Interobserver and Intertest Agreement in Telemedicine Glaucoma Screening with Optic Disk Photos and Optical Coherence Tomography

Glaucoma; Retinògrafs; Telemedicina

Detalles Bibliográficos
Autores: Anton, Alfonso, Nolivos, Karen, Pazos, Marta, Fatti, Gianluca, Herranz, Alejandra, Ayala-Fuentes, Miriam Eleonora
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:España
Institución:Departament de Salut de la Generalitat de Catalunya (DS)
Repositorio:Scientia. Dipòsit d'Informació Digital del Departament de Salut
OAI Identifier:oai:scientiasalut.gencat.cat:11351/7349
Acceso en línea:https://hdl.handle.net/11351/7349
Access Level:acceso abierto
Palabra clave:Glaucoma - Diagnòstic
Ulls - Tomografia
ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Investigative Techniques::Optical Imaging::Tomography, Optical::Tomography, Optical Coherence
DISEASES::Eye Diseases::Ocular Hypertension::Glaucoma
Other subheadings::Other subheadings::/diagnosis
TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::técnicas de investigación::imágenes ópticas::tomografía óptica::tomografía de coherencia óptica
ENFERMEDADES::oftalmopatías::hipertensión ocular::glaucoma
Otros calificadores::Otros calificadores::/diagnóstico
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repository_id_str
spelling Interobserver and Intertest Agreement in Telemedicine Glaucoma Screening with Optic Disk Photos and Optical Coherence TomographyAnton, AlfonsoNolivos, KarenPazos, MartaFatti, GianlucaHerranz, AlejandraAyala-Fuentes, Miriam EleonoraGlaucoma - DiagnòsticUlls - TomografiaANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Investigative Techniques::Optical Imaging::Tomography, Optical::Tomography, Optical CoherenceDISEASES::Eye Diseases::Ocular Hypertension::GlaucomaOther subheadings::Other subheadings::/diagnosisTÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::técnicas de investigación::imágenes ópticas::tomografía óptica::tomografía de coherencia ópticaENFERMEDADES::oftalmopatías::hipertensión ocular::glaucomaOtros calificadores::Otros calificadores::/diagnósticoGlaucoma; Retinògrafs; TelemedicinaGlaucoma; Retinógrafos; TelemedicinaGlaucoma; Retinographs; TelemedicinePurpose: 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.The study has been funded by the Fondo de InvestigacionesSanitarias of the Spanish Ministry of Health (PI15/00412).MDPIInstitut Català de la Salut[Anton A] Ophthalmology Department, Esperanza Hospital-Parc de Salut Mar, 08003 Barcelona, Spain. International University of Catalonia (UIC), 08017 Barcelona, Spain. Institut Català de la Retina (ICR), 08017 Barcelona, Spain. [Nolivos K] Department of Epidemiology and Evaluation, Hospital del Mar Institute for Medical Research, 08003 Barcelona, Spain. Department of Genetics, Microbiology, and Statistics, University of Barcelona, 08193 Barcelona, Spain. [Pazos M] Institut Clínic d’Oftalmologia (ICOF), Hospital Clínic de Barcelona, and Institut d’Investigacions Mèdiques August Pi iSunyer (IDIBAPS), 08036 Barcelona, Spain. [Fatti G] Vall d’Hebron Hospital Universitari, Barcelona, Spain. [Herranz A] Ophthalmology Department, Esperanza Hospital-Parc de Salut Mar, 08003 Barcelona, Spain. [Ayala-Fuentes ME] Institut Català de la Retina (ICR), 08017 Barcelona, SpainVall d'Hebron Barcelona Hospital Campus202220222021info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/11351/7349Scientiareponame:Scientia. Dipòsit d'Informació Digital del Departament de Salutinstname:Departament de Salut de la Generalitat de Catalunya (DS)InglésJournal of Clinical Medicine;10(15)https://doi.org/10.3390/jcm10153337Attribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:scientiasalut.gencat.cat:11351/73492026-06-12T09:38:37Z
dc.title.none.fl_str_mv Interobserver and Intertest Agreement in Telemedicine Glaucoma Screening with Optic Disk Photos and Optical Coherence Tomography
title Interobserver and Intertest Agreement in Telemedicine Glaucoma Screening with Optic Disk Photos and Optical Coherence Tomography
spellingShingle Interobserver and Intertest Agreement in Telemedicine Glaucoma Screening with Optic Disk Photos and Optical Coherence Tomography
Anton, Alfonso
Glaucoma - Diagnòstic
Ulls - Tomografia
ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Investigative Techniques::Optical Imaging::Tomography, Optical::Tomography, Optical Coherence
DISEASES::Eye Diseases::Ocular Hypertension::Glaucoma
Other subheadings::Other subheadings::/diagnosis
TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::técnicas de investigación::imágenes ópticas::tomografía óptica::tomografía de coherencia óptica
ENFERMEDADES::oftalmopatías::hipertensión ocular::glaucoma
Otros calificadores::Otros calificadores::/diagnóstico
title_short Interobserver and Intertest Agreement in Telemedicine Glaucoma Screening with Optic Disk Photos and Optical Coherence Tomography
title_full Interobserver and Intertest Agreement in Telemedicine Glaucoma Screening with Optic Disk Photos and Optical Coherence Tomography
title_fullStr Interobserver and Intertest Agreement in Telemedicine Glaucoma Screening with Optic Disk Photos and Optical Coherence Tomography
title_full_unstemmed Interobserver and Intertest Agreement in Telemedicine Glaucoma Screening with Optic Disk Photos and Optical Coherence Tomography
title_sort Interobserver and Intertest Agreement in Telemedicine Glaucoma Screening with Optic Disk Photos and Optical Coherence Tomography
dc.creator.none.fl_str_mv Anton, Alfonso
Nolivos, Karen
Pazos, Marta
Fatti, Gianluca
Herranz, Alejandra
Ayala-Fuentes, Miriam Eleonora
author Anton, Alfonso
author_facet Anton, Alfonso
Nolivos, Karen
Pazos, Marta
Fatti, Gianluca
Herranz, Alejandra
Ayala-Fuentes, Miriam Eleonora
author_role author
author2 Nolivos, Karen
Pazos, Marta
Fatti, Gianluca
Herranz, Alejandra
Ayala-Fuentes, Miriam Eleonora
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Institut Català de la Salut
[Anton A] Ophthalmology Department, Esperanza Hospital-Parc de Salut Mar, 08003 Barcelona, Spain. International University of Catalonia (UIC), 08017 Barcelona, Spain. Institut Català de la Retina (ICR), 08017 Barcelona, Spain. [Nolivos K] Department of Epidemiology and Evaluation, Hospital del Mar Institute for Medical Research, 08003 Barcelona, Spain. Department of Genetics, Microbiology, and Statistics, University of Barcelona, 08193 Barcelona, Spain. [Pazos M] Institut Clínic d’Oftalmologia (ICOF), Hospital Clínic de Barcelona, and Institut d’Investigacions Mèdiques August Pi iSunyer (IDIBAPS), 08036 Barcelona, Spain. [Fatti G] Vall d’Hebron Hospital Universitari, Barcelona, Spain. [Herranz A] Ophthalmology Department, Esperanza Hospital-Parc de Salut Mar, 08003 Barcelona, Spain. [Ayala-Fuentes ME] Institut Català de la Retina (ICR), 08017 Barcelona, Spain
Vall d'Hebron Barcelona Hospital Campus
dc.subject.none.fl_str_mv Glaucoma - Diagnòstic
Ulls - Tomografia
ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Investigative Techniques::Optical Imaging::Tomography, Optical::Tomography, Optical Coherence
DISEASES::Eye Diseases::Ocular Hypertension::Glaucoma
Other subheadings::Other subheadings::/diagnosis
TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::técnicas de investigación::imágenes ópticas::tomografía óptica::tomografía de coherencia óptica
ENFERMEDADES::oftalmopatías::hipertensión ocular::glaucoma
Otros calificadores::Otros calificadores::/diagnóstico
topic Glaucoma - Diagnòstic
Ulls - Tomografia
ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Investigative Techniques::Optical Imaging::Tomography, Optical::Tomography, Optical Coherence
DISEASES::Eye Diseases::Ocular Hypertension::Glaucoma
Other subheadings::Other subheadings::/diagnosis
TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::técnicas de investigación::imágenes ópticas::tomografía óptica::tomografía de coherencia óptica
ENFERMEDADES::oftalmopatías::hipertensión ocular::glaucoma
Otros calificadores::Otros calificadores::/diagnóstico
description Glaucoma; Retinògrafs; Telemedicina
publishDate 2021
dc.date.none.fl_str_mv 2021
2022
2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/11351/7349
url https://hdl.handle.net/11351/7349
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Journal of Clinical Medicine;10(15)
https://doi.org/10.3390/jcm10153337
dc.rights.none.fl_str_mv Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv Scientia
reponame:Scientia. Dipòsit d'Informació Digital del Departament de Salut
instname:Departament de Salut de la Generalitat de Catalunya (DS)
instname_str Departament de Salut de la Generalitat de Catalunya (DS)
reponame_str Scientia. Dipòsit d'Informació Digital del Departament de Salut
collection Scientia. Dipòsit d'Informació Digital del Departament de Salut
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,812455

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