潜在恶性疾病的WhatsApp远程诊断:一个横截面研究
Deepthi Tr1, Smita M2, Nitin Khargekar3
1Kalinga Institute of Dental Sciences.
概括
WhatsApp 电视诊断显示了与潜在恶性疾病 (PMD) 临床评估的高度一致. 这种可访问的工具对于早期诊断和随访非常有价值,特别是在偏远的医疗机构.
科学领域:
- 口腔医学是指口腔医学.
- 数字健康数字健康
- 远程医疗远程医疗
背景情况:
- 潜在恶性疾病 (PMD) 需要及时诊断和随访,在偏远地区往往具有挑战性.
- 通过WhatsApp等平台的远程医疗提供了一个潜在的解决方案,可以弥合PMD的医疗保健准入差距.
- 与传统方法相比,WhatsApp远程诊断准确性的验证至关重要.
研究的目的:
- 评估基于WhatsApp的PMD远程诊断的可行性和诊断准确性.
- 将WhatsApp远程诊断与面对面的临床评估进行比较.
- 通过WhatsApp评估相互评估者在诊断PMD中的可靠性和一致性.
主要方法:
- 分析了198名疑似PMD患者的200个口腔病变.
- 图像和数据通过WhatsApp与两位经验丰富的口腔医学专家分享.
- 临床诊断与WhatsApp远程诊断和组织病理学发现进行了比较.
主要成果:
- 在临床诊断和WhatsApp远程诊断之间观察到很高的一致性 (Kappa = 0.844和0.891).
- 对于WhatsApp远程诊断的评估者之间的协议也很高 (Kappa = 0.891).
- 这项研究包括各种PMD,如白血病,平坦,OSMF和恶性病.
结论:
- WhatsApp 电视诊断显示与PMD的临床诊断有很好的一致性.
- 使用WhatsApp的远程医疗是早期PMD诊断和随访的可行和有价值的工具.
- 这种方法特别有利于改善偏远地区的医疗保健接入.
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