Validation of the Online Collaborative Ocular Tuberculosis Study Calculator for Tubercular Uveitis

Results of this diagnostic study suggest that the COTS calculator (score ≥4) was more specific than clinician judgment for ATT initiation. Although clinician judgment is a good first step to identify all potential true positives (with high sensitivity), a second consultation with COTS-5 (with high PPV) may lead to less false positives. This tool, apt for high-prevalence, low-resource settings, recommends ATT more selectively for genuine TBU cases. Large prospective studies are essential to explore potential improvements in the calculator's sensitivity.

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Publication Details

Journal
JAMA Ophthalmology
Published
2024-10-31
DOI
https://doi.org/10.1001/jamaophthalmol.2024.4567
Citations
6
Primary Topic
Ocular Diseases and Behçet’s Syndrome
Type
article
Field-Weighted Citation Impact
3.23
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article

Validation of the Online Collaborative Ocular Tuberculosis Study Calculator for Tubercular Uveitis

İlknur Tuğal-Tutkun, William Rojas‐Carabali, Onn Min Kon, Kalpana Babu Murthy et al.
6 citations
JAMA Ophthalmology
Ocular Diseases and Behçet’s Syndrome
3.23
article

Validation of the Online Collaborative Ocular Tuberculosis Study Calculator for Tubercular Uveitis

İlknur Tuğal-Tutkun, William Rojas‐Carabali, Onn Min Kon, Kalpana Babu Murthy, John H. Kempen, Nataša Vidović Valentinčič, Jyotirmay Biswas, Soon‐Phaik Chee, Dinesh Visva Gunasekeran, Alessandro Invernizzi, Ludi Zhang, Bety Yañez Alvarez, Bernett Teck Kwong Lee, Zheng Xian Thng, Rina La Distia Nora, Ester Carreño, Christoph Tappeiner, Ekaterina V. Denisova, Manabu Mochizuki, Talin Barisani‐Asenbauer, Aniruddha Agarwal, Amanda Yuan Ling Lim, Peter McCluskey, Mukesh Agrawal, Sarakshi Mahajan, Manohar Babu Balasundaram, Piergiorgio Neri, André Luiz Land Curi, Romi Chhabra, Gazal Patnaik, Hazlita Mohd Isa, Manfred Zierhut, Laure Caspers, Rupesh Agrawal, Justine R. Smith, Yan Guex Crosier, Sofia Androudi, Shahana Mazumdar, Edoardo Baglivo, Elisabetta Miserocchi, Debra A. Goldstein, Careen Y. Lowder, Daniel Vitor Vasconcelos-Santos, Ilaria Testi, Vishali Gupta, Shah Md. Islam, Alastair Keith Denniston, Cristina Muccioli, Luz Elena Concha del Río, Annabelle A. Okada, Hassan Al-Dhibi, Bahram Bodaghi, Heloísa Nascimento, Padmamalini Mahendradas, Quan Dong Nguyen, Samir S. Shoughy, Ramandeep Singh, Mark Westcott, Amitabh Kumar, Sudharshan Sridharan, Kusum Sharma, Nicholas Jones, Moncef Khairallah, Kanika Aggarwal, Manisha Agarwal, Jyotirmay Biswas, Carlos Pavesio, S. Jun, Shobha Sehgal, Emmett T. Cunningham, Shannon Sheriel Choo, Digamber Behera, Andrés Rousselot, Rupesh Agrawal
article en
6 citations

Abstract

Results of this diagnostic study suggest that the COTS calculator (score ≥4) was more specific than clinician judgment for ATT initiation. Although clinician judgment is a good first step to identify all potential true positives (with high sensitivity), a second consultation with COTS-5 (with high PPV) may lead to less false positives. This tool, apt for high-prevalence, low-resource settings, recommends ATT more selectively for genuine TBU cases. Large prospective studies are essential to explore potential improvements in the calculator's sensitivity.

JAMA OphthalmologyVol. 142(12)
Agency for Science, Technology and Research (SG), Sankara Nethralaya (IN), Massachusetts Eye and Ear Infirmary (US), The University of Sydney (AU), Harvard University (US), Imperial College Healthcare NHS Trust (GB), Flinders University (AU), Nanyang Technological University (SG), Singapore Immunology Network (SG), Tan Tock Seng Hospital (SG), Khoo Teck Puat Hospital (SG), National Institute for Health and Care Research (GB), Trinity Health Oakland Hospital (US), Queensland Eye Institute (AU), St Mary's Hospital (GB), Collaborative Group (United States) (US), Singapore Eye Research Institute (SG), Duke-NUS Medical School (SG), Moorfields Eye Hospital (GB), St. Paul's Hospital Millennium Medical College (ET), NIHR Biomedical Research Centre at The Royal Marsden and the ICR, University College London (GB), Post Graduate Institute of Medical Education and Research (IN), Addis Ababa University (ET), Smith-Kettlewell Eye Research Institute (US)
Peace, Justice and strong institutions
Openalex Percentile: Top 8%
Ocular Diseases and Behçet’s Syndrome
3.23
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