Smartphone applications for melanoma detection by community, patient and generalist clinician users: a review
Top Cited Papers
Open Access
- 20 January 2015
- journal article
- review article
- Published by Oxford University Press (OUP) in British Journal of Dermatology
- Vol. 172 (6), 1507-1518
- https://doi.org/10.1111/bjd.13665
Abstract
Smartphone health applications (‘apps’) are widely available but experts remain cautious about their utility and safety. We reviewed currently available apps for the detection of melanoma (July 2014), aimed at general community, patient and generalist clinician users. A proforma was used to extract and assess each app that met the inclusion criteria, and we undertook content analysis to evaluate their content and the evidence applied in their development. Thirty‐nine apps were identified with the majority available only for Apple users. Over half (n = 22) provided information or education about melanoma, ultraviolet radiation exposure prevention advice, and skin self‐examination strategies, mainly using the ABCDE (A, Asymmetry; B, Border; C, Colour; D, Diameter; E, Evolving) method. Half (n = 19) helped users take and store images of their skin lesions either for review by a dermatologist or for self‐monitoring to identify change, an important predictor of melanoma; a similar number (n = 18) used reminders to help users monitor their skin lesions. A few (n = 9) offered expert review of images. Four apps provided a risk assessment to patients about the probability that a lesion was malignant or benign, and one app calculated users’ future risk of melanoma. None of the apps appeared to have been validated for diagnostic accuracy or utility using established research methods. Smartphone apps for detecting melanoma by nonspecialist users have a range of functions including information, education, classification, risk assessment and monitoring change. Despite their potential usefulness, and while clinicians may choose to use apps that provide information to educate their patients, apps for melanoma detection require further validation of their utility and safety.Keywords
Funding Information
- Health Services and Delivery Research (HS&DR) Programme (RG 68235)
This publication has 32 references indexed in Scilit:
- Attitudes and Preferences on the Use of Mobile Health Technology and Health Games for Self-Management: Interviews With Older Adults on Anticoagulation TherapyJMIR mHealth and uHealth, 2014
- Smartphone applications for seizure managementHealth Informatics Journal, 2014
- Using technology to deliver cancer follow-up: a systematic reviewBMC Cancer, 2014
- A Lot of Action, But Not in the Right Direction: Systematic Review and Content Analysis of Smartphone Applications for the Prevention, Detection, and Management of CancerJournal of Medical Internet Research, 2013
- Mobile Applications in DermatologyJAMA Dermatology, 2013
- Diagnostic Inaccuracy of Smartphone Applications for Melanoma DetectionJAMA Dermatology, 2013
- Colorectal smartphone apps: opportunities and risksColorectal Disease, 2012
- Features of Mobile Diabetes Applications: Review of the Literature and Analysis of Current Applications Compared Against Evidence-Based GuidelinesJournal of Medical Internet Research, 2011
- Smartphone applications for pain managementJournal of Telemedicine and Telecare, 2011
- Smart phones: new clinical tools in oncology?The Lancet Oncology, 2011