Accuracy of online symptom checkers for diagnosis of orofacial pain and oral medicine disease
Accuracy of online symptom checkers for diagnosis of orofacial pain and oral medicine disease
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DOI：
10.2186/jpr.jpor_2019_499
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发表时间：
2021-01-01
影响因子：
3.6
通讯作者：
Clark, Glenn Thomas
中科院分区：
文献类型：
--
作者：
Yoshida, Yuya;Clark, Glenn Thomas
目的：本研究的目的是比较和对比多个在线症状检查器在诊断口面部疼痛和口腔医学相关疾病小插图时的诊断准确性。本研究中使用的比较条件是高级专科医生使用虚拟患者系统对这些相同的小插图实现的诊断准确性。方法：使用了 27 个单独的疾病小插图。这些小插曲有多种口面部疼痛和口腔医学疾病。我们对南加州大学的研究生口面部疼痛和口腔医学住院医师与随机分配的虚拟患者的互动进行了分析 [n=574]。虚拟患者的准确性取决于用户在访谈后是否选择主要诊断作为其前四个选择之一。十一名英语症状检查员的准确性取决于这些小插图是否将初步诊断作为他们的四大选择之一。使用这些数据，计算症状检查器和虚拟患者的准确率。结果：虚拟患者就诊的初步诊断平均有 67.2% 的时间出现在前四个选项中。输入 11 个症状检查器的相同小插图的初步诊断结果平均有 5.9% 出现在前 4 个选项中。结论：目前患者可用于自我诊断常见口面部疼痛和口腔医学疾病的症状检查器的准确性较低，这一结果表明需要改进诊断算法。
Purpose: The aim of this study was to compare and contrast the diagnostic accuracy of multiple online symptom checkers when used for the diagnosis of orofacial pain and oral medicine related disease vignettes. The comparison condition used in this study was the diagnostic accuracy achieved by advanced specialty residents on these same vignettes using a virtual patient system.Methods: 27 individual disease vignettes were utilized. These vignettes had a variety of orofacial pain and oral medicine diseases. Post graduate orofacial pain and oral medicine residents at our University of Southern California interacted with their randomly assigned virtual patients were analyzed [n=574]. Virtual patient accuracy was based on whether the user selected the primary diagnosis as one of their top four choices after interviewing. Eleven English-language symptom checkers accuracy was based on whether the vignettes produced the primary diagnosis as one of their top four choices. Using these data, symptom checker and virtual patient accuracy rates were calculated.Results: The primary diagnosis on virtual patient encounters was found within the top four choices a mean of 67.2% of the time. The primary diagnosis for the same vignettes entered into the 11 symptom checkers was found within the top four choices a mean of 5.9% of the time.Conclusions: The accuracy of currently available symptom checkers that patient might use for self-diagnosis of common orofacial pain and oral medicine diseases was low, this result suggest that the improved diagnostic algorithms are needed.