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Trial registered on ANZCTR
Registration number
ACTRN12609000782235
Ethics application status
Approved
Date submitted
6/07/2009
Date registered
9/09/2009
Date last updated
26/02/2014
Type of registration
Retrospectively registered
Titles & IDs
Public title
Evaluation of teledermoscopy as an alternative to face-to-face dermatological consultation in the diagnosis and management of patients referred to a skin lesion clinic
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Scientific title
Evaluation of teledermoscopy as an alternative to face-to-face dermatological consultation in the diagnosis and management of patients referred to a skin lesion clinic
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Secondary ID [1]
284164
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nil known
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Universal Trial Number (UTN)
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Trial acronym
IMAGE IT
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
possibly malignant skin lesions
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Condition category
Condition code
Skin
237489
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0
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Dermatological conditions
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Teledermoscopy (taking close-up photographs of skin lesions with special equipment) takes 5-10 minutes. Immediately afterwards patients have a face-to-face consultation with a dermatology specialist lasting 10-15 minutes.
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Intervention code [1]
236878
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Diagnosis / Prognosis
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Comparator / control treatment
All patients act as their own control by having teledermoscopy followed by a face-to-face consultation with a dermatology specialist.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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To assess the diagnostic concordance of teledermatology with face-to-face consultation and histopathological diagnosis
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Assessment method [1]
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Timepoint [1]
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End of study
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Secondary outcome [1]
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Acceptability of this specific teledermatology system, as assessed by patient questionnaires
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Assessment method [1]
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Timepoint [1]
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End of study
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Secondary outcome [2]
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Assess potential for changing patient management (such as triage) with the use of this specific teledermatology system
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Assessment method [2]
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Timepoint [2]
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End of study
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Eligibility
Key inclusion criteria
Patients referred from General Practitioners to the lesion diagnosis clinic
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Minimum age
No limit
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Lesions located over genital areas; lack of patient consent; inability to obtain adequate image e.g. in hair-bearing area, in concave site such as inner canthus
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Study design
Purpose of the study
Diagnosis
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
All patients attending this clinic were offered the opportunity to enter the trial then, once consented, underwent both diagnostic procedures in the same sequence (teledermoscopy first then face-to-face consultation
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
N/A
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
Each participating subject is their own control, i.e. each subject has teledermoscopy first then a face-to-face consultation. Patient management is determined by the latter assessment. The study is evaluating the concordance in diagnosis (and separately in management) between teledermoscopy and face-to-face consultation to assess the potential for use of teledermoscopy as a triage tool to reduce the necessity for face-to-face consultation.
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/04/2008
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Actual
1/03/2008
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Date of last participant enrolment
Anticipated
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Actual
7/11/2008
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
200
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
1870
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New Zealand
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State/province [1]
1870
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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Waikato Medical Research Foundation
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Address [1]
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Peter Rothwell Academic Centre
Waikato Hospital
Pembroke St
Private Bag 3200
Waikato Mail Centre
Hamilton 3240
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Country [1]
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New Zealand
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Primary sponsor type
Individual
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Name
Dr Eugene Tan
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Address
Dermatology Department
Waikato Hospital
Pembroke St
Private Bag 3200
Waikato Mail Centre
Hamilton 3240
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Country
New Zealand
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Secondary sponsor category [1]
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Individual
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Name [1]
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Dr Michael Jameson
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Address [1]
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Oncology Department
Waikato Hospital
Pembroke St
Private Bag 3200
Waikato Mail Centre
Hamilton 3240
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Country [1]
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New Zealand
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Other collaborator category [1]
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Individual
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Name [1]
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Dr Amanda Oakley
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Address [1]
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Dermatology Department
Waikato Hospital
Pembroke St
Private Bag 3200
Waikato Mail Centre
Hamilton 3240
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Country [1]
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New Zealand
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Other collaborator category [2]
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Individual
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Name [2]
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Dr Marius Rademaker
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Address [2]
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Dermatology Department
Waikato Hospital
Pembroke St
Private Bag 3200
Waikato Mail Centre
Hamilton 3240
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Country [2]
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New Zealand
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Other collaborator category [3]
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Individual
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Name [3]
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Dr Anthony Yung
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Address [3]
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Dermatology Department
Waikato Hospital
Pembroke St
Private Bag 3200
Waikato Mail Centre
Hamilton 3240
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Country [3]
745
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Northern Y Regional Ethics Committee
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Ethics committee address [1]
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3rd floor, BNZ building 354 Victoria St PO Box 1031 Hamilton 3240
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
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Approval date [1]
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26/02/2008
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Ethics approval number [1]
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NTY/08/01/001
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Summary
Brief summary
New Zealand has the highest rate of skin cancers in the world, which leads to a large number of referrals to skin specialists in hospitals. In this study, we want to see whether taking photos of suspicious moles or spots in the skin with a sophisticated camera and sending these by computer to skin specialists for a diagnosis is as accurate as being seen by skin specialists for a “face to face” diagnosis. This “teledermatology” approach may be able to reduce the number of patients who need to be seen in hospital outpatient clinics. This phase II study will test the accuracy of teledermatology and assess whether it can be used in a larger study to prove the benefits of this technology. The aim is to improve healthcare delivery and costs, overcome geographical barriers and improve care for the most vulnerable groups affected by skin cancer – the young and elderly.
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Trial website
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Trial related presentations / publications
Inter-observer variability of teledermoscopy - an international study. Tan E, Oakley A, Soyer HP, Haskett M, Marghoob A, Jameson M, Rademaker M. Br J Dermatology 2010 Dec;163(6):1276-81. Successful triage of patients referred to a skin lesion clinic using teledermoscopy (IMAGE IT trial). E. Tan, A. Yung, M. Jameson, A. Oakley, M. Rademaker. Br J Dermatology 2010 April; 162:803-11. Updated 03/02/2014
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Public notes
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Contacts
Principal investigator
Name
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Dr Eugene Tan
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Address
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Dermatology Department Waikato Hospital Pembroke St Private Bag 3200 Waikato Mail Centre Hamilton 3240
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Country
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New Zealand
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Phone
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+64 7 839 8899
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Eugene Tan
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Address
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Dermatology Department
Waikato Hospital
Private Bag 3200
Hamilton 3240
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Country
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New Zealand
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Phone
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+64 7 839 8899
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Eugene Tan
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Address
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Dermatology Department
Waikato Hospital
Private Bag 3200
Hamilton 3240
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Country
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New Zealand
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Phone
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+64 7 839 8899
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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