Evidence map›Paper›PMID 23931458›Full record

Trial reportCanadian journal of ophthalmology. Journal canadien d'ophtalmologie2013

Fundus image diagnostic agreement in uveitis utilizing free and open source software.

Jane Hsieh, Andrea F Honda, Mayte Suárez-Fariñas, C Michael Samson, Sanjay Kedhar, John Mauro, Jasmine Francis, Jason Badamo, Vicente A Diaz, John H Kempen and 1 more

Open access · greenAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Canadian journal of ophthalmology. Journal canadien d'ophtalmologie, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.1field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Retinal imaging in uveitis.Saudi journal of ophthalmology : official journal of the Saudi Ophthalmological Society · 2014
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Jane HsiehNew York Eye and Ear Infirmary, New York, NY, USA.
Andrea F Honda
Mayte Suárez-Fariñas
C Michael Samson
Sanjay Kedhar
John Mauro
Jasmine Francis
Jason Badamo
Vicente A Diaz
John H Kempen
Paul A Latkany
New York Eye and Ear Infirmary · USUniversity of Pennsylvania · US

Funding

Multi-Center Uveitis Steriod Treatment (MUST) TrialU10EY014660 · NEI · JOHNS HOPKINS UNIVERSITY · PI HOLBROOK, JANET T. · 2004 to 2016
$33.6M
Multicenter Uveitis Steroid Treatment (MUST) TrialU10EY014655 · NEI · JOHNS HOPKINS UNIVERSITY · PI JABS, DOUGLAS A · 2004 to 2016
$4.6M
Reading Center: Multicenter Uveitis Steroid TrialU10EY014656 · NEI · UNIVERSITY OF WISCONSIN-MADISON · PI ALTAWEEL, MICHAEL M · 2004 to 2015
$2.2M
NEI NIH HHS U10 EY014655NEI NIH HHS U10EY014655NEI NIH HHS U10 EY014656NEI NIH HHS U10EY014656NEI NIH HHS U10 EY014660NEI NIH HHS U10EY014660
6 · The paper itself

Abstract

objectiveTo assess the adequacy of image agreement regarding uveitis based on color fundus and fluorescein angiography images alone, and to use free and open source applications to conduct an image agreement study.

designCross-sectional agreement study.

participantsBaseline fundus and fluorescein images of patients with panuveitis, posterior, or intermediate uveitis enrolled in the Multi-center Uveitis Steroid Treatment (MUST) trial.

methodsThree fellowship-trained specialists in uveitis independently reviewed patient images using ClearCanvas™ and responded using Epi Info™. The diagnoses of the 3 reviewers were compared with the MUST clinician as a gold standard. A rank transformation adjusted for the possible variation in number of responses per patient. Chance-corrected interobserver agreement among the 3 reviewers was estimated with the ι coefficient. Confidence interval (CI) and SE were bootstrapped.

resultsAgreement between the diagnoses of the respondents and the baseline MUST clinician's diagnosis was poor across all diagnostic categories, ι = 0.09 (95% CI, 0.07-0.11). The agreement among respondents alone also was poor, ι = 0.11 ± 0.02 (95% CI, 0.08-0.13). The specialists requested more patient historical and clinical information to make a diagnosis on all patients.

conclusionsThe role in distinguishing the multiple conditions in uveitis appears to be limited when based on fundus imaging alone. Future studies should investigate different categories of clinical data to supplement image data. Freely available applications have excellent utility in ophthalmic imaging agreement studies.

Indexed as

Fluorescein AngiographyCross-Sectional StudiesDiagnostic ImagingDrug Therapy, CombinationGlucocorticoidsHumansImage Interpretation, Computer-AssistedImmunosuppressive AgentsObserver VariationPhotographyReproducibility of ResultsRetinal VasculitisSoftwareSurveys and QuestionnairesTomography, Optical CoherenceUveitisGlucocorticoidsImmunosuppressive Agents

Identifiers

PMID23931458
PMCPMC3741676
OpenAlexW2017403422

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.