Oral Pathology Department, School of Dentistry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
Oral Pathology Department, School of Dentistry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil; TelessaudeRS-UFRGS, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
Oral Surg Oral Med Oral Pathol Oral Radiol. 2022 Jul;134(1):65-72. doi: 10.1016/j.oooo.2022.02.005. Epub 2022 Feb 25.
The aim of this multicentric study was to assess the diagnostic accuracy of a telediagnosis service for oral mucosal disorders.
This study included 100 patients seen at the oral medicine outpatient clinic of 3 Brazilian Dental Schools (University of Campinas, Federal University of Pernambuco, and Federal University of Santa Catrina) from March 2019 to October 2019. In addition to the face-to-face assistance provided by graduate students and the final diagnosis validated by the professors of these institutions, a remote evaluation was requested for these patients through the EstomatoNet/TelessaúdeRS platform.
The sensitivity and specificity of telediagnosis were compared with those of the face-to-face approach and found to be 100% and 97.4%, respectively. The concordance between the examiners was 95%, and case management was relatively simple in approximately 60% of cases.
Based on the results, telediagnosis for oral diseases can be considered a reliable method, representing a promising alternative for the clinical support of health professionals, particularly in remote locations.
本多中心研究旨在评估口腔黏膜疾病远程诊断服务的诊断准确性。
本研究纳入了 2019 年 3 月至 10 月间在巴西 3 所牙科学院（坎皮纳斯大学、伯南布哥联邦大学和圣卡塔琳娜联邦大学）口腔医学门诊就诊的 100 例患者。除了由研究生提供的面对面帮助和这些机构的教授验证的最终诊断外，还通过 EstomatoNet/TelessaúdeRS 平台为这些患者请求了远程评估。
将远程诊断的敏感性和特异性与面对面方法进行了比较，结果分别为 100%和 97.4%。检查者之间的一致性为 95%，大约 60%的病例的病例管理相对简单。
根据研究结果，口腔疾病的远程诊断可以被认为是一种可靠的方法，代表了对卫生专业人员临床支持的一种有前途的替代方案，特别是在偏远地区。
