A new study from the University of Gothenburg shows that digital healthcare consultations are not reliable enough for diagnosing tonsillitis, raising concerns about over- or under-treatment of sore throats.
Digital healthcare consultations are not enough for a safe assessment of tonsillitis, according to a new 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. The study examined 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 HEALTHCARE TONSILLITIS DIAGNOSIS ANTIBIOTICS RELIABILITY
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