{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,27]],"date-time":"2025-02-27T05:13:38Z","timestamp":1740633218081,"version":"3.38.0"},"reference-count":11,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,2,26]],"date-time":"2025-02-26T00:00:00Z","timestamp":1740528000000},"content-version":"unspecified","delay-in-days":56,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Prim Health Care Res Dev"],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:p>The Modified Centor criteria (MCC) is a validated clinical decision tool determining the need for testing in suspected <jats:italic>Streptococcal pharyngitis<\/jats:italic>. This study aims to understand the use of this tool to guide testing during remote evaluation. Patients with sore throats and no more than 3 days of symptoms were recruited from the emergency department and urgent care at an urban academic centre in 2019\u20132022. All patients enrolled were 18 years or older. Each participant had three MCC recorded, once in person and again by two different blinded telemedicine providers (TP). A total of 172 patients were screened and 40 were enrolled, they had a mean age 32 and were 43% male. We calculated inter-rater reliability between in-person and telemedicine providers, using a threshold score of strep testing (\u22652) and non-testing scores (&lt;2). Cohen\u2019s kappa between in-person and telemedicine providers was 0.68 while the TP were in complete agreement.<\/jats:p>","DOI":"10.1017\/s1463423625000052","type":"journal-article","created":{"date-parts":[[2025,2,26]],"date-time":"2025-02-26T07:00:02Z","timestamp":1740553202000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Feasibility of utilizing the Modified Centor Criteria in adult virtual care"],"prefix":"10.1017","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2473-985X","authenticated-orcid":false,"given":"Ahmed","family":"Allabban","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samay","family":"Shah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4696-6922","authenticated-orcid":false,"given":"Neal","family":"Sikka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4249-4294","authenticated-orcid":false,"given":"Colton","family":"Hood","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2025,2,26]]},"reference":[{"key":"S1463423625000052_ref4","first-page":"383","article-title":"Diagnosis and treatment of streptococcal pharyngitis","volume":"79","author":"Choby","year":"2009","journal-title":"American Family Physician"},{"key":"S1463423625000052_ref6","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2012.950"},{"key":"S1463423625000052_ref3","first-page":"21","article-title":"A COVID-19 telehealth impact study\u2014Exploring one year of telehealth experimentation","volume":"6","author":"Campion","year":"2021","journal-title":"Telehealth and Medicine Today"},{"key":"S1463423625000052_ref10","first-page":"75","article-title":"A clinical score to reduce unnecessary antibiotic use in patients with sore throat","volume":"158","author":"Mcisaac","year":"1998","journal-title":"CMAJ"},{"key":"S1463423625000052_ref2","unstructured":"Bestsennyy, O , Gilbert, G , Harris, A and Rost, J (2021) Telehealth: A quarter-trillion-dollar post-COVID-19 reality? [Online]. McKisney & Company. Available at https:\/\/www.mckinsey.com\/industries\/healthcare\/our-insights\/telehealth-a-quarter-trillion-dollar-post-covid-19-reality (Accessed)."},{"key":"S1463423625000052_ref8","unstructured":"Lo, J , Rae, M , Amin, K and Cox, C (2022) Outpatient telehealth use soared early in the COVID-19 pandemic but has since receded. Access & Affordability [Online]. Available at https:\/\/www.healthsystemtracker.org\/brief\/outpatient-telehealth-use-soared-early-in-the-covid-19-pandemic-but-has-since-receded\/ (Accessed 2 October 2022)."},{"key":"S1463423625000052_ref9","doi-asserted-by":"publisher","DOI":"10.1001\/jama.291.13.1587"},{"key":"S1463423625000052_ref11","unstructured":"Samson, LW , Tarazi, W , Turrini, G and Sheingold, S (2021) Medicare beneficiaries\u2019 use of telehealth in 2020: Trends by beneficiary characteristics and location (Issue brief no. HP-2021\u201327). Office of the Assistant Secretary for Planning and Evaluation U.S. Department of Health and Human Services."},{"key":"S1463423625000052_ref1","volume-title":"Principles and practice of pediatric infectious diseases (Fifth Edition)","author":"Arnold","year":"2018"},{"key":"S1463423625000052_ref5","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2021.06.210110"},{"key":"S1463423625000052_ref7","unstructured":"Harrison, D (2004) \u2018KAPUTIL\u2019: Module to generate confidence intervals and sample size calculations for the kappa-statistic. http:\/\/fmwww.bc.edu\/repec\/bocode\/k\/kaputil.pkg"}],"container-title":["Primary Health Care Research &amp; Development"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1463423625000052","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,26]],"date-time":"2025-02-26T07:00:08Z","timestamp":1740553208000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1463423625000052\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":11,"alternative-id":["S1463423625000052"],"URL":"https:\/\/doi.org\/10.1017\/s1463423625000052","relation":{},"ISSN":["1463-4236","1477-1128"],"issn-type":[{"value":"1463-4236","type":"print"},{"value":"1477-1128","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025]]},"assertion":[{"value":"\u00a9 The Author(s), 2025. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e15"}}