Assessing the concordance of actinic keratosis counts on digital photographs with clinical examination in organ transplant recipients.

Jiyad, Z; O'Rourke, P; Soyer, P; Green, Adèle C

dc.contributor.author	Jiyad, Z
dc.contributor.author	O'Rourke, P
dc.contributor.author	Soyer, P
dc.contributor.author	Green, Adèle C
dc.date.accessioned	2017-05-12T12:15:00Z
dc.date.available	2017-05-12T12:15:00Z
dc.date.issued	2017-03-10
dc.identifier.citation	Assessing the concordance of actinic keratosis counts on digital photographs with clinical examination in organ transplant recipients. 2017, 97 (3):351-353 Acta Derm. Venereol.	en
dc.identifier.issn	1651-2057
dc.identifier.pmid	27701669
dc.identifier.doi	10.2340/00015555-2539
dc.identifier.uri	http://hdl.handle.net/10541/620347
dc.description.abstract	Actinic keratoses (AKs) are common lesions that are usually diagnosed clinically. We sought to examine the accuracy of AK counts on digital photographs when compared with clinical examination counts. Skin sites of renal transplant recipients were examined clinically and on digital photographs by independent dermatologically-trained examiners. Specificity, sensitivity and Kendall's tau-b correlation coefficient were calculated based on exact photographic AK counts as well as counts with ± 1 AK tolerance. When 138 skin sites with 305 clinical AK counts were examined for total count ± 1 AK, the sensitivity and specificity of photography was 95% and 100%, respectively. There was significant positive correlation between AK counts on photographs and clinical examination (Ƭb = 0.537) and correlation was even higher for total count ± 1 AK (Ƭb = 0.758). The results show moderate to strong concordance between AK counts on digital photographs and on clinical examination.
dc.language.iso	en	en
dc.rights	Archived with thanks to Acta dermato-venereologica	en
dc.subject.mesh	Aged
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Keratosis, Actinic
dc.subject.mesh	Kidney Transplantation
dc.subject.mesh	Male
dc.subject.mesh	Middle Aged
dc.subject.mesh	Photography
dc.subject.mesh	Physical Examination
dc.subject.mesh	Predictive Value of Tests
dc.subject.mesh	Reproducibility of Results
dc.subject.mesh	Skin
dc.title	Assessing the concordance of actinic keratosis counts on digital photographs with clinical examination in organ transplant recipients.	en
dc.type	Article	en
dc.contributor.department	Cancer and Population Studies Group, QIMR Berghofer Medical Research Institute, Locked Bag 2000 Royal Brisbane Hospital, Brisbane	en
dc.identifier.journal	Acta Dermato-Venereologica	en
refterms.dateFOA	2018-12-17T14:55:02Z
html.description.abstract	Actinic keratoses (AKs) are common lesions that are usually diagnosed clinically. We sought to examine the accuracy of AK counts on digital photographs when compared with clinical examination counts. Skin sites of renal transplant recipients were examined clinically and on digital photographs by independent dermatologically-trained examiners. Specificity, sensitivity and Kendall's tau-b correlation coefficient were calculated based on exact photographic AK counts as well as counts with ± 1 AK tolerance. When 138 skin sites with 305 clinical AK counts were examined for total count ± 1 AK, the sensitivity and specificity of photography was 95% and 100%, respectively. There was significant positive correlation between AK counts on photographs and clinical examination (Ƭb = 0.537) and correlation was even higher for total count ± 1 AK (Ƭb = 0.758). The results show moderate to strong concordance between AK counts on digital photographs and on clinical examination.