Diagnostic performance of a telemedicine system for ophthalmology: advantages in accuracy and speed compared to standard care.

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dc.contributor.authorChiang, Michael F
dc.contributor.authorWang, Lu
dc.contributor.authorKim, David
dc.contributor.authorScott, Karen
dc.contributor.authorRichter, Grace
dc.contributor.authorKane, Steven
dc.contributor.authorFlynn, John
dc.contributor.authorStarren, Justin
dc.date.accessioned2020-02-10T17:55:33Z
dc.date.available2020-02-10T17:55:33Z
dc.date.issued2011-02-24
dc.description.abstractTelemedicine has potential to improve quality and delivery of medical care particularly in image oriented specialties where decisions are based on appearance of morphological features during examination In the ophthalmology domain nearly all published telemedicine studies have measured accuracy against a gold standard of ophthalmoscopic examination The purposes of this study are to examine difficulties in defining an absolute gold standard and to compare diagnostic speed in a representative disease retinopathy of prematurity We compare results from ophthalmoscopic and telemedicine examinations by the same physicians In 180 86 5 of 208 eyes the two examinations produced the same diagnosis In some discrepancies there was rationale suggesting that telemedicine may have provided a more accurate diagnosis than ophthalmoscopic examination The quantity and nature of these disagreements has important implications for evaluation of telemedicine systems in image based specialties and for the definition of gold standards in future studies
dc.identifier.urihttp://dx.doi.org/Not available
dc.identifier.urihttps://lib.digitalsquare.io/xmlui/handle/123456789/28234
dc.relation.uriAMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium
dc.titleDiagnostic performance of a telemedicine system for ophthalmology: advantages in accuracy and speed compared to standard care.en
dcterms.abstractTelemedicine has potential to improve quality and delivery of medical care particularly in image oriented specialties where decisions are based on appearance of morphological features during examination In the ophthalmology domain nearly all published telemedicine studies have measured accuracy against a gold standard of ophthalmoscopic examination The purposes of this study are to examine difficulties in defining an absolute gold standard and to compare diagnostic speed in a representative disease retinopathy of prematurity We compare results from ophthalmoscopic and telemedicine examinations by the same physicians In 180 86 5 of 208 eyes the two examinations produced the same diagnosis In some discrepancies there was rationale suggesting that telemedicine may have provided a more accurate diagnosis than ophthalmoscopic examination The quantity and nature of these disagreements has important implications for evaluation of telemedicine systems in image based specialties and for the definition of gold standards in future studies
dcterms.contributorChiang, Michael F
dcterms.contributorWang, Lu
dcterms.contributorKim, David
dcterms.contributorScott, Karen
dcterms.contributorRichter, Grace
dcterms.contributorKane, Steven
dcterms.contributorFlynn, John
dcterms.contributorStarren, Justin
dcterms.identifierhttp://dx.doi.org/Not available
dcterms.relationAMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium
dcterms.titleDiagnostic performance of a telemedicine system for ophthalmology: advantages in accuracy and speed compared to standard care.en
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