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Digital healthcare consultations are not enough for a safe assessment of tonsillitis, according to a study from the University of Gothenburg. Reliability will not be sufficient, thus increasing the risk of over- or undertreatment of a sore throat.
Tonsillitis is a common reason for visits to the doctor and prescriptions of antibiotics in primary care. To determine whether a patient needs antibiotics, doctors use the so-called Centor Criteria for tonsillitis. The criteria include fever, tender and swollen lymph nodes in the angles of the jaw and inspection of the tonsils.
However, it has been unclear how well these criteria can be assessed during digital healthcare consultations compared to traditional in-person consultations. This lack of scientific evidence has become a growing concern as digital healthcare consultations become more common.
Digital vs physical assessment
The current study, published in the journal Infectious Diseases, examines whether digital assessments are as reliable as physical examinations in determining whether antibiotic treatment is warranted. The study includes 189 patients who sought care at healthcare clinics and urgent care clinics in Region Västra Götaland, Sweden, between January 2020 and October 2023.
Each patient in the study underwent two assessments: a digital medical assessment via video and a physical examination conducted by another doctor. The results show that digital healthcare consultations are not sufficient to assess some of the most important criteria, such as tonsil inspection and lymph node examination.
Digital not safe enough
One of the driving forces behind the study is Patrycja Woldan-Gradalska, a PhD student at Sahlgrenska Academy at the University of Gothenburg and a Resident Physician at Sätila Healthcare Clinic.
“Our study shows that although digital healthcare consultations are convenient for many patients, they are not reliable enough to assess tonsillitis. To ensure a correct diagnosis and treatment, it is still important to conduct a physical examination,” she says.
The authors are active in community medicine and public health at Sahlgrenska Academy at the University of Gothenburg and at Region Västra Götaland's FoUUI primary and community healthcare, a support resource for research, education, development and innovation.
Patrycja Woldan-Gradalska, PhD student at the University of Gothenburg and Resident Physician at Sätila Healthcare Clinic, tel. +46 765 91 06 51, e-mail patrycja.woldan-gradalska@gu.se
Pär-Daniel Sundvall, Professor at the University of Gothenburg and General Practitioner at Närhälsan Sandared Healthcare Clinic, tel. +46 722 50 61 96, e-mail par-daniel.sundvall@gu.se
Inter-rater reliability of Centor score assessments between telemedicine and in-person examinations in patients with an acute sore throat, https://doi.org/10.1080/23744235.2024.2434878
Patrycja Woldan-Gradalska and Per-Daniel Sundvall
photo: private/Mikael Stenberg
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Patrycja Woldan-Gradalska and Per-Daniel Sundvall
photo: private/Mikael Stenberg
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