Inter-observer agreement among specialists in the diagnosis of oral potentially malignant disorders and oral cancer using store-and-forward technology.

Autor: Keerthi G; Department of Oral Medicine and Radiology, KLE Society's Institute of Dental Sciences, Bengaluru, Karnataka, India., Mukhia N; Department of Oral Medicine and Radiology, KLE Society's Institute of Dental Sciences, Bengaluru, Karnataka, India., Sunny SP; Integrated Head and Neck Oncology Program, Mazumdar Shaw Medical Foundation, Narayana Health City, Bommsandra Industrial Area, Bengaluru, Karnataka, India., Song B; College of Optical Sciences, The University of Arizona, Tucson, AZ, USA., Raghavan SA; Department of Oral Medicine and Radiology, KLE Society's Institute of Dental Sciences, Bengaluru, Karnataka, India., Gurudath S; Department of Oral Medicine and Radiology, KLE Society's Institute of Dental Sciences, Bengaluru, Karnataka, India., Mendonca P; Department of Head and Neck Surgical Oncology, Mazumdar Shaw Medical Foundation, Narayana Health City, Bangalore, Karnataka, India., Li S; College of Optical Sciences, The University of Arizona, Tucson, AZ, USA., Patrick S; Biocon Foundation, Bangalore, Karnataka, India., Imchen T; Christian Institute of Health Sciences and Research, Dimapur, Nagaland, India., Leivon ST; Christian Institute of Health Sciences and Research, Dimapur, Nagaland, India., Shruti T; Mahamana Pandit Madan Mohan Malaviya Cancer Center/Homi Bhabha Cancer Hospital, Varanasi, India., Kolur T; Department of Head and Neck Surgical Oncology, Mazumdar Shaw Medical Foundation, Narayana Health City, Bangalore, Karnataka, India., Shetty V; Department of Head and Neck Surgical Oncology, Mazumdar Shaw Medical Foundation, Narayana Health City, Bangalore, Karnataka, India., Vidya Bhushan R; Department of Head and Neck Surgical Oncology, Mazumdar Shaw Medical Foundation, Narayana Health City, Bangalore, Karnataka, India., Ramesh RM; Christian Institute of Health Sciences and Research, Dimapur, Nagaland, India., Pillai V; Department of Head and Neck Surgical Oncology, Mazumdar Shaw Medical Foundation, Narayana Health City, Bangalore, Karnataka, India., Kathryn OS; Beckman Laser Institute, University of California Irvine School of Medicine, Irvine, USA., Smith PW; Beckman Laser Institute, University of California Irvine School of Medicine, Irvine, USA., Suresh A; Department of Head and Neck Surgical Oncology, Mazumdar Shaw Medical Foundation, Narayana Health City, Bangalore, Karnataka, India., Liang R; College of Optical Sciences, The University of Arizona, Tucson, AZ, USA., Praveen Birur N; Department of Oral Medicine and Radiology, KLE Society's Institute of Dental Sciences, Bengaluru, Karnataka, India. praveen.birur@gmail.com., Kuriakose MA; Karkinos Healthcare, Kochi, India.
Jazyk: angličtina
Zdroj: Clinical oral investigations [Clin Oral Investig] 2023 Dec; Vol. 27 (12), pp. 7575-7581. Date of Electronic Publication: 2023 Oct 23.
DOI: 10.1007/s00784-023-05347-x
Abstrakt: Objectives: Oral cancer is a leading cause of morbidity and mortality. Screening and mobile Health (mHealth)-based approach facilitates early detection remotely in a resource-limited settings. Recent advances in eHealth technology have enabled remote monitoring and triage to detect oral cancer in its early stages. Although studies have been conducted to evaluate the diagnostic efficacy of remote specialists, to our knowledge, no studies have been conducted to evaluate the consistency of remote specialists. The aim of this study was to evaluate interobserver agreement between specialists through telemedicine systems in real-world settings using store-and-forward technology.
Materials and Methods: The two remote specialists independently diagnosed clinical images (n=822) from image archives. The onsite specialist diagnosed the same participants using conventional visual examination, which was tabulated. The diagnostic accuracy of two remote specialists was compared with that of the onsite specialist. Images that were confirmed histopathologically were compared with the onsite diagnoses and the two remote specialists.
Results: There was moderate agreement (k= 0.682) between two remote specialists and (k= 0.629) between the onsite specialist and two remote specialists in the diagnosis of oral lesions. The sensitivity and specificity of remote specialist 1 were 92.7% and 83.3%, respectively, and those of remote specialist 2 were 95.8% and 60%, respectively, each compared with histopathology.
Conclusion: The diagnostic accuracy of the two remote specialists was optimal, suggesting that "store and forward" technology and telehealth can be an effective tool for triage and monitoring of patients.
Clinical Relevance: Telemedicine is a good tool for triage and enables faster patient care in real-world settings.
(© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
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