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Multicenter comparison of the interobserver agreement of standard EUS scoring and Rosemont classification scoring for diagnosis of chronic pancreatitis.

Abstract：

BACKGROUND:EUS has less than optimal interobserver agreement for the diagnosis of chronic pancreatitis. The newly developed Rosemont consensus scoring system includes weighted criteria and stricter definitions for individual features. OBJECTIVE:The primary aim was to compare the interobserver agreement of standard and Rosemont scoring. SETTING:Multiple tertiary-care institutions. INTERVENTION:Fifty EUS videos were interpreted by 14 experts. Each expert interpreted the videos on two occasions: First, the videos were read by using standard scoring (9 criteria). Second, after viewing a presentation of the Rosemont classification, the same experts re-read the videos by using Rosemont scoring. MAIN OUTCOME MEASUREMENTS:Fleiss' kappa (K) statistics are reported with 95% confidence intervals (CI). RESULTS:The interobserver agreement was "substantial" (K = 0.65 [95% CI, 0.52-0.77]) for Rosemont scoring and "moderate" (K = 0.54 [95% CI, 0.44-0.66]) for standard scoring; however, the difference was not statistically significant (P = 0.12). LIMITATIONS:The sample size does not allow detection of differences in K of <0.25. CONCLUSION:Use of the Rosemont classification did not significantly increase interobserver agreement for EUS diagnosis of chronic pancreatitis compared with standard scoring.

journal_name

Gastrointest Endosc

journal_title

Gastrointestinal endoscopy

authors

Stevens T,Lopez R,Adler DG,Al-Haddad MA,Conway J,Dewitt JM,Forsmark CE,Kahaleh M,Lee LS,Levy MJ,Mishra G,Piraka CR,Papachristou GI,Shah RJ,Topazian MD,Vargo JJ,Vela SA

doi

10.1016/j.gie.2009.10.043

subject

Has Abstract

pub_date

2010-03-01 00:00:00

pages

519-26

issue

3

eissn

0016-5107

issn

1097-6779

pii

S0016-5107(09)02697-2

journal_volume

71

pub_type

杂志文章,多中心研究

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