Agreement was found between acne evaluations performed in person and from self-photographs by using Network Oriented Research Assistant (NORA), according to a recent study. As a reliable telehealth technology for acne, NORA can be used as a teledermatology platform for dermatology research and can increase access to dermatologic care. This study enrolled consecutive patients with acne vulgaris from a single general dermatology practice in Los Angeles, CA, who were able to use NORA on an iPhone 6 to take self-photographs. Patients were enrolled from January 1 through March 31, 2016. Each individual underwent in-person and digital evaluation of his or her acne by the same dermatologist. A total of 69 patients (37 male [54%] and 32 female [46%]; mean [SD] age, 22.7 [7.7] years) enrolled. Researchers found:
- The intraclass correlation coefficients of in-person and photograph-based acne evaluations indicated strong agreement.
- The intraclass correlation coefficient for total lesion count was 0.81; for the Investigator’s Global Assessment, 0.75.
- Inflammatory lesion count, noninflammatory lesion count, and cyst count had intraclass correlation coefficients of 0.72, 0.72, and 0.82, respectively.
Singer HM, Almazan T, Craft N, et al. Using Network Oriented Research Assistant (NORA) technology to compare digital photographic with in-person assessment of acne vulgaris. [Published online ahead of print December 20, 2017]. JAMA Dermatol. doi:10.1001/jamadermatol.2017.5141.
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