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dc.contributor.authorAntón López, Alfonso
dc.contributor.authorNolivos, Karen
dc.contributor.authorPazos, Marta
dc.contributor.authorFatti, Gianluca
dc.contributor.authorHerranz, Alejandra
dc.contributor.authorAyala-Fuentes, Miriam Eleonora
dc.contributor.authorMartínez-Prats, Elena
dc.contributor.authorPeral, Oscar
dc.contributor.authorVega-Lopez, Zaida
dc.contributor.authorMonleon-Getino, Antoni
dc.contributor.authorMorilla Grasa, Antonio
dc.contributor.authorComas, Merce
dc.contributor.authorCastells, Xavier
dc.date.accessioned2021-09-08T14:41:22Z
dc.date.available2021-09-08T14:41:22Z
dc.date.issued2021
dc.identifier.citationAnton, Alfonso; Nolivos, Karen; Pazos, Marta [et al.]. Interobserver and intertest agreement in telemedicine glaucoma screening with optic disk photos and optical coherence tomography. Interobserver and intertest agreement in telemedicine glaucoma screening with optic disk photos and optical coherence tomography, 2021, 10(15), 3337. Disponible en: <https://www.mdpi.com/2077-0383/10/15/3337>. Fecha de acceso: 8 sep. 2021. DOI: 10.3390/jcm10153337ca
dc.identifier.issn2077-0383ca
dc.identifier.urihttp://hdl.handle.net/20.500.12328/2766
dc.description.abstractPurpose: To evaluate interobserver and intertest agreement between optical coherence tomography (OCT) and retinography in the detection of glaucoma through a telemedicine program. Methods: A stratified sample of 4113 individuals was randomly selected, and those who accepted underwent examination including visual acuity, intraocular pressure (IOP), non-mydriatic retinography, and imaging using a portable OCT device. Participants’ data and images were uploaded and assessed by 16 ophthalmologists on a deferred basis. Two independent evaluations were performed for all participants. Agreement between methods was assessed using the kappa coefficient and the prevalence-adjusted bias-adjusted kappa (PABAK). We analyzed potential factors possibly influencing the level of agreement. Results: The final sample comprised 1006 participants. Of all suspected glaucoma cases (n = 201), 20.4% were identified in retinographs only, 11.9% in OCT images only, 46.3% in both, and 21.4% were diagnosed based on other data. Overall interobserver agreement outcomes were moderate to good with a kappa coefficient of 0.37 and a PABAK index of 0.58. Higher values were obtained by experienced evaluators (kappa = 0.61; PABAK = 0.82). Kappa and PABAK values between OCT and photographs were 0.52 and 0.82 for the first evaluation. Conclusion: In a telemedicine screening setting, interobserver agreement on diagnosis was moderate but improved with greater evaluator expertise.en
dc.format.extent13ca
dc.language.isoengca
dc.publisherMDPIca
dc.relation.ispartofJournal of Clinical Medicineca
dc.relation.ispartofseries10;15
dc.rightsThis is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.en
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subject.otherProjeccióca
dc.subject.otherAcordca
dc.subject.otherGlaucomaca
dc.subject.otherTomografia de coherència òpticaca
dc.subject.otherRetinògrafsca
dc.subject.otherTelemedicinaca
dc.subject.otherPantallaes
dc.subject.otherConvenioes
dc.subject.otherGlaucomaes
dc.subject.otherTomografía de coherencia ópticaes
dc.subject.otherRetinógrafoses
dc.subject.otherTelemedicinaes
dc.subject.otherScreeningen
dc.subject.otherAgreementen
dc.subject.otherGlaucomaen
dc.subject.otherOptical coherence tomographyen
dc.subject.otherRetinographsen
dc.subject.otherTelemedicineen
dc.titleInterobserver and intertest agreement in telemedicine glaucoma screening with optic disk photos and optical coherence tomographyen
dc.typeinfo:eu-repo/semantics/articleca
dc.description.versioninfo:eu-repo/semantics/publishedVersionca
dc.rights.accessLevelinfo:eu-repo/semantics/openAccess
dc.embargo.termscapca
dc.subject.udc61ca
dc.identifier.doihttps://dx.doi.org/10.3390/jcm10153337ca


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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Except where otherwise noted, this item's license is described as https://creativecommons.org/licenses/by/4.0/