{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T18:20:21Z","timestamp":1777659621344,"version":"3.51.4"},"reference-count":23,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2023,8,16]],"date-time":"2023-08-16T00:00:00Z","timestamp":1692144000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2023,8,16]],"date-time":"2023-08-16T00:00:00Z","timestamp":1692144000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Global Spine Journal"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:sec>\n                    <jats:title>Study design<\/jats:title>\n                    <jats:p>A primary, observational, cross-sectional, analytical study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The development of a framework for systematic telemedicine (TM) for orthopedic physicians in frequent clinical care may increase agreement in diagnosis and satisfaction among users of TM. Therefore, this study aimed to estimate the agreement in the diagnosis of low back pain (LBP) between TM, systematized by a self-completed digital questionnaire, and face-to-face (FF) care in patients with LBP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study included adults up to 75\u00a0years of age with LBP for more than 6 weeks. They were evaluated at 2 independent time points (TM and FF) by different orthopedists with 3 different levels of expertise. Professionals evaluated the sample without prior knowledge of the diagnosis, and each orthopedist provided a diagnosis. Diagnostic agreement was the primary outcome. Secondary outcomes were the duration of the visit and satisfaction among healthcare professionals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 168 participants were eligible, of whom 126 sought care through TM and 122 sought FF care (mean age, 47 years [range, 18-75\u00a0years]; 66.4% women). The agreement among professionals regarding the diagnosis was moderate (kappa = .585,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .001). TM was faster than FF (11.9\u00a0minutes (standard deviation = 4.1) vs 18.6 (SD = 6.9),\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001). Professional satisfaction was higher among spine specialists than among orthopedic residents and orthopedists who were not specialists in spine surgery.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Agreement in diagnosis was moderate for TM, with a 30% shorter visit duration than FF. Satisfaction varied by professional expertise and was higher among spine specialists than among professionals with other expertise.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21925682231194453","type":"journal-article","created":{"date-parts":[[2023,8,16]],"date-time":"2023-08-16T13:36:45Z","timestamp":1692193005000},"page":"482-489","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Interobserver Agreement and Satisfaction With the use of Telemedicine for Evaluating low Back Pain: A Primary, Observational, Cross-Sectional, Analytical Study"],"prefix":"10.1177","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4848-1555","authenticated-orcid":false,"suffix":"Jr","given":"Jair Moreira","family":"Dias","sequence":"first","affiliation":[{"name":"Federal University of Juiz de Fora"},{"name":"Federal University of Juiz de Fora"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"Jr","given":"Adriano Fernando","family":"Mendes","sequence":"additional","affiliation":[{"name":"Federal University of Juiz de Fora"},{"name":"Federal University of Juiz de Fora"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eduardo","family":"Pestana de Aguiar","sequence":"additional","affiliation":[{"name":"Federal University of Juiz de Fora"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luan Costa","family":"Silveira","sequence":"additional","affiliation":[{"name":"Federal University of Juiz de Fora"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Fernanda","family":"Noel Dias","sequence":"additional","affiliation":[{"name":"Medical and Health Sciences College of Juiz de Fora \u2013 FCMS\/JF"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N\u00e1dia Rezende","family":"Barbosa Raposo","sequence":"additional","affiliation":[{"name":"Federal University of Juiz de Fora"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,8,16]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-020-06707-x"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/21925682211022311"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.20.00452"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/2473011417S000366"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X221098904"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X20938241"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/CORR.0000000000001494"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/CORR.0000000000001775"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-016-1717-7"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.20.00609"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/2192568220947744"},{"issue":"4","key":"e_1_3_5_13_2","first-page":"S205","article-title":"Telemedicine during Covid-19 and beyond: A practical guide and best practices multidisciplinary approach for the orthopedic and neurologic pain physical examination","volume":"23","author":"Wahezi SE","year":"2020","unstructured":"Wahezi SE, Duarte RA, Yerra S, et al. Telemedicine during Covid-19 and beyond: A practical guide and best practices multidisciplinary approach for the orthopedic and neurologic pain physical examination. Pain Physician. 2020;23(4S):S205-S238.","journal-title":"Pain Physician"},{"issue":"0","key":"e_1_3_5_14_2","first-page":"0","article-title":"Telemedicine effectiveness in the first elective orthopedic care compared to a standard face-to-face visit","volume":"0","author":"Dias JM","year":"2022","unstructured":"Dias JMJr, Mendes AFJr. Telemedicine effectiveness in the first elective orthopedic care compared to a standard face-to-face visit. Rev Bras Ortop. 2022;0(0):0. http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0042-1756324","journal-title":"Rev Bras Ortop"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)00733-9"},{"key":"e_1_3_5_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61602-X"},{"key":"e_1_3_5_17_2","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20210621-08"},{"key":"e_1_3_5_18_2","doi-asserted-by":"publisher","DOI":"10.11613\/BM.2012.031"},{"key":"e_1_3_5_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.msksp.2018.09.014"},{"key":"e_1_3_5_20_2","doi-asserted-by":"publisher","DOI":"10.2196\/28140"},{"key":"e_1_3_5_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)30970-9"},{"key":"e_1_3_5_22_2","doi-asserted-by":"publisher","DOI":"10.2196\/11330"},{"key":"e_1_3_5_23_2","doi-asserted-by":"publisher","DOI":"10.1177\/23743735211063780"},{"key":"e_1_3_5_24_2","doi-asserted-by":"publisher","DOI":"10.1177\/1750458920971506"}],"container-title":["Global Spine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21925682231194453","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/21925682231194453","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21925682231194453","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:20:00Z","timestamp":1777447200000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/21925682231194453"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,16]]},"references-count":23,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1177\/21925682231194453"],"URL":"https:\/\/doi.org\/10.1177\/21925682231194453","relation":{},"ISSN":["2192-5682","2192-5690"],"issn-type":[{"value":"2192-5682","type":"print"},{"value":"2192-5690","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,8,16]]}}}