Comparative Diagnostic Concordance of Low‐cost Endoscopic Remote Consultation Versus Standard Otolaryngology Evaluation
Abstract Objective To analyze the diagnostic concordance between findings obtained using a low‐cost endoscope during telepresence evaluations and those obtained through conventional otolaryngology consultations. Study Design An observational cross‐sectional study was conducted between September 2022...
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Wiley
2025-01-01
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| Online Access: | https://doi.org/10.1002/oto2.70072 |
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| author | Manuela Restrepo Peláez Paola Herrera Noreña Tania Margarita Salgado Gómez Ingri Julieth Patiño Ariza Carlos Stiven Zúñiga Bravo Sebastián Orozco Arteaga |
| author_facet | Manuela Restrepo Peláez Paola Herrera Noreña Tania Margarita Salgado Gómez Ingri Julieth Patiño Ariza Carlos Stiven Zúñiga Bravo Sebastián Orozco Arteaga |
| author_sort | Manuela Restrepo Peláez |
| collection | DOAJ |
| description | Abstract Objective To analyze the diagnostic concordance between findings obtained using a low‐cost endoscope during telepresence evaluations and those obtained through conventional otolaryngology consultations. Study Design An observational cross‐sectional study was conducted between September 2022 and October 2023. Setting Second‐level clinic providing in‐person otolaryngology consultations for patients aged 18 and older. Methods A total of 223 evaluations were performed on 217 adult patients, comparing in‐person assessments with remote evaluations using a low‐cost otoendoscopic device. Diagnostic concordance was assessed for 7 otolaryngological conditions: tympanic perforation, myringosclerosis, signs of external otitis, middle ear effusion, turbinate hypertrophy, septal deviation, and tonsillar hypertrophy. Statistical analysis included the calculation of Cohen's κ coefficient and diagnostic performance measures. Results The endoscopic evaluation demonstrated high diagnostic concordance for ear and oral cavity assessments, particularly for tympanic perforation and signs of external otitis (κ of 1 and 0.93, respectively). Conversely, low concordance was observed for nasal findings such as turbinate hypertrophy and septal deviation (κ of 0.07 and 0.11, respectively). Limitations in image resolution and data capture of the low‐cost device were identified. Conclusion The low‐cost endoscope used in telepresence otolaryngology consultations is effective for evaluating ear and oral cavity findings but shows limitations in nasal cavity assessments. Telemedicine in otolaryngology can reduce health care access barriers in settings with limited availability of specialized services. This study underscores the need for continued research and development of more precise diagnostic devices in otolaryngology. |
| format | Article |
| id | doaj-art-e0abbf6cc68c47119f21f772be6d694e |
| institution | Kabale University |
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| language | English |
| publishDate | 2025-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | OTO Open |
| spelling | doaj-art-e0abbf6cc68c47119f21f772be6d694e2025-08-20T03:44:25ZengWileyOTO Open2473-974X2025-01-0191n/an/a10.1002/oto2.70072Comparative Diagnostic Concordance of Low‐cost Endoscopic Remote Consultation Versus Standard Otolaryngology EvaluationManuela Restrepo Peláez0Paola Herrera Noreña1Tania Margarita Salgado Gómez2Ingri Julieth Patiño Ariza3Carlos Stiven Zúñiga Bravo4Sebastián Orozco Arteaga5Resident in Otolaryngology and Head and Neck Surgery, Faculty of Medicine University of Antioquia Medellin ColombiaResident in Otolaryngology and Head and Neck Surgery, Faculty of Medicine University of Antioquia Medellin ColombiaDepartment of Otolaryngology and Head and Neck Surgery Faculty of Medicine, University of Antioquia Medellin ColombiaLa Chinita Clinic Apartadó ColombiaLa Chinita Clinic Apartadó ColombiaDepartment of Otolaryngology and Head and Neck Surgery Faculty of Medicine, University of Antioquia Medellin ColombiaAbstract Objective To analyze the diagnostic concordance between findings obtained using a low‐cost endoscope during telepresence evaluations and those obtained through conventional otolaryngology consultations. Study Design An observational cross‐sectional study was conducted between September 2022 and October 2023. Setting Second‐level clinic providing in‐person otolaryngology consultations for patients aged 18 and older. Methods A total of 223 evaluations were performed on 217 adult patients, comparing in‐person assessments with remote evaluations using a low‐cost otoendoscopic device. Diagnostic concordance was assessed for 7 otolaryngological conditions: tympanic perforation, myringosclerosis, signs of external otitis, middle ear effusion, turbinate hypertrophy, septal deviation, and tonsillar hypertrophy. Statistical analysis included the calculation of Cohen's κ coefficient and diagnostic performance measures. Results The endoscopic evaluation demonstrated high diagnostic concordance for ear and oral cavity assessments, particularly for tympanic perforation and signs of external otitis (κ of 1 and 0.93, respectively). Conversely, low concordance was observed for nasal findings such as turbinate hypertrophy and septal deviation (κ of 0.07 and 0.11, respectively). Limitations in image resolution and data capture of the low‐cost device were identified. Conclusion The low‐cost endoscope used in telepresence otolaryngology consultations is effective for evaluating ear and oral cavity findings but shows limitations in nasal cavity assessments. Telemedicine in otolaryngology can reduce health care access barriers in settings with limited availability of specialized services. This study underscores the need for continued research and development of more precise diagnostic devices in otolaryngology.https://doi.org/10.1002/oto2.70072otoendoscopeotorhinolaryngologyremote consultationteleconsultationtelemedicine |
| spellingShingle | Manuela Restrepo Peláez Paola Herrera Noreña Tania Margarita Salgado Gómez Ingri Julieth Patiño Ariza Carlos Stiven Zúñiga Bravo Sebastián Orozco Arteaga Comparative Diagnostic Concordance of Low‐cost Endoscopic Remote Consultation Versus Standard Otolaryngology Evaluation OTO Open otoendoscope otorhinolaryngology remote consultation teleconsultation telemedicine |
| title | Comparative Diagnostic Concordance of Low‐cost Endoscopic Remote Consultation Versus Standard Otolaryngology Evaluation |
| title_full | Comparative Diagnostic Concordance of Low‐cost Endoscopic Remote Consultation Versus Standard Otolaryngology Evaluation |
| title_fullStr | Comparative Diagnostic Concordance of Low‐cost Endoscopic Remote Consultation Versus Standard Otolaryngology Evaluation |
| title_full_unstemmed | Comparative Diagnostic Concordance of Low‐cost Endoscopic Remote Consultation Versus Standard Otolaryngology Evaluation |
| title_short | Comparative Diagnostic Concordance of Low‐cost Endoscopic Remote Consultation Versus Standard Otolaryngology Evaluation |
| title_sort | comparative diagnostic concordance of low cost endoscopic remote consultation versus standard otolaryngology evaluation |
| topic | otoendoscope otorhinolaryngology remote consultation teleconsultation telemedicine |
| url | https://doi.org/10.1002/oto2.70072 |
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