dc.contributor.author |
Biagio-de Jager, Leigh
|
|
dc.contributor.author |
Swanepoel, De Wet
|
|
dc.contributor.author |
Laurent, Claude
|
|
dc.contributor.author |
Lundberg, Thorbjörn
|
|
dc.date.accessioned |
2014-10-02T06:22:43Z |
|
dc.date.available |
2014-10-02T06:22:43Z |
|
dc.date.issued |
2014-09 |
|
dc.description.abstract |
We studied the diagnoses made by an otologist and general practitioner (GP) from video-otoscopy recordings on children made by a telehealth facilitator. The gold standard was otomicroscopy by an experienced otologist. A total of 140 children (mean age 6.4 years; 44% female) were recruited from a primary health care clinic. Otomicroscopic examination was performed by an otologist. Video-otoscopy recordings were assigned random numbers and stored on a server. Four and eight weeks later, an otologist and a GP independently graded and made a diagnosis from each video recording. The otologist rated the quality of the video-otoscopy recordings as acceptable or better in 87% of cases. A diagnosis could not be made from the video-otoscopy recordings in 18% of ears in which successful onsite otomicroscopy was conducted. There was substantial agreement between diagnoses made from video-otoscopy recordings and those from onsite otomicroscopy (first review: otologist κ = 0.70 and GP κ = 0.68; second review: otologist κ = 0.74 and GP κ = 0.75). There was also substantial inter-rater agreement (κ = 0.74 and 0.74 at the two reviews) and intra-rater agreement (κ = 0.77 and 0.74 for otologist and GP, respectively). A telehealth facilitator, with limited training, can acquire video-otoscopy recordings in children for asynchronous diagnosis. Remote diagnosis was similar to face-to-face diagnosis in inter- and intra-rater variability. |
en_US |
dc.description.librarian |
hb2014 |
en_US |
dc.description.uri |
http://jtt.sagepub.com/ |
en_US |
dc.identifier.citation |
Biagio, L, Swanepoel, D, Laurent, C & Lundberg, T 2014, 'Video-otoscopy recordings for diagnosis of childhood ear disease using telehealth at primary health care level', Journal of Telemedicine and Telecare, vol. 20, no. 6, pp. 300-306. |
en_US |
dc.identifier.issn |
1357-633X (print) |
|
dc.identifier.issn |
1758-1109 (online) |
|
dc.identifier.other |
10.1177/1357633X14541038 |
|
dc.identifier.uri |
http://hdl.handle.net/2263/42180 |
|
dc.language.iso |
en |
en_US |
dc.publisher |
Sage |
en_US |
dc.rights |
© The Author(s) 2014 Sage |
en_US |
dc.subject |
Video-otoscopy |
en_US |
dc.subject |
Telehealth |
en_US |
dc.subject |
Telemedicine |
en_US |
dc.subject |
Ear disease |
en_US |
dc.subject |
Primary health care (PHC) |
en_US |
dc.subject |
Facilitator |
en_US |
dc.subject |
Sub-Saharan Africa |
en_US |
dc.subject |
Paediatric |
en_US |
dc.title |
Video-otoscopy recordings for diagnosis of childhood ear disease using telehealth at primary health care level |
en_US |
dc.type |
Postprint Article |
en_US |