KANDID–an EMG decision support system–evaluated in a European multicenter trial
Identifieur interne : 002365 ( Istex/Corpus ); précédent : 002364; suivant : 002366KANDID–an EMG decision support system–evaluated in a European multicenter trial
Auteurs : Minkyu Vingtoft ; Minkyu Fuglsang-Frederiksen ; Minkyu R Nager ; Minkyu Petrera ; Minkyu Stigsby ; Minkyu Willison ; Minkyu Jarratt ; Peter R. W. Fawcett ; Peter R. W. Schofield ; Peter R. W. Otte ; Peter R. W. Sieben ; Peter R. W. VilaSource :
- [ 0148-639X ]
Abstract
KANDID is an advanced EMG decision support system dedicated to the support of the clinical neurophysiologist during EMG examinations. It has facilities for test planning, automatized and structured data interpretation, EMG diagnosis, explanation, and reporting. In a prospective European multicenter field trial, the agreement levels between clinical neurophysiologists and KANDID's diagnostic statements were measured under ordinary clinical EMG practice. KANDID was assessed in 159 individual patient EMG examinations by nine clinical neurophysiologists at seven different EMG laboratories. The reasoning of KANDID was considered understandable for the examiners in 80–90% of cases. The agreement level for the electrophysiological states of muscles and nerves between KANDID and the individual examiners was, on average, 81%. The corresponding diagnostic agreement with KANDID was, on average, 61%. A pronounced interexaminer variation in the agreement level related to the different EMG centers was observed. All Danish and Belgian examiners agreed with KANDID in more than 50% of their cases with regard to the EMG diagnosis, while the English examiners were in agreement with KANDID in 50% or less of their cases. These differences were possibly due to differences in epidemiology, examination techniques, control material, and examination planning strategies. It is concluded that it is possible to transfer systems like KANDID out of their development sites and apply them successfully if they can be locally customized by the clinical end users via editors. © 1993 John Wiley & Soncs, Inc.
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DOI: 10.1002/mus.880160514
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W." last="Fawcett">Peter R. W. Fawcett</name><affiliation><mods:affiliation>Computer Resources International, Bregnerødvej, Birkerød, Denmark</mods:affiliation></affiliation></author><author><name sortKey="Schofield, Peter R W" sort="Schofield, Peter R W" uniqKey="Schofield P" first="Peter R. W." last="Schofield">Peter R. W. Schofield</name><affiliation><mods:affiliation>Department of Clinical Neurophysiology, Newcastle General Hospital, Newcastle‐upon‐Tyne, United Kingdom</mods:affiliation></affiliation></author><author><name sortKey="Otte, Peter R W" sort="Otte, Peter R W" uniqKey="Otte P" first="Peter R. W." last="Otte">Peter R. W. Otte</name><affiliation><mods:affiliation>Neuro‐Psychiatrie, Ghent, Belgium</mods:affiliation></affiliation></author><author><name sortKey="Sieben, Peter R W" sort="Sieben, Peter R W" uniqKey="Sieben P" first="Peter R. W." last="Sieben">Peter R. W. 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W." last="Fawcett">Peter R. W. Fawcett</name><affiliation><mods:affiliation>Computer Resources International, Bregnerødvej, Birkerød, Denmark</mods:affiliation></affiliation></author><author><name sortKey="Schofield, Peter R W" sort="Schofield, Peter R W" uniqKey="Schofield P" first="Peter R. W." last="Schofield">Peter R. W. Schofield</name><affiliation><mods:affiliation>Department of Clinical Neurophysiology, Newcastle General Hospital, Newcastle‐upon‐Tyne, United Kingdom</mods:affiliation></affiliation></author><author><name sortKey="Otte, Peter R W" sort="Otte, Peter R W" uniqKey="Otte P" first="Peter R. W." last="Otte">Peter R. W. Otte</name><affiliation><mods:affiliation>Neuro‐Psychiatrie, Ghent, Belgium</mods:affiliation></affiliation></author><author><name sortKey="Sieben, Peter R W" sort="Sieben, Peter R W" uniqKey="Sieben P" first="Peter R. W." last="Sieben">Peter R. W. Sieben</name><affiliation><mods:affiliation>Neuro‐Psychiatrie, Ghent, Belgium</mods:affiliation></affiliation></author><author><name sortKey="Vila, Peter R W" sort="Vila, Peter R W" uniqKey="Vila P" first="Peter R. W." last="Vila">Peter R. W. Vila</name><affiliation><mods:affiliation>Laboratoire d'Electromyographie, Centre Hospital, Grenoble, France</mods:affiliation></affiliation></author></analytic><series><idno type="ISSN">0148-639X</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0148-639X</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">KANDID is an advanced EMG decision support system dedicated to the support of the clinical neurophysiologist during EMG examinations. It has facilities for test planning, automatized and structured data interpretation, EMG diagnosis, explanation, and reporting. In a prospective European multicenter field trial, the agreement levels between clinical neurophysiologists and KANDID's diagnostic statements were measured under ordinary clinical EMG practice. KANDID was assessed in 159 individual patient EMG examinations by nine clinical neurophysiologists at seven different EMG laboratories. The reasoning of KANDID was considered understandable for the examiners in 80–90% of cases. The agreement level for the electrophysiological states of muscles and nerves between KANDID and the individual examiners was, on average, 81%. The corresponding diagnostic agreement with KANDID was, on average, 61%. A pronounced interexaminer variation in the agreement level related to the different EMG centers was observed. All Danish and Belgian examiners agreed with KANDID in more than 50% of their cases with regard to the EMG diagnosis, while the English examiners were in agreement with KANDID in 50% or less of their cases. These differences were possibly due to differences in epidemiology, examination techniques, control material, and examination planning strategies. It is concluded that it is possible to transfer systems like KANDID out of their development sites and apply them successfully if they can be locally customized by the clinical end users via editors. © 1993 John Wiley & Soncs, Inc.</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Dr. Vingtoft MD</name><affiliations><json:string>Computer Resources International, Bregnerødvej, Birkerød, Denmark</json:string></affiliations></json:item><json:item><name>Dr. Fuglsang‐Frederiksen MD, PhD</name><affiliations><json:string>Department of Clinical Neurophysiology, Hvidovre Hospital, University of Copenhagen, Hvidovre, Denmark</json:string></affiliations></json:item><json:item><name>Dr. Rønager MD</name><affiliations><json:string>Department of Clinical Neurophysiology, Hvidovre Hospital, University of Copenhagen, Hvidovre, Denmark</json:string></affiliations></json:item><json:item><name>Dr. Petrera MD</name><affiliations><json:string>Department of Clinical Neurophysiology, Gentofte Hospital, University of Copenhagen, Hellerup, Denmark</json:string></affiliations></json:item><json:item><name>Dr. Stigsby MD, PhD</name><affiliations><json:string>Neurophysiological Laboratory, Department of Medicine, King Faisal Specialist Hospital and Research Center, Riyadh, Kingdom of Saudi Arabia</json:string></affiliations></json:item><json:item><name>Dr. Willison MD</name><affiliations><json:string>Institute of Neurology, University of London, National Hospital, London, United Kingdom</json:string></affiliations></json:item><json:item><name>Dr. Jarratt MB, FRCP</name><affiliations><json:string>EMG Department, Royal Hallamshire Hospital, Sheffield, United Kingdom</json:string></affiliations></json:item><json:item><name>Peter R. W. Fawcett BSc, MBBS, FRCP</name><affiliations><json:string>Computer Resources International, Bregnerødvej, Birkerød, Denmark</json:string></affiliations></json:item><json:item><name>Dr. Schofield BMSc, MBBS, FRCP</name><affiliations><json:string>Department of Clinical Neurophysiology, Newcastle General Hospital, Newcastle‐upon‐Tyne, United Kingdom</json:string></affiliations></json:item><json:item><name>Dr. Otte MD</name><affiliations><json:string>Neuro‐Psychiatrie, Ghent, Belgium</json:string></affiliations></json:item><json:item><name>Dr. Sieben MD</name><affiliations><json:string>Neuro‐Psychiatrie, Ghent, Belgium</json:string></affiliations></json:item><json:item><name>Dr. Vila MD</name><affiliations><json:string>Laboratoire d'Electromyographie, Centre Hospital, Grenoble, France</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>EMG expert system</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>decision support</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>neuromuscular disorders</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>multicenter evaluation</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>transferability</value></json:item></subject><articleId><json:string>MUS880160514</json:string></articleId><language><json:string>eng</json:string></language><abstract>KANDID is an advanced EMG decision support system dedicated to the support of the clinical neurophysiologist during EMG examinations. It has facilities for test planning, automatized and structured data interpretation, EMG diagnosis, explanation, and reporting. In a prospective European multicenter field trial, the agreement levels between clinical neurophysiologists and KANDID's diagnostic statements were measured under ordinary clinical EMG practice. KANDID was assessed in 159 individual patient EMG examinations by nine clinical neurophysiologists at seven different EMG laboratories. The reasoning of KANDID was considered understandable for the examiners in 80–90% of cases. The agreement level for the electrophysiological states of muscles and nerves between KANDID and the individual examiners was, on average, 81%. The corresponding diagnostic agreement with KANDID was, on average, 61%. A pronounced interexaminer variation in the agreement level related to the different EMG centers was observed. All Danish and Belgian examiners agreed with KANDID in more than 50% of their cases with regard to the EMG diagnosis, while the English examiners were in agreement with KANDID in 50% or less of their cases. These differences were possibly due to differences in epidemiology, examination techniques, control material, and examination planning strategies. It is concluded that it is possible to transfer systems like KANDID out of their development sites and apply them successfully if they can be locally customized by the clinical end users via editors. © 1993 John Wiley & Soncs, Inc.</abstract><qualityIndicators><score>7.796</score><pdfVersion>1.3</pdfVersion><pdfPageSize>594 x 792 pts</pdfPageSize><refBibsNative>true</refBibsNative><keywordCount>5</keywordCount><abstractCharCount>1598</abstractCharCount><pdfWordCount>5078</pdfWordCount><pdfCharCount>32814</pdfCharCount><pdfPageCount>10</pdfPageCount><abstractWordCount>233</abstractWordCount></qualityIndicators><title>KANDID–an EMG decision support system–evaluated in a European multicenter 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affiliationRef="#af1"><personName><honorifics>Dr.</honorifics><givenNames>Søren</givenNames><familyName>Vingtoft</familyName><degrees>MD</degrees></personName></creator><creator xml:id="au2" creatorRole="author" affiliationRef="#af2" corresponding="yes"><personName><honorifics>Dr.</honorifics><givenNames>Anders</givenNames><familyName>Fuglsang‐Frederiksen</familyName><degrees>MD, PhD</degrees></personName></creator><creator xml:id="au3" creatorRole="author" affiliationRef="#af2"><personName><honorifics>Dr.</honorifics><givenNames>Jesper</givenNames><familyName>Rønager</familyName><degrees>MD</degrees></personName></creator><creator xml:id="au4" creatorRole="author" affiliationRef="#af3"><personName><honorifics>Dr.</honorifics><givenNames>Jorge</givenNames><familyName>Petrera</familyName><degrees>MD</degrees></personName></creator><creator xml:id="au5" creatorRole="author" affiliationRef="#af4"><personName><honorifics>Dr.</honorifics><givenNames>Bent</givenNames><familyName>Stigsby</familyName><degrees>MD, PhD</degrees></personName></creator><creator xml:id="au6" creatorRole="author" affiliationRef="#af5"><personName><honorifics>Dr.</honorifics><givenNames>Robin G.</givenNames><familyName>Willison</familyName><degrees>MD</degrees></personName></creator><creator xml:id="au7" creatorRole="author" affiliationRef="#af6"><personName><honorifics>Dr.</honorifics><givenNames>John A.</givenNames><familyName>Jarratt</familyName><degrees>MB, FRCP</degrees></personName></creator><creator xml:id="au8" creatorRole="author" affiliationRef="#af1"><personName><givenNames>Peter R. 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It has facilities for test planning, automatized and structured data interpretation, EMG diagnosis, explanation, and reporting. In a prospective European multicenter field trial, the agreement levels between clinical neurophysiologists and KANDID's diagnostic statements were measured under ordinary clinical EMG practice. KANDID was assessed in 159 individual patient EMG examinations by nine clinical neurophysiologists at seven different EMG laboratories. The reasoning of KANDID was considered understandable for the examiners in 80–90% of cases. The agreement level for the electrophysiological states of muscles and nerves between KANDID and the individual examiners was, on average, 81%. The corresponding diagnostic agreement with KANDID was, on average, 61%. A pronounced interexaminer variation in the agreement level related to the different EMG centers was observed. All Danish and Belgian examiners agreed with KANDID in more than 50% of their cases with regard to the EMG diagnosis, while the English examiners were in agreement with KANDID in 50% or less of their cases. These differences were possibly due to differences in epidemiology, examination techniques, control material, and examination planning strategies. It is concluded that it is possible to transfer systems like KANDID out of their development sites and apply them successfully if they can be locally customized by the clinical end users via editors. © 1993 John Wiley & Soncs, Inc.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>KANDID–an EMG decision support system–evaluated in a European multicenter trial</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>KANDID</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>KANDID–an EMG decision support system–evaluated in a European multicenter trial</title></titleInfo><name type="personal"><namePart type="termsOfAddress">Dr.</namePart><namePart type="family">Vingtoft</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Computer Resources International, Bregnerødvej, Birkerød, Denmark</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="termsOfAddress">Dr.</namePart><namePart type="family">Fuglsang‐Frederiksen</namePart><namePart type="termsOfAddress">MD, PhD</namePart><affiliation>Department of Clinical Neurophysiology, Hvidovre Hospital, University of Copenhagen, Hvidovre, Denmark</affiliation><description>Correspondence: Department of Clinical Neurophysiology, Gentofte Hospital, University of Copenhagen, Niels Andersensvej 65, DK‐2900 Hellerup, Denmark</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="termsOfAddress">Dr.</namePart><namePart type="family">Rønager</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Clinical Neurophysiology, Hvidovre Hospital, University of Copenhagen, Hvidovre, Denmark</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="termsOfAddress">Dr.</namePart><namePart type="family">Petrera</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Clinical Neurophysiology, Gentofte Hospital, University of Copenhagen, Hellerup, Denmark</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="termsOfAddress">Dr.</namePart><namePart type="family">Stigsby</namePart><namePart type="termsOfAddress">MD, PhD</namePart><affiliation>Neurophysiological Laboratory, Department of Medicine, King Faisal Specialist Hospital and Research Center, Riyadh, Kingdom of Saudi Arabia</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="termsOfAddress">Dr.</namePart><namePart type="family">Willison</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Institute of Neurology, University of London, National Hospital, London, United Kingdom</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="termsOfAddress">Dr.</namePart><namePart type="family">Jarratt</namePart><namePart type="termsOfAddress">MB, FRCP</namePart><affiliation>EMG Department, Royal Hallamshire Hospital, Sheffield, United Kingdom</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Peter R. W.</namePart><namePart type="family">Fawcett</namePart><namePart type="termsOfAddress">BSc, MBBS, FRCP</namePart><affiliation>Computer Resources International, Bregnerødvej, Birkerød, Denmark</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="termsOfAddress">Dr.</namePart><namePart type="family">Schofield</namePart><namePart type="termsOfAddress">BMSc, MBBS, FRCP</namePart><affiliation>Department of Clinical Neurophysiology, Newcastle General Hospital, Newcastle‐upon‐Tyne, United Kingdom</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="termsOfAddress">Dr.</namePart><namePart type="family">Otte</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Neuro‐Psychiatrie, Ghent, Belgium</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="termsOfAddress">Dr.</namePart><namePart type="family">Sieben</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Neuro‐Psychiatrie, Ghent, Belgium</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="termsOfAddress">Dr.</namePart><namePart type="family">Vila</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Laboratoire d'Electromyographie, Centre Hospital, Grenoble, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article"></genre><originInfo><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><place><placeTerm type="text">Hoboken</placeTerm></place><dateIssued encoding="w3cdtf">1993-05</dateIssued><dateValid encoding="w3cdtf">1992-11-01</dateValid><copyrightDate encoding="w3cdtf">1993</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="figures">5</extent><extent unit="tables">1</extent><extent unit="references">30</extent></physicalDescription><abstract lang="en">KANDID is an advanced EMG decision support system dedicated to the support of the clinical neurophysiologist during EMG examinations. It has facilities for test planning, automatized and structured data interpretation, EMG diagnosis, explanation, and reporting. In a prospective European multicenter field trial, the agreement levels between clinical neurophysiologists and KANDID's diagnostic statements were measured under ordinary clinical EMG practice. KANDID was assessed in 159 individual patient EMG examinations by nine clinical neurophysiologists at seven different EMG laboratories. The reasoning of KANDID was considered understandable for the examiners in 80–90% of cases. The agreement level for the electrophysiological states of muscles and nerves between KANDID and the individual examiners was, on average, 81%. The corresponding diagnostic agreement with KANDID was, on average, 61%. A pronounced interexaminer variation in the agreement level related to the different EMG centers was observed. All Danish and Belgian examiners agreed with KANDID in more than 50% of their cases with regard to the EMG diagnosis, while the English examiners were in agreement with KANDID in 50% or less of their cases. These differences were possibly due to differences in epidemiology, examination techniques, control material, and examination planning strategies. It is concluded that it is possible to transfer systems like KANDID out of their development sites and apply them successfully if they can be locally customized by the clinical end users via editors. © 1993 John Wiley & Soncs, Inc.</abstract><subject lang="en"><genre>keywords</genre><topic>EMG expert system</topic><topic>decision support</topic><topic>neuromuscular disorders</topic><topic>multicenter evaluation</topic><topic>transferability</topic></subject><relatedItem type="host"><titleInfo><title>Muscle & Nerve</title><subTitle>Official Journal of the American Association of Electrodiagnostic Medicine</subTitle></titleInfo><titleInfo type="abbreviated"><title>Muscle Nerve</title></titleInfo><genre type="journal">journal</genre><subject><genre>article-category</genre><topic>Article</topic></subject><identifier type="ISSN">0148-639X</identifier><identifier type="eISSN">1097-4598</identifier><identifier type="DOI">10.1002/(ISSN)1097-4598</identifier><identifier type="PublisherID">MUS</identifier><part><date>1993</date><detail type="volume"><caption>vol.</caption><number>16</number></detail><detail type="issue"><caption>no.</caption><number>5</number></detail><extent unit="pages"><start>520</start><end>529</end><total>10</total></extent></part></relatedItem><identifier type="istex">CDEFF8D695748CA16D9521333C950938FBB757E5</identifier><identifier type="DOI">10.1002/mus.880160514</identifier><identifier type="ArticleID">MUS880160514</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 1993 John Wiley & Sons, Inc.</accessCondition><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>Wiley Subscription Services, Inc., A Wiley Company</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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