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Single grading vs double grading with adjudication in the telemedicine approaches to evaluating acute-phase retinopathy of prematurity (e-ROP) study.

Publication ,  Journal Article
Daniel, E; Pan, W; Quinn, GE; Smith, E; Baumritter, A; Ying, G-S ...
Published in: J AAPOS
February 2018

PURPOSE: To evaluate the sensitivity and specificity of single, independent, nonphysician trained reader (TR) gradings in the Telemedicine Approaches to Evaluating Acute-phase Retinopathy of Prematurity (e-ROP) study. METHODS: Secondary analyses of image grading results from 1,235 infants of birth weights <1251 g. Two of three TRs independently graded image sets; discrepancies were adjudicated by the reading center director (an ophthalmologist) to reach final grading. Sensitivity and specificity of each TR grading and final grading was calculated by comparing gradings to clinical examination results. RESULTS: Of 7,808 double graded image sets, TR1 graded 5,165; TR2, 3,787; and TR3, 6,664. Compared to final grading for referral warranted retinopathy of prematurity (RW-ROP), two TRs had relatively lower sensitivity (TR1, 75% vs 79% [P = 0.03]; TR2, 73% vs 77% [P = 0.02]) and specificity (TR1, 80% vs 83% [P < 0.001]; TR2, 82% vs 83% [P = 0.09]). TR3 had similar sensitivity (83% vs 83% [P = 0.78]) and specificity (83% vs 84% [P = 0.02]). Compared to final grading, TR1 had lower sensitivity for zone I ROP (47% vs 56% [P = 0.04]) and stage ≥3 ROP (71% vs 77% [P = 0.002]); TR2 had lower sensitivity for stage ≥3 ROP (69% vs 77% [P < 0.001]) and lower specificity for all three components (P < 0.001); TR3 had lower sensitivity for detecting plus disease (23% vs 35% [P < 0.001]) and similar sensitivity for zone I ROP and stage ≥3 ROP. CONCLUSIONS: There is a small but significant decrease in the sensitivity and specificity for RW-ROP when single-reader grading is compared to double adjudicated grading.

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Published In

J AAPOS

DOI

EISSN

1528-3933

Publication Date

February 2018

Volume

22

Issue

1

Start / End Page

32 / 37

Location

United States

Related Subject Headings

  • Telemedicine
  • Sensitivity and Specificity
  • Retinopathy of Prematurity
  • Ophthalmoscopy
  • Ophthalmology & Optometry
  • Infant, Very Low Birth Weight
  • Infant, Newborn
  • Infant
  • Image Processing, Computer-Assisted
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Daniel, E., Pan, W., Quinn, G. E., Smith, E., Baumritter, A., Ying, G.-S., & Telemedicine Approaches to Evaluating Acute-Phase Retinopathy of Prematurity (e-ROP) Cooperative Group. (2018). Single grading vs double grading with adjudication in the telemedicine approaches to evaluating acute-phase retinopathy of prematurity (e-ROP) study. J AAPOS, 22(1), 32–37. https://doi.org/10.1016/j.jaapos.2017.09.005
Daniel, Ebenezer, Wei Pan, Graham E. Quinn, Eli Smith, Agnieshka Baumritter, Gui-Shuang Ying, and Telemedicine Approaches to Evaluating Acute-Phase Retinopathy of Prematurity (e-ROP) Cooperative Group. “Single grading vs double grading with adjudication in the telemedicine approaches to evaluating acute-phase retinopathy of prematurity (e-ROP) study.J AAPOS 22, no. 1 (February 2018): 32–37. https://doi.org/10.1016/j.jaapos.2017.09.005.
Daniel, Ebenezer, et al. “Single grading vs double grading with adjudication in the telemedicine approaches to evaluating acute-phase retinopathy of prematurity (e-ROP) study.J AAPOS, vol. 22, no. 1, Feb. 2018, pp. 32–37. Pubmed, doi:10.1016/j.jaapos.2017.09.005.
Daniel E, Pan W, Quinn GE, Smith E, Baumritter A, Ying G-S, Telemedicine Approaches to Evaluating Acute-Phase Retinopathy of Prematurity (e-ROP) Cooperative Group. Single grading vs double grading with adjudication in the telemedicine approaches to evaluating acute-phase retinopathy of prematurity (e-ROP) study. J AAPOS. 2018 Feb;22(1):32–37.
Journal cover image

Published In

J AAPOS

DOI

EISSN

1528-3933

Publication Date

February 2018

Volume

22

Issue

1

Start / End Page

32 / 37

Location

United States

Related Subject Headings

  • Telemedicine
  • Sensitivity and Specificity
  • Retinopathy of Prematurity
  • Ophthalmoscopy
  • Ophthalmology & Optometry
  • Infant, Very Low Birth Weight
  • Infant, Newborn
  • Infant
  • Image Processing, Computer-Assisted
  • Humans