary outcomes were diagnostic time, teledermatology provider and patient satisfaction and interrater agreement. A random intercept logistic regression model was used to pool outcomes. Subgroup analyses were conducted by disease category, communication platform (store-and-forward, real-time, hybrid), type (indirect, direct), dermoscopy use, photography device, and training.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Out of 30,412 records, 155 studies were included, with 139 analyzed quantitatively. Diagnostic concordance was 76% in all skin conditions (95%-CI: 73\u201379%), 73% in skin cancers (95%-CI: 67\u201379%) and 76% in pigmented lesions (95%-CI: 67\u201383%). Use of dermoscopy significantly improved diagnostic concordance from 67% (95%-CI: 58\u201374%) to 80% (95%-CI, 73\u201385%) in skin cancers. No significant differences were found by communication type, platform, or photography device. The mean diagnostic time was 1.05\u202fmin per case (95%-CI, 0.98\u20131.12). Patient satisfaction was high (82%, 95%-CI: 76\u201387%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Teledermatology demonstrates high diagnostic accuracy, supporting its use as a reliable alternative to in-person care for diagnosing general skin conditions and screening for skin cancer. Given its broad applicability, teledermatology stands out as a potential tool to improve access to dermatological care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Systematic review registration<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link>https:\/\/www.crd.york.ac.uk\/PROSPERO\/view\/CRD42023484476<\/jats:ext-link>\n                      , identifier CRD42023484476.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmed.2026.1739592","type":"journal-article","created":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T05:20:55Z","timestamp":1772428855000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":4,"title":["Diagnostic accuracy of teledermatology for skin diseases: a systematic review and meta-analysis"],"prefix":"10.3389","volume":"13","author":[{"given":"Katalin","family":"Martyin","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Department of Dermatology, Venereology and Dermatooncology, Semmelweis University","place":["Budapest, Hungary"]},{"name":"Centre for Translational Medicine, Semmelweis University","place":["Budapest, Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fanni Ad\u00e9l","family":"Meznerics","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Dermatology, Venereology and Dermatooncology, Semmelweis University","place":["Budapest, Hungary"]},{"name":"Centre for Translational Medicine, Semmelweis University","place":["Budapest, Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura Anna","family":"Bokor","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Dermatology, Venereology and Dermatooncology, Semmelweis University","place":["Budapest, Hungary"]},{"name":"Centre for Translational Medicine, Semmelweis University","place":["Budapest, Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bence","family":"Szab\u00f3","sequence":"additional","affiliation":[{"name":"Centre for Translational Medicine, Semmelweis University","place":["Budapest, Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P\u00e9ter","family":"Hegyi","sequence":"additional","affiliation":[{"name":"Centre for Translational Medicine, Semmelweis University","place":["Budapest, Hungary"]},{"name":"Institute of Pancreatic Diseases, Semmelweis University","place":["Budapest, Hungary"]},{"name":"Institute for Translational Medicine, Medical School, University of P\u00e9cs","place":["P\u00e9cs, Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norbert","family":"Kiss","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Dermatology, Venereology and Dermatooncology, Semmelweis University","place":["Budapest, Hungary"]},{"name":"Centre for Translational Medicine, Semmelweis University","place":["Budapest, Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e1s","family":"B\u00e1nv\u00f6lgyi","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Dermatology, Venereology and Dermatooncology, Semmelweis University","place":["Budapest, Hungary"]},{"name":"Centre for Translational Medicine, Semmelweis University","place":["Budapest, Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,3,2]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"2133","DOI":"10.1016\/S0140-6736(24)00757-8","article-title":"Global incidence, prevalence, years lived with disability [YLDs], disability-adjusted life-years [DALYs], and healthy life expectancy [HALE] for 371 diseases and injuries in 204 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