Evidence map›Paper›PMID 24086301›Full record

ArticlePloS one2013

Digital radiology to improve the quality of care in countries with limited resources: a feasibility study from Angola.

Floriana Zennaro, Joaquim António Oliveira Gomes, Armando Casalino, Magda Lonardi, Meta Starc, Pierpaolo Paoletti, Daniele Gobbo, Chiara Giusto, Tarcisio Not, Marzia Lazzerini

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 7% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. Review
  8. Article
  9. The Empirical Foundations of Teleradiology and Related Applications: A Review of the Evidence.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2016
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
4 · The record

Corrections and comments

  • Erratum issued
5 · Who and what money

Authors and funding

10 authors at 2 institutions in 2 countries.

Floriana ZennaroInstitute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, Italy.
Joaquim António Oliveira Gomes
Armando Casalino
Magda Lonardi
Meta Starc
Pierpaolo Paoletti
Daniele Gobbo
Chiara Giusto
Tarcisio Not
Marzia Lazzerini
IRCCS Materno Infantile Burlo Garofolo · ITClínica Sagrada Esperança · AO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveSub-standard quality in X-ray image acquisition and interpretation is common in low-resource countries, and can ultimately result in higher patient morbidity and mortality. This study aimed at evaluating; 1) feasibility of implementing a digital X-ray device in a second level hospital in Angola; 2) quality of digital X-ray images, when digital radiology was in the hands of local technicians; 3) feasibility of digital teleradiology and its potential impact on case management.

methodsWe developed and tested at the Hospital Divina Providencia (HDP) in Luanda, Angola, a digital X-ray device and a telemedicine network to acquire and print digital X-ray images and send them as DICOM files for remote consultation.

results20,564 digital X-ray images were made at HDP from November 2010 to December 2012, with no major technical problems and no need for on-site supervision. Digital radiology largely improved the number of X-ray images of good and very good quality (100% of images with digital radiology, compared to 15% of screen-film images, p<0.0001). Teleradiology using digital images was used in 7.6% of paediatric cases, and provided, in these cases, an important contribution to case management.

conclusionsThe implementation of a digital X-ray device is feasible in low resource settings with significant improvement in quality of X-ray images compared to standard screen film radiology.

Indexed as

Developing CountriesQuality of Health CareRadiographic Image EnhancementAngolaFeasibility StudiesHumansTeleradiology

Identifiers

PMID24086301
PMCPMC3783475
OpenAlexW2140334807

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.