{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T19:30:59Z","timestamp":1774467059805,"version":"3.50.1"},"reference-count":18,"publisher":"CAIRN.INFO","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,9,18]]},"abstract":"<jats:p>Introduction : La t\u00e9l\u00e9-expertise en dermatologie s\u2019est d\u00e9velopp\u00e9e en oncologie afin de pouvoir d\u00e9tecter de fa\u00e7on pr\u00e9coce des cancers cutan\u00e9s en facilitant l\u2019acc\u00e8s \u00e0 un expert \u00e0 distance. Une exp\u00e9rimentation lib\u00e9rale de t\u00e9l\u00e9-expertise est en cours dans la r\u00e9gion des Hauts-De-France depuis 2015 afin de permettre une prise en charge plus rapide pour des patients pr\u00e9sentant une l\u00e9sion suspecte de la peau et rep\u00e9r\u00e9e par le m\u00e9decin g\u00e9n\u00e9raliste lors d\u2019une simple consultation. But de l\u2019\u00e9tude : L\u2019objectif de l\u2019\u00e9tude est de d\u00e9crire le profil des patients pris en charge par t\u00e9l\u00e9-expertise, d\u2019identifier les d\u00e9lais et les parcours de soins envisag\u00e9s. R\u00e9sultats : Au cours de cette p\u00e9riode, 1 686 t\u00e9l\u00e9-expertises ont \u00e9t\u00e9 effectu\u00e9es. L\u2019\u00e2ge moyen des patients est de 55 ans. Peu avaient des ant\u00e9c\u00e9dents de cancer cutan\u00e9 (8,3 %). On constate que la demande de t\u00e9l\u00e9-expertise n\u2019a cess\u00e9 d\u2019augmenter depuis le lancement du projet. Les d\u00e9lais de prise en charge sont r\u00e9duits (5,32 jours) par rapport au parcours de soins traditionnels et les prises en charge concernent tout type de l\u00e9sion. Conclusions : L\u2019\u00e9tude d\u00e9montre un usage soutenu pendant 5 ans de la t\u00e9l\u00e9dermatologie par les m\u00e9decins g\u00e9n\u00e9ralistes qui ont sollicit\u00e9 les dermatologues pour tout type de profil de patients et tout type de l\u00e9sions, canc\u00e9reuses ou non. Les retours des dermatologues sont plus rapides et la prise en charge en dermatologie facilit\u00e9e.<\/jats:p>","DOI":"10.3917\/spub.244.0093","type":"journal-article","created":{"date-parts":[[2024,9,18]],"date-time":"2024-09-18T08:01:20Z","timestamp":1726646480000},"page":"93-100","source":"Crossref","is-referenced-by-count":0,"title":["Profil des patients pris en charge au sein d\u2019un r\u00e9seau de t\u00e9l\u00e9-expertise en dermatologie"],"prefix":"10.3917","volume":"vol. 36","author":[{"given":"St\u00e9phanie","family":"Cuissette","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Myriam","family":"Le Goff-Pronost","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline","family":"de Pauw","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Estelle","family":"Borne","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2273","reference":[{"key":"rb1","doi-asserted-by":"publisher","DOI":"10.1155\/2011\/125762"},{"key":"rb2","doi-asserted-by":"publisher","DOI":"10.1001\/jamadermatol.2016.4361"},{"key":"rb3","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD013193"},{"key":"rb4","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2230.2008.02850.x"},{"key":"rb5","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2018.0130"},{"key":"rb6","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2012.0260"},{"key":"rb7","unstructured":"7. 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