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DC Field | Value | Language |
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dc.contributor.author | Anton, Alfonso | - |
dc.contributor.author | Nolivos, Karen | - |
dc.contributor.author | Pazos, Marta | - |
dc.contributor.author | Fatti, Gianluca | - |
dc.contributor.author | Herranz, Alejandra | - |
dc.contributor.author | Ayala-Fuentes, Miriam Eleonora | - |
dc.contributor.author | Martínez-Prats, Elena | - |
dc.contributor.author | Peral, Oscar | - |
dc.contributor.author | Vega-Lopez, Zaida | - |
dc.contributor.author | Monleón Getino, Toni | - |
dc.contributor.author | Morilla-Grasa, Antonio | - |
dc.contributor.author | Comas, Merce | - |
dc.contributor.author | Castells, Xavier | - |
dc.date.accessioned | 2022-03-11T15:57:38Z | - |
dc.date.available | 2022-03-11T15:57:38Z | - |
dc.date.issued | 2021-08-01 | - |
dc.identifier.issn | 2077-0383 | - |
dc.identifier.uri | http://hdl.handle.net/2445/184044 | - |
dc.description.abstract | t: Purpose: To evaluate interobserver and intertest agreement between optical coherence tomography (OCT) and retinography in the detection of glaucoma through a telemedicine program. Methods: A stratified sample of 4113 individuals was randomly selected, and those who accepted underwent examination including visual acuity, intraocular pressure (IOP), non-mydriatic retinography, and imaging using a portable OCT device. Participants' data and images were uploaded and assessed by 16 ophthalmologists on a deferred basis. Two independent evaluations were performed for all participants. Agreement between methods was assessed using the kappa coefficient and the prevalence-adjusted bias-adjusted kappa (PABAK). We analyzed potential factors possibly influencing the level of agreement. Results: The final sample comprised 1006 participants. Of all suspected glaucoma cases (n = 201), 20.4% were identified in retinographs only, 11.9% in OCT images only, 46.3% in both, and 21.4% were diagnosed based on other data. Overall interobserver agreement outcomes were moderate to good with a kappa coefficient of 0.37 and a PABAK index of 0.58. Higher values were obtained by experienced evaluators (kappa = 0.61; PABAK = 0.82). Kappa and PABAK values between OCT and photographs were 0.52 and 0.82 for the first evaluation. Conclusion: In a telemedicine screening setting, interobserver agreement on diagnosis was moderate but improved with greater evaluator expertise. | - |
dc.format.extent | 13 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | MDPI | - |
dc.relation.isformatof | Reproducció del document publicat a: https://doi.org/10.3390/jcm10153337 | - |
dc.relation.ispartof | Journal of Clinical Medicine, 2021, vol. 10, num. 15, p. 1-13 | - |
dc.relation.uri | https://doi.org/10.3390/jcm10153337 | - |
dc.rights | cc-by (c) Anton, Alfonso et al., 2021 | - |
dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | - |
dc.source | Articles publicats en revistes (Genètica, Microbiologia i Estadística) | - |
dc.subject.classification | Cribratge | - |
dc.subject.classification | Glaucoma | - |
dc.subject.classification | Tomografia de coherència òptica | - |
dc.subject.classification | Telecomunicació en medicina | - |
dc.subject.other | Medical screening | - |
dc.subject.other | Glaucoma | - |
dc.subject.other | Optical coherence tomography | - |
dc.subject.other | Telecommunication in medicine | - |
dc.title | Interobserver and Intertest Agreement in Telemedicine Glaucoma Screening with Optic Disk Photos and Optical Coherence Tomography | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/publishedVersion | - |
dc.identifier.idgrec | 717293 | - |
dc.date.updated | 2022-03-11T15:57:38Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
Appears in Collections: | Articles publicats en revistes (Genètica, Microbiologia i Estadística) |
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717293.pdf | 1.62 MB | Adobe PDF | View/Open |
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