We Love your Junk! STD Triage
-
Upload
yth -
Category
Health & Medicine
-
view
101 -
download
2
Transcript of We Love your Junk! STD Triage
Dr. Alexander Börve
1 (c) 2014 iDoc24 AB
YTH San Francisco 8th-‐9th April 2014
Disclosure of interest
Dr Alexander Börve is the founder of iDoc24 AB
(c) 2014 iDoc24 AB 2
(c) 2014 iDoc24 AB 3
(c) 2014 iDoc24 AB 4
AccommodaHon
(c) 2014 iDoc24 AB 5
TransportaHon
(c) 2014 iDoc24 AB 6
Friends
(c) 2014 iDoc24 AB 7
(c) 2014 iDoc24 AB 8
Hook UP
(c) 2014 iDoc24 AB 9
Who is at risk?
(c) 2014 iDoc24 AB 10
- No protecHon - MulHple partners
- History of STDs - Drug injecHon - RecreaHonal alcohol and drug use
Problem - Sexual health is a subject that no one wants to talk about
- Embarrassing - Who do you turn to? - Will you wait? - Risk for further transmission to other partners
(c) 2014 iDoc24 AB 11
Global problem-‐ Graph-‐pie chart
12
Reference: h*p://www.avert.org/std-‐sta7s7cs.htm
(c) 2014 iDoc24 AB
(c) 2014 iDoc24 AB 13
(c) 2014 iDoc24 AB 14
Online STD tesHng What STD studies show about online tes7ng
– 73% are happy with the service – More men test themselves if they can do it online – More men test themselves sooner – More men go to an STD clinic for informa7on and treatment aFer a posi7ve result
Reference h*p://bit.ly/152nQMY Klamydia.se
(c) 2014 iDoc24 AB 15
(c) 2014 iDoc24 AB 16
17
1. Open STD Triage 2. Snap/upload a picture 3. Send in case
5. Read answer 6. Find nearest clinic
(c) 2014 iDoc24 AB
4. Pay for case
6. NoCfy partner anonymously
Data DescripHon
• Cases with responses from 3/6-‐6/6/2013 • Pla]orms: Android, iOS classic, iOS STD, iDoc24web, STD Triage
• Languages: English-‐England, English-‐US, French, Italian, Spanish, Swedish
(c) 2014 iDoc24 AB 18
Aggregate Data
• Total number of cases: 696 • Cases/day: 5.7 • Average age: 28 years old (range 0-‐84 years old)
• % men: 53.4% • Average response Hme: 6 hours, 31 minutes
(c) 2014 iDoc24 AB 19
Aggregate Data – Diagnoses TOP 10 DIAGNOSES % of Cases with
Diagnosis
1) DermaHHs 9.6%
2) FolliculiHs 7.3%
3) BalaniHs 6.2%
4) Benign nevi 5.2%
5) Acne 5.0%
6) Herpes simplex (genital)
4.2%
7) Possible cancer (type unspecified)
3.9%
8) Sebaceous glands 3.6%
9) Dermatofibroma 3.6%
10) Genital warts 2.3%
% diagnoses as STD: 8.8% -‐ Genital herpes -‐ Genital warts -‐ Molluscum contagiosum -‐ Syphilis % diagnoses as possible malignancy: 4.7% -‐ Possible cancer (type
unspecified) -‐ Squamous cell carcinoma -‐ Basal cell carcinoma -‐ Melanoma
(c) 2014 iDoc24 AB 20
Data By Language En-‐US (37% of cases) Swedish (36% of
cases En -‐England (16% of
cases)
Avg Age 27 years old 30 years old 27 years old
% men 71.6%* 45.3% 53.3%
Avg response Hme
7 hours, 15 minutes 5 hours, 20 minutes 6 hours, 32 minutes
% STD dx 14.7% 4.4% 7.4%
% possible cancer dx 0% 4.0% 3.7%
Top 5 dx in descending order
FolliculiHs BalaniHs DermaHHs Genital herpes Molluscum contagiosum
Benign nevi DermaHHs Dermatofibroma Seborrheic keratosis BalaniHs
Benign nevi DermaHHs Acne BalaniHs FolliculiHs
(c) 2014 iDoc24 AB 21
Data by Pla]orm
iDoc24 iOS 48%
iDoc24web 14%
STD Triage iOS 32%
STDTriage web 4%
Android 2%
(c) 2014 iDoc24 AB 22
iOS (48% of cases) iOS-‐STD (32% of cases)
iDoc24web (14% of cases)
Avg age 29 years old 27 years old 30 years old
% men 43.6% 80.6% **Unknown, data incomplete
Avg response Hme 6 hours, 4 minutes 7 hours, 0 minutes 6 hours, 48 minutes
% STD dx 1.5% 14.8% 10.2%
% possible cancer dx
2.7% 0% 2.0%
Top 3 countries using pla]orm (% of cases)
Sweden (47.9%) England (22.3%) France (9.5%)
US (81.9%) England (14.4%) Sweden (3.7%)
Sweden (65.3%) US (25.5%) Italy (3.1%)
Data by Pla]orm
(c) 2014 iDoc24 AB 23
Dermatologist InstrucHon
405 doctor visits were potenHally avoided
MD eval 40%
self-‐treat 37%
no treatment 21%
no case informaCon
1% resend pic 1%
error 0%
(c) 2014 iDoc24 AB 24
Overall Trends • STD-‐related app users typically men in their late 20s from the US
• US market appears to be more concerned about STDs whereas the Swedish and English market appears more concerned about malignancy
• iDoc24 has potenHal for creaHng significant cost-‐savings by decreasing physician visits for benign condiHons
(c) 2014 iDoc24 AB 25
LimitaHons in data review • Data skewed because app promoted in the US as an STD app
• Short diagnosis someHmes difficult to idenHfy – Most probable dx recorded when mulHple diagnoses were discussed
• Short duraHon of case data
(c) 2014 iDoc24 AB 26
27 (c) 2014 iDoc24 AB
Dr. Alexander Börve San Francisco
[email protected] US cell: +1 857 250 5475 Twiker: @myDoc24