Evidence map›Paper›PMID 37870594›Full record

ArticleClinical oral investigations2023

Inter-observer agreement among specialists in the diagnosis of oral potentially malignant disorders and oral cancer using store-and-forward technology.

Gurushanth Keerthi, Nirza Mukhia, Sumsum P Sunny, Bofan Song, Shubhasini A Raghavan, Shubha Gurudath, Pramila Mendonca, Shaobai Li, Sanjana Patrick, Tsusennaro Imchen and 13 more

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Article in Clinical oral investigations, 2023. 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
1.6field-weighted citation impact, top 13% 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, 9 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

23 authors at 6 institutions in 2 countries.

Gurushanth KeerthiDepartment of Oral Medicine and Radiology, KLE Society's Institute of Dental Sciences, Bengaluru, Karnataka, India.ORCID https://orcid.org/0000-0003-4594-8674
Nirza MukhiaDepartment of Oral Medicine and Radiology, KLE Society's Institute of Dental Sciences, Bengaluru, Karnataka, India.
Sumsum P SunnyIntegrated Head and Neck Oncology Program, Mazumdar Shaw Medical Foundation, Narayana Health City, Bommsandra Industrial Area, Bengaluru, Karnataka, India.
Bofan SongCollege of Optical Sciences, The University of Arizona, Tucson, AZ, USA.
Shubhasini A RaghavanDepartment of Oral Medicine and Radiology, KLE Society's Institute of Dental Sciences, Bengaluru, Karnataka, India.
Shubha GurudathDepartment of Oral Medicine and Radiology, KLE Society's Institute of Dental Sciences, Bengaluru, Karnataka, India.
Pramila MendoncaDepartment of Head and Neck Surgical Oncology, Mazumdar Shaw Medical Foundation, Narayana Health City, Bangalore, Karnataka, India.
Shaobai LiCollege of Optical Sciences, The University of Arizona, Tucson, AZ, USA.
Sanjana PatrickBiocon Foundation, Bangalore, Karnataka, India.
Tsusennaro ImchenChristian Institute of Health Sciences and Research, Dimapur, Nagaland, India.
Shirley T LeivonChristian Institute of Health Sciences and Research, Dimapur, Nagaland, India.
Tulika ShrutiMahamana Pandit Madan Mohan Malaviya Cancer Center/Homi Bhabha Cancer Hospital, Varanasi, India.
Trupti KolurDepartment of Head and Neck Surgical Oncology, Mazumdar Shaw Medical Foundation, Narayana Health City, Bangalore, Karnataka, India.
Vivek ShettyDepartment of Head and Neck Surgical Oncology, Mazumdar Shaw Medical Foundation, Narayana Health City, Bangalore, Karnataka, India.
R Vidya BhushanDepartment of Head and Neck Surgical Oncology, Mazumdar Shaw Medical Foundation, Narayana Health City, Bangalore, Karnataka, India.
Rohan Michael RameshChristian Institute of Health Sciences and Research, Dimapur, Nagaland, India.
Vijay PillaiDepartment of Head and Neck Surgical Oncology, Mazumdar Shaw Medical Foundation, Narayana Health City, Bangalore, Karnataka, India.
O S KathrynBeckman Laser Institute, University of California Irvine School of Medicine, Irvine, USA.
Petra Wilder SmithBeckman Laser Institute, University of California Irvine School of Medicine, Irvine, USA.
Amritha SureshDepartment of Head and Neck Surgical Oncology, Mazumdar Shaw Medical Foundation, Narayana Health City, Bangalore, Karnataka, India.
Rongguang LiangCollege of Optical Sciences, The University of Arizona, Tucson, AZ, USA.
N Praveen BirurDepartment of Oral Medicine and Radiology, KLE Society's Institute of Dental Sciences, Bengaluru, Karnataka, India. praveen.birur@gmail.com.ORCID https://orcid.org/0000-0001-5287-8323
Moni Abraham KuriakoseKarkinos Healthcare, Kochi, India.
Narayana Health · INKamineni Institute of Dental Sciences · INChristian Institute of Health Sciences and Research Hospital · INUniversity of Arizona · USUniversity of California, Irvine · USBiocon (India) · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesOral cancer is a leading cause of morbidity and mortality. Screening and mobile Health (mHealth)-based approach facilitates early detection remotely in a resource-limited settings. Recent advances in eHealth technology have enabled remote monitoring and triage to detect oral cancer in its early stages. Although studies have been conducted to evaluate the diagnostic efficacy of remote specialists, to our knowledge, no studies have been conducted to evaluate the consistency of remote specialists. The aim of this study was to evaluate interobserver agreement between specialists through telemedicine systems in real-world settings using store-and-forward technology. MATERIALS AND

methodsThe two remote specialists independently diagnosed clinical images (n=822) from image archives. The onsite specialist diagnosed the same participants using conventional visual examination, which was tabulated. The diagnostic accuracy of two remote specialists was compared with that of the onsite specialist. Images that were confirmed histopathologically were compared with the onsite diagnoses and the two remote specialists.

resultsThere was moderate agreement (k= 0.682) between two remote specialists and (k= 0.629) between the onsite specialist and two remote specialists in the diagnosis of oral lesions. The sensitivity and specificity of remote specialist 1 were 92.7% and 83.3%, respectively, and those of remote specialist 2 were 95.8% and 60%, respectively, each compared with histopathology.

conclusionThe diagnostic accuracy of the two remote specialists was optimal, suggesting that "store and forward" technology and telehealth can be an effective tool for triage and monitoring of patients. CLINICAL RELEVANCE: Telemedicine is a good tool for triage and enables faster patient care in real-world settings.

Indexed as

Mouth DiseasesMouth NeoplasmsTelemedicineHumansObserver VariationTechnologyAgreementDiagnosisOral cancerPotentially malignantSpecialistTelemedicine

Identifiers

PMID37870594
OpenAlexW4387866298

What OpenQuestion holds

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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.