Journal article
Reliability and Effectiveness of Smartphone Technology for the Diagnosis and Treatment Planning of Pediatric Elbow Trauma
Journal of pediatric orthopaedics, v 36(5), pp 483-487
Jul 2016
PMID: 25851688
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background: Mobile imaging, such as viewing radiographs as text messages, is increasingly prevalent in clinical settings. The purpose of this study was to determine whether remote diagnosis of pediatric elbow fractures using smartphone technology is reliable. In addition, this study aimed to determine whether the assessment regarding the decision for operative treatment is affected by evaluation of images on a mobile device as opposed to standard picture archiving and communication system (PACS).
Methods: Standard anteroposterior and lateral radiographs of 50 pediatric elbow trauma cases were evaluated by 2 fellowship-trained pediatric orthopaedic surgeons and 2 senior orthopaedic residents. Raters were asked to classify the case as any of 6 diagnoses: supracondylar humerus, lateral condyle, medial epicondyle, radial neck fracture, positive posterior fat pad sign, or normal pediatric elbow. Raters were asked to choose operative or conservative treatment. After 1 week, photographs of the same images were taken from a standardized distance from a computer monitor with an iPhone 5 camera and transmitted by multimedia messaging to each rater. The same questions were again posed to raters. Interobserver and intraobserver reliabilities were calculated by Cohen k-statistics with bootstrapped 95% confidence intervals.
Results: Intraobserver reliability of classification of injuries on PACS compared with smartphone images was excellent, with an overall k of 0.91. Treatment decision also demonstrated excellent intraobserver reliability (PACS vs. smartphones) with a k of 0.86 for all raters.
Conclusions: Diagnosis of pediatric elbow injuries can be made equally reliably based on either PACS or transmitted multimedia messaging images taken with an iPhone camera from a computer screen and viewed on a smartphone. Treatment decisions can also be made reliably based on either image modality.
Clinical Relevance: Using smartphones to transmit and display radiographs, which is common in current clinical practice, is effective and reliable for diagnosis and treatment planning of pediatric elbow injuries.
Metrics
Details
- Title
- Reliability and Effectiveness of Smartphone Technology for the Diagnosis and Treatment Planning of Pediatric Elbow Trauma
- Creators
- Ebrahim Paryavi - MedStar Union Memorial HospitalBrandon S. Schwartz - University of Maryland, BaltimoreCarissa L. Meyer - University of Maryland, BaltimoreMartin J. Herman - St. Christopher's Hospital for ChildrenJoshua M. Abzug - University of Maryland, Baltimore
- Publication Details
- Journal of pediatric orthopaedics, v 36(5), pp 483-487
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 5
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics; Orthopedic/Orthopaedic Surgery
- Web of Science ID
- WOS:000377638100014
- Scopus ID
- 2-s2.0-84976286390
- Other Identifier
- 991020836336504721
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Orthopedics
- Pediatrics