loading page

Comparative performance of prediction model, non-expert and tele-diagnosis of common external and middle ear disorders using a cohort of 85 patients from Cambodia
  • +3
  • James Schuster-Bruce,
  • Prajwal Shetty,
  • James O'Donovan,
  • Rishi Mandavia,
  • Touch Sokdavy,
  • Mahmood Bhutta
James Schuster-Bruce
St George's University Hospital NHS Foundation Trust, St George's, University of London

Corresponding Author:[email protected]

Author Profile
Prajwal Shetty
Worthing Hospital
Author Profile
James O'Donovan
University of Oxford
Author Profile
Rishi Mandavia
National Institute for Health Research
Author Profile
Touch Sokdavy
The Children's Surgical Centre
Author Profile
Mahmood Bhutta
Brighton and Sussex University Hospitals NHS Trust
Author Profile


Key Points: 1. Efforts to combat the large global burden of ear and hearing disorders are hampered by poor availability of expert diagnosis 2. We report the first study to directly compare prediction model, non-expert and tele-diagnosis of middle and external ear disorders. 3. A prediction model based upon a novel automated otological symptom questionnaire performed poorly, but absence of otorrhoea was found to reliably exclude a diagnosis of chronic suppurative otitis media. 4. Both on-site non-expert and expert tele-diagnosis had high diagnostic specificity, but low sensitivity. 5. Future work could explore how the validity of these diagnostic methods may be improved.
16 Jun 2020Submitted to Clinical Otolaryngology
17 Jun 2020Submission Checks Completed
17 Jun 2020Assigned to Editor
12 Aug 2020Reviewer(s) Assigned
13 Oct 2020Review(s) Completed, Editorial Evaluation Pending
18 Oct 2020Editorial Decision: Revise Minor
19 Oct 20201st Revision Received
20 Oct 2020Submission Checks Completed
20 Oct 2020Assigned to Editor
28 Oct 2020Reviewer(s) Assigned
29 Nov 2020Review(s) Completed, Editorial Evaluation Pending
06 Dec 2020Editorial Decision: Accept