Analysis of the inter- and intra-observer agreement in radiographic evaluation of wrist fractures using the multimedia messaging service.

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dc.contributor.authorFerrero, Andrea
dc.contributor.authorGaravaglia, Guido
dc.contributor.authorGehri, Roland
dc.contributor.authorMaenza, Ferruccio
dc.contributor.authorPetri, Gianfranco John
dc.contributor.authorFusetti, Cesare
dc.date.accessioned2020-02-06T17:34:43Z
dc.date.available2020-02-06T17:34:43Z
dc.date.issued2012-12-03
dc.description.abstractBACKGROUND Orthopaedic surgeons are often asked to evaluate X rays of patients admitted to the Accident and Emergency Department with the suspicion of a wrist fracture or in the case of an evident fracture to decide the correct treatment The aim of this study was to evaluate the feasibility of a correct interpretation of the images of injured wrists on the screen of a last generation mobile phone in order to evaluate if the specialist could make the right diagnosis and choose the correct treatment METHODS Five orthopaedic and one hand surgeons have evaluate the X rays of 67 patients who sustained an injury to their wrist In the case of fracture they were asked to classify it according to the AO and Mayo classification systems The evaluation of the images was accomplished through the PACS and using a mobile phone at a different time In order to check the inter and intra observer reliability the same pattern was followed after a few months RESULTS The mobile phone showed basically the same agreement between the observers highlighting the worsening of the inter and intra observer reliability with the increment of the variables considered by a classification system CONCLUSIONS The present paper confirms that a last generation mobile phone can already be used in the clinical practise of orthopaedic surgeons on call who could use it as a useful device in remote or poorly served areas for a rapid and economic consultation LEVEL OF EVIDENCE The level of evidence of this case is economic and decision analysis level 2
dc.identifier.urihttp://dx.doi.org/10.1007/s11552-011-9362-4
dc.identifier.urihttps://lib.digitalsquare.io/xmlui/handle/123456789/5323
dc.relation.uriHand (New York, N.Y.)
dc.subjectFacility-based health worker
dc.subjectAccess to information or data
dc.subjectQuality of care
dc.subjectGeographic inaccessibility
dc.subjectPlanning and coordination
dc.subjectEfficiency
dc.subjectFunctionality
dc.subjectUnintentional injury
dc.subjectInjuries
dc.subjectAcute or emergency
dc.subjectRemote client-to-provider consultations (Telemedicine)
dc.subjectDisease diagnosis / Point-of-care diagnostics
dc.subjectMMS
dc.subjectImage
dc.titleAnalysis of the inter- and intra-observer agreement in radiographic evaluation of wrist fractures using the multimedia messaging service.en
dcterms.abstractBACKGROUND Orthopaedic surgeons are often asked to evaluate X rays of patients admitted to the Accident and Emergency Department with the suspicion of a wrist fracture or in the case of an evident fracture to decide the correct treatment The aim of this study was to evaluate the feasibility of a correct interpretation of the images of injured wrists on the screen of a last generation mobile phone in order to evaluate if the specialist could make the right diagnosis and choose the correct treatment METHODS Five orthopaedic and one hand surgeons have evaluate the X rays of 67 patients who sustained an injury to their wrist In the case of fracture they were asked to classify it according to the AO and Mayo classification systems The evaluation of the images was accomplished through the PACS and using a mobile phone at a different time In order to check the inter and intra observer reliability the same pattern was followed after a few months RESULTS The mobile phone showed basically the same agreement between the observers highlighting the worsening of the inter and intra observer reliability with the increment of the variables considered by a classification system CONCLUSIONS The present paper confirms that a last generation mobile phone can already be used in the clinical practise of orthopaedic surgeons on call who could use it as a useful device in remote or poorly served areas for a rapid and economic consultation LEVEL OF EVIDENCE The level of evidence of this case is economic and decision analysis level 2
dcterms.contributorFerrero, Andrea
dcterms.contributorGaravaglia, Guido
dcterms.contributorGehri, Roland
dcterms.contributorMaenza, Ferruccio
dcterms.contributorPetri, Gianfranco John
dcterms.contributorFusetti, Cesare
dcterms.identifierhttp://dx.doi.org/10.1007/s11552-011-9362-4
dcterms.relationHand (New York, N.Y.)
dcterms.subjectFacility-based health worker
dcterms.subjectAccess to information or data
dcterms.subjectQuality of care
dcterms.subjectGeographic inaccessibility
dcterms.subjectPlanning and coordination
dcterms.subjectEfficiency
dcterms.subjectFunctionality
dcterms.subjectUnintentional injury
dcterms.subjectInjuries
dcterms.subjectAcute or emergency
dcterms.subjectRemote client-to-provider consultations (Telemedicine)
dcterms.subjectDisease diagnosis / Point-of-care diagnostics
dcterms.subjectMMS
dcterms.subjectImage
dcterms.titleAnalysis of the inter- and intra-observer agreement in radiographic evaluation of wrist fractures using the multimedia messaging service.en
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