Blinded Comparison of Clarity, Proficiency and Diagnostic Capability of Tele-Cystoscopy Compared to Traditional Cystoscopy: A Pilot Study
| العنوان: | Blinded Comparison of Clarity, Proficiency and Diagnostic Capability of Tele-Cystoscopy Compared to Traditional Cystoscopy: A Pilot Study |
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| المؤلفون: | Thomas Corey, Paula Hill-Collins, Randy A. Jones, Noah S. Schenkman, Haerin L. Beller, Teresa Tyson, Stephen Culp, Karen S. Rheuban, Bethany J. Horton, Jennifer M. Lobo, Patricia Battle, Terran Sims, Jessica Rueb, Tracey L. Krupski |
| المصدر: | Journal of Urology. 204:811-817 |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health), 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Telemedicine, Urology, medicine.medical_treatment, Video Recording, 030232 urology & nephrology, Pilot Projects, law.invention, 03 medical and health sciences, 0302 clinical medicine, Predictive Value of Tests, law, medicine, Humans, Medical physics, Retrospective Studies, medicine.diagnostic_test, business.industry, Cystoscopy, CLARITY, Female, business, Watchful waiting |
| الوصف: | In order to expand the availability of cystoscopy to underserved areas we have proposed using advanced practice providers to perform cystoscopy with real-time interpretation by the urologist on a telemedicine platform, termed "tele-cystoscopy." The purpose of this study is to have blinded external reviewers retrospectively compare multisite, prospectively collected video data from tele-cystoscopy with the video of traditional cystoscopy in terms of video clarity, practitioner proficiency and diagnostic capability.Each patient underwent tele-cystoscopy by a trained advanced practice provider and traditional cystoscopy with an onsite urologist. Prospectively collected tele-cystoscopy transmitted video, tele-cystoscopy onsite video and traditional cystoscopy video were de-identified and blinded to external reviewers. Each video was evaluated and rated twice by independent reviewers and diagnostic agreement was quantified.Six tele-cystoscopy encounters were reviewed for a total of 36 assessments. Video clarity, defined by speed of transmission and image resolution, was better for onsite compared to transmitted tele-cystoscopy. Practitioner proficiency for thoroughness of inspection was rated at 92% for tele-cystoscopy and 100% for traditional cystoscopy. Confidence in identification of an abnormality was equivalent. Four of 6 videos had 100% agreement between reviewers for next action taken, indicating high diagnostic agreement. Additionally, provider performing cystoscopy and location did not statistically influence the ability to make a diagnosis or action taken.This model has excellent completeness of examination, equivalent ability to identify abnormalities and external validation of action taken. This pilot study demonstrates that tele-cystoscopy may expand access to bladder cancer surveillance. |
| تدمد: | 1527-3792 0022-5347 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2a8a7ee844ef03fa76fbc2aaa0dec714 https://doi.org/10.1097/ju.0000000000001092 |
| رقم الأكسشن: | edsair.doi.dedup.....2a8a7ee844ef03fa76fbc2aaa0dec714 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15273792 00225347 |
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