Diagnostic accuracy of a telediagnosis service of oral mucosal diseases: A multicentric survey

Anacláudia Pereira da Costa Flores; Michelle Roxo-Gonçalves; Nancy Vanessa Rodrigues Batista; Luiz Alcino Gueiros; Matheus Linares; Alan Roger Santos-Silva; Márcio Ajudarte Lopes; Carolina Flausino; Maria Inês Meurer; Liliane Janete Grando; Cynthia Goulart Molina-Bastos; Verônica Lucas de Oliveira Guattini; Vinicius Coelho Carrard

doi:10.1016/j.oooo.2022.02.005

Diagnostic accuracy of a telediagnosis service of oral mucosal diseases: A multicentric survey

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.

Authors

Affiliations

¹ Oral Pathology Department, School of Dentistry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
² 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.
³ Oral Medicine Unit, Departamento de Clínica e Odontologia Preventiva, Universidade Federal de Pernambuco, Recife, Brazil.
⁴ Oral Diagnosis Department, Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil.
⁵ Department of Pathology, Federal University of Santa Catarina, Florianópolis, SC, Brazil.
⁶ TelessaudeRS-UFRGS, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
⁷ 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; Department of Oral Medicine, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Rio Grande do Sul, Brazil. Electronic address: [email protected].

PMID: 35422409
DOI: 10.1016/j.oooo.2022.02.005

Abstract

Objective: The aim of this multicentric study was to assess the diagnostic accuracy of a telediagnosis service for oral mucosal disorders.

Study design: 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.

Results: 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.

Conclusions: 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.

Publication types

Multicenter Study

MeSH terms

Brazil
Humans
Mouth Diseases* / diagnosis
Mouth Mucosa