Digital skin checks for skin cancer screening: an audit of the triage performance of DermScreen

In Australia, population-level early skin cancer detection is limited because dermatology service capacity is insufficient to meet demand. Digital skin check models, which combine total body photography by nurse melanographers with remote dermatologist review of clinical and dermoscopic images, may improve triage of suspicious lesions and prioritise access to in-person assessment. In this retrospective audit of 1577 reports, we evaluated the performance of one such service, DermScreen, as a triage tool to expedite in-person dermatologist review for suspicious lesions and to support more efficient use of limited dermatology resources by reducing unnecessary consultations and enabling more targeted biopsy decisions.