Index to Chiropractic Literature
Index to Chiropractic Literature
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Thursday, December 26, 2024
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ID 28044
  Title Agreement and concurrent validity between telehealth and in-person diagnosis of musculoskeletal conditions: A systematic review
URL https://chiromt.biomedcentral.com/articles/10.1186/s12998-024-00542-3
Journal Chiropr & Manual Ther. 2024 ;32(21):15
Author(s)
Subject(s)
Peer Review Yes
Publication Type Systematic Review
Abstract/Notes

Objectives: To assess the concurrent validity and inter-rater agreement of the diagnosis of musculoskeletal (MSK) conditions using synchronous telehealth compared to standard in-person clinical diagnosis.

Methods: We searched five electronic databases for cross-sectional studies published in English in peer-reviewed journals from inception to 28 September 2023. We included studies of participants presenting to a healthcare provider with an undiagnosed MSK complaint. Eligible studies were critically appraised using the QUADAS-2 and QAREL criteria. Studies rated as overall low risk of bias were synthesized descriptively following best-evidence synthesis principles.

Results: We retrieved 6835 records and 16 full-text articles. Nine studies and 321 patients were included. Participants had MSK conditions involving the shoulder, elbow, low back, knee, lower limb, ankle, and multiple conditions. Comparing telehealth versus in-person clinical assessments, inter-rater agreement ranged from 40.7% agreement for people with shoulder pain to 100% agreement for people with lower limb MSK disorders. Concurrent validity ranged from 36% agreement for people with elbow pain to 95.1% agreement for people with lower limb MSK conditions.

Discussion: In cases when access to in-person care is constrained, our study implies that telehealth might be a feasible approach for the diagnosis of MSK conditions. These conclusions are based on small cross-sectional studies carried out by similar research teams with similar participant demographics. Additional research is required to improve the diagnostic precision of telehealth evaluations across a larger range of patient groups, MSK conditions, and diagnostic accuracy statistics.

Author keywords: Telehealth - Diagnosis - Assessment - Virtual care - Musculoskeletal conditions

This abstract is reproduced with the permission of the publisher; click on the above link for free full text. Online access only.

 
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