Telemedicine Network Telecolposcopy Compared with Computer-Based Telecolposcopy

Daron G. Ferris, David M. Bishai, Mark S. Litaker, Eileen D. Dickman, Jill A. Miller, Michael S. Macfee

Research output: Contribution to journalArticle

17 Scopus citations

Abstract

Objective. To compare computer-based telecolposcopy with telemedicine network telecolposcopy. Materials and Methods. An on-site expert and local clinician at two rural sites conducted colposcopic examinations on 264 women. Colposcopic images were captured and transmitted to two other experts at a remote location using a statewide telemedicine system and a computer and modem-based system. Sensitivity and specificity, agreement of examination adequacy and management, effects of delayed interpretations, and costs were compared for each system. Results. A greater rate of satisfactory colposcopy results was reported by the telemedicine network (66.1%) compared with computer-based (43.6%) telecolposcopy (p < .0001). Greater rates of cervical biopsy (p = .005) and endocervical curettage (p = .03) were required by delayed telecolposcopy compared with immediate telecolposcopic services. There were no significant differences in sensitivity of detecting cervical neoplasia among the types of the telecolposcopy. Computer-based telecolposcopy cost $28 less per patient than telemedicine network telecolposcopy. Conclusions. Computer-based telecolposcopy may be a reasonable, cost-effective adjunct to on-site colposcopy for evaluating women in medically underserved areas. Synchronous telecolposcopic examination minimizes histologic sampling and improves consultation.

Original languageEnglish (US)
Pages (from-to)94-101
Number of pages8
JournalJournal of Lower Genital Tract Disease
Volume8
Issue number2
DOIs
StatePublished - Apr 1 2004

Keywords

  • Colposcopy
  • Cost effectiveness
  • Technology assessment
  • Telecolposcopy
  • Telemedicine

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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