International inter-rater agreement in scoring acne severity utilizing cloud-based image sharing of mobile phone photographs
| Autor: | Jennifer Ornelas, Ifrah A. Ali, Ali Alikhan, Bishr Al Dabagh, Victoria R. Sharon, Luluah Al Mubarak, Ashley K. Clark, Yu Liu, Negar Foolad, Andrés Lopez, Alireza Firooz, Chin-Shang Li, Raja K Sivamani, Smita Awasthi |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Pathology Internationality Adolescent 020205 medical informatics Concordance Image sharing 02 engineering and technology Dermatology Administration Cutaneous Severity of Illness Index Retinoids Young Adult 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Acne Vulgaris Severity of illness Photography 0202 electrical engineering electronic engineering information engineering medicine Humans Prospective Studies Isotretinoin Grading (education) Acne Rank correlation Observer Variation Internet business.industry medicine.disease Telemedicine Anti-Bacterial Agents Inter-rater reliability Physical therapy Female Dermatologic Agents Smartphone sense organs business Facial Dermatoses medicine.drug |
| Zdroj: | International Journal of Dermatology. 56:920-925 |
| ISSN: | 0011-9059 |
| Popis: | Background Cloud-based image sharing technology allows facilitated sharing of images. Cloud-based image sharing technology has not been well-studied for acne assessments or treatment preferences, among international evaluators. We evaluated inter-rater variability of acne grading and treatment recommendations among an international group of dermatologists that assessed photographs. Methods This is a prospective, single visit photographic study to assess inter-rater agreement of acne photographs shared through an integrated mobile device, cloud-based, and HIPAA-compliant platform. Inter-rater agreements for global acne assessment and acne lesion counts were evaluated by the Kendall's coefficient of concordance while correlations between treatment recommendations and acne severity were calculated by Spearman's rank correlation coefficient. Results There was good agreement for the evaluation of inflammatory lesions (KCC = 0.62, P < 0.0001), noninflammatory lesions (KCC = 0.62, P < 0.0001), and the global acne grading system score (KCC = 0.69, P < 0.0001). Topical retinoid, oral antibiotic, and isotretinoin treatment preferences correlated with photographic based acne severity. Conclusions Our study supports the use of mobile phone based photography and cloud-based image sharing for acne assessment. Cloud-based sharing may facilitate acne care and research among international collaborators. |
| Databáze: | OpenAIRE |
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