Quality control of regional wall motion analysis in stress Echo 2020
The trial “Stress Echo (SE) 2020” evaluates novel applications of SE beyond coronary artery disease. The aim of the study was control quality and harmonize reading criteria. One reader from 78 centers of the SE 2020 network asked for credentials to read a set of 20 SE video-clips selected by the cor...
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| Veröffentlicht in: | International journal of cardiology 2017-12, Vol.249, p.479-485 |
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| creator | Ciampi, Quirino Picano, Eugenio Paterni, Marco Daros, Clarissa Borguezan Simova, Iana de Castro e Silva Pretto, José Luis Scali, Maria Chiara Gaibazzi, Nicola Severino, Sergio Djordjevic-Dikic, Ana Kasprzak, Jaroslaw D. Zagatina, Angela Varga, Albert Lowenstein, Jorge Merlo, Pablo Martin Amor, Miguel Celutkiene, Jelena Perez, Julio E. Di Salvo, Giovanni Galderisi, Maurizio Mori, Fabio Costantino, Marco Fabio Massa, Laura Dekleva, Milica Chaves, Daniel Quesada Trambaiolo, Paolo Citro, Rodolfo Colonna, Paolo Rigo, Fausto Torres, Marco A.R. Monte, Ines Stankovic, Ivan Neskovic, Aleksander Cortigiani, Lauro Re, Federica Dodi, Claudio D'Andrea, Antonello Villari, Bruno Arystan, Ayana De Nes, Michele Carpeggiani, Clara |
| description | The trial “Stress Echo (SE) 2020” evaluates novel applications of SE beyond coronary artery disease. The aim of the study was control quality and harmonize reading criteria.
One reader from 78 centers of the SE 2020 network asked for credentials to read a set of 20 SE video-clips selected by the core lab. All aspiring centers met the pre-requisite of high-volume and the years of experience in SE ranged from 5 to 31years (mean value 18years). The diagnostic gold standard was a reading by the core lab. The a priori determined pass threshold was 18/20 (≥90%).
Of the initial 78 who started, 57 completed the first attempt: individual readers' score on first attempt ranged from 07/20 to 20/20 (accuracy from 35% to 100%, mean 78.7±13%) and 44 readers passed it. There was a very poor correlation between years of experience and the reader's score on first attempt (r=−0.161, p=0.231). Of the 13 readers who failed the first attempt, 12 took it again after the web-based session and their accuracy improved (74% vs. 96%, p |
| doi_str_mv | 10.1016/j.ijcard.2017.09.172 |
| format | Article |
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One reader from 78 centers of the SE 2020 network asked for credentials to read a set of 20 SE video-clips selected by the core lab. All aspiring centers met the pre-requisite of high-volume and the years of experience in SE ranged from 5 to 31years (mean value 18years). The diagnostic gold standard was a reading by the core lab. The a priori determined pass threshold was 18/20 (≥90%).
Of the initial 78 who started, 57 completed the first attempt: individual readers' score on first attempt ranged from 07/20 to 20/20 (accuracy from 35% to 100%, mean 78.7±13%) and 44 readers passed it. There was a very poor correlation between years of experience and the reader's score on first attempt (r=−0.161, p=0.231). Of the 13 readers who failed the first attempt, 12 took it again after the web-based session and their accuracy improved (74% vs. 96%, p<0.001). The kappa inter-observer agreement before and after web-based training was 0.59 on first attempt and rose to 0.91 on the last attempt.
In SE reading, the volume of activity or years of experience is not synonymous with diagnostic quality. Qualitative analysis and operator-dependence can become a limiting weakness in clinical practice, in the absence of strict pathways of learning, credentialing and audit.</description><identifier>ISSN: 0167-5273</identifier><identifier>EISSN: 1874-1754</identifier><identifier>DOI: 10.1016/j.ijcard.2017.09.172</identifier><identifier>PMID: 28986062</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Cardiologists - standards ; Certification ; Clinical Competence - standards ; Coronary Disease - diagnostic imaging ; Coronary Disease - epidemiology ; Echocardiography, Stress - methods ; Echocardiography, Stress - standards ; Humans ; Internationality ; Quality Control ; Reproducibility of Results ; Stress echocardiography ; Wall motion</subject><ispartof>International journal of cardiology, 2017-12, Vol.249, p.479-485</ispartof><rights>2017 Elsevier B.V.</rights><rights>Copyright © 2017 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c362t-c6a8f167fdf4903fc364749d05e60642c4977990b745d58e78cde9347ca2ca653</citedby><cites>FETCH-LOGICAL-c362t-c6a8f167fdf4903fc364749d05e60642c4977990b745d58e78cde9347ca2ca653</cites><orcidid>0000-0001-7059-7525 ; 0000-0002-5761-2484 ; 0000-0001-5864-2012 ; 0000-0002-3458-3684 ; 0000-0001-7216-4985 ; 0000-0002-9806-4509</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0167527317325998$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28986062$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ciampi, Quirino</creatorcontrib><creatorcontrib>Picano, Eugenio</creatorcontrib><creatorcontrib>Paterni, Marco</creatorcontrib><creatorcontrib>Daros, Clarissa Borguezan</creatorcontrib><creatorcontrib>Simova, Iana</creatorcontrib><creatorcontrib>de Castro e Silva Pretto, José Luis</creatorcontrib><creatorcontrib>Scali, Maria Chiara</creatorcontrib><creatorcontrib>Gaibazzi, Nicola</creatorcontrib><creatorcontrib>Severino, Sergio</creatorcontrib><creatorcontrib>Djordjevic-Dikic, Ana</creatorcontrib><creatorcontrib>Kasprzak, Jaroslaw D.</creatorcontrib><creatorcontrib>Zagatina, Angela</creatorcontrib><creatorcontrib>Varga, Albert</creatorcontrib><creatorcontrib>Lowenstein, Jorge</creatorcontrib><creatorcontrib>Merlo, Pablo Martin</creatorcontrib><creatorcontrib>Amor, Miguel</creatorcontrib><creatorcontrib>Celutkiene, Jelena</creatorcontrib><creatorcontrib>Perez, Julio E.</creatorcontrib><creatorcontrib>Di Salvo, Giovanni</creatorcontrib><creatorcontrib>Galderisi, Maurizio</creatorcontrib><creatorcontrib>Mori, Fabio</creatorcontrib><creatorcontrib>Costantino, Marco Fabio</creatorcontrib><creatorcontrib>Massa, Laura</creatorcontrib><creatorcontrib>Dekleva, Milica</creatorcontrib><creatorcontrib>Chaves, Daniel Quesada</creatorcontrib><creatorcontrib>Trambaiolo, Paolo</creatorcontrib><creatorcontrib>Citro, Rodolfo</creatorcontrib><creatorcontrib>Colonna, Paolo</creatorcontrib><creatorcontrib>Rigo, Fausto</creatorcontrib><creatorcontrib>Torres, Marco A.R.</creatorcontrib><creatorcontrib>Monte, Ines</creatorcontrib><creatorcontrib>Stankovic, Ivan</creatorcontrib><creatorcontrib>Neskovic, Aleksander</creatorcontrib><creatorcontrib>Cortigiani, Lauro</creatorcontrib><creatorcontrib>Re, Federica</creatorcontrib><creatorcontrib>Dodi, Claudio</creatorcontrib><creatorcontrib>D'Andrea, Antonello</creatorcontrib><creatorcontrib>Villari, Bruno</creatorcontrib><creatorcontrib>Arystan, Ayana</creatorcontrib><creatorcontrib>De Nes, Michele</creatorcontrib><creatorcontrib>Carpeggiani, Clara</creatorcontrib><creatorcontrib>on behalf of Stress Echo 2020 study group of the Italian Society of Cardiovascular Echography</creatorcontrib><creatorcontrib>Stress Echo 2020 study group of the Italian Society of Cardiovascular Echography</creatorcontrib><title>Quality control of regional wall motion analysis in stress Echo 2020</title><title>International journal of cardiology</title><addtitle>Int J Cardiol</addtitle><description>The trial “Stress Echo (SE) 2020” evaluates novel applications of SE beyond coronary artery disease. The aim of the study was control quality and harmonize reading criteria.
One reader from 78 centers of the SE 2020 network asked for credentials to read a set of 20 SE video-clips selected by the core lab. All aspiring centers met the pre-requisite of high-volume and the years of experience in SE ranged from 5 to 31years (mean value 18years). The diagnostic gold standard was a reading by the core lab. The a priori determined pass threshold was 18/20 (≥90%).
Of the initial 78 who started, 57 completed the first attempt: individual readers' score on first attempt ranged from 07/20 to 20/20 (accuracy from 35% to 100%, mean 78.7±13%) and 44 readers passed it. There was a very poor correlation between years of experience and the reader's score on first attempt (r=−0.161, p=0.231). Of the 13 readers who failed the first attempt, 12 took it again after the web-based session and their accuracy improved (74% vs. 96%, p<0.001). The kappa inter-observer agreement before and after web-based training was 0.59 on first attempt and rose to 0.91 on the last attempt.
In SE reading, the volume of activity or years of experience is not synonymous with diagnostic quality. Qualitative analysis and operator-dependence can become a limiting weakness in clinical practice, in the absence of strict pathways of learning, credentialing and audit.</description><subject>Cardiologists - standards</subject><subject>Certification</subject><subject>Clinical Competence - standards</subject><subject>Coronary Disease - diagnostic imaging</subject><subject>Coronary Disease - epidemiology</subject><subject>Echocardiography, Stress - methods</subject><subject>Echocardiography, Stress - standards</subject><subject>Humans</subject><subject>Internationality</subject><subject>Quality Control</subject><subject>Reproducibility of Results</subject><subject>Stress echocardiography</subject><subject>Wall motion</subject><issn>0167-5273</issn><issn>1874-1754</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtKxDAUQIMozjj6ByJZumlN0rRJNoKM4wMGRNB1yCSpprTNmLTK_L2Rji5dXe7l3NcB4ByjHCNcXTW5a7QKJicIsxyJHDNyAOaYM5phVtJDME8Yy0rCihk4ibFBCFEh-DGYES54hSoyB7fPo2rdsIPa90PwLfQ1DPbN-V618Eu1Lez8kDKoUmEXXYSuh3EINka40u8eEkTQKTiqVRvt2T4uwOvd6mX5kK2f7h-XN-tMFxUZMl0pXqeTalNTgYo6VSmjwqDSpmMo0VQwJgTaMFqaklvGtbGioEwrolVVFgtwOc3dBv8x2jjIzkVt21b11o9RYkE5K0VR8ITSCdXBxxhsLbfBdSrsJEbyx59s5ORP_viTSMjkL7Vd7DeMm86av6ZfYQm4ngCb_vx0Nsione21NS5YPUjj3f8bvgG-24GR</recordid><startdate>20171215</startdate><enddate>20171215</enddate><creator>Ciampi, Quirino</creator><creator>Picano, Eugenio</creator><creator>Paterni, Marco</creator><creator>Daros, Clarissa Borguezan</creator><creator>Simova, Iana</creator><creator>de Castro e Silva Pretto, José Luis</creator><creator>Scali, Maria Chiara</creator><creator>Gaibazzi, Nicola</creator><creator>Severino, Sergio</creator><creator>Djordjevic-Dikic, Ana</creator><creator>Kasprzak, Jaroslaw D.</creator><creator>Zagatina, Angela</creator><creator>Varga, Albert</creator><creator>Lowenstein, Jorge</creator><creator>Merlo, Pablo Martin</creator><creator>Amor, Miguel</creator><creator>Celutkiene, Jelena</creator><creator>Perez, Julio E.</creator><creator>Di Salvo, Giovanni</creator><creator>Galderisi, Maurizio</creator><creator>Mori, Fabio</creator><creator>Costantino, Marco Fabio</creator><creator>Massa, Laura</creator><creator>Dekleva, Milica</creator><creator>Chaves, Daniel Quesada</creator><creator>Trambaiolo, Paolo</creator><creator>Citro, Rodolfo</creator><creator>Colonna, Paolo</creator><creator>Rigo, Fausto</creator><creator>Torres, Marco A.R.</creator><creator>Monte, Ines</creator><creator>Stankovic, Ivan</creator><creator>Neskovic, Aleksander</creator><creator>Cortigiani, Lauro</creator><creator>Re, Federica</creator><creator>Dodi, Claudio</creator><creator>D'Andrea, Antonello</creator><creator>Villari, Bruno</creator><creator>Arystan, Ayana</creator><creator>De Nes, Michele</creator><creator>Carpeggiani, Clara</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7059-7525</orcidid><orcidid>https://orcid.org/0000-0002-5761-2484</orcidid><orcidid>https://orcid.org/0000-0001-5864-2012</orcidid><orcidid>https://orcid.org/0000-0002-3458-3684</orcidid><orcidid>https://orcid.org/0000-0001-7216-4985</orcidid><orcidid>https://orcid.org/0000-0002-9806-4509</orcidid></search><sort><creationdate>20171215</creationdate><title>Quality control of regional wall motion analysis in stress Echo 2020</title><author>Ciampi, Quirino ; Picano, Eugenio ; Paterni, Marco ; Daros, Clarissa Borguezan ; Simova, Iana ; de Castro e Silva Pretto, José Luis ; Scali, Maria Chiara ; Gaibazzi, Nicola ; Severino, Sergio ; Djordjevic-Dikic, Ana ; Kasprzak, Jaroslaw D. ; Zagatina, Angela ; Varga, Albert ; Lowenstein, Jorge ; Merlo, Pablo Martin ; Amor, Miguel ; Celutkiene, Jelena ; Perez, Julio E. ; Di Salvo, Giovanni ; Galderisi, Maurizio ; Mori, Fabio ; Costantino, Marco Fabio ; Massa, Laura ; Dekleva, Milica ; Chaves, Daniel Quesada ; Trambaiolo, Paolo ; Citro, Rodolfo ; Colonna, Paolo ; Rigo, Fausto ; Torres, Marco A.R. ; Monte, Ines ; Stankovic, Ivan ; Neskovic, Aleksander ; Cortigiani, Lauro ; Re, Federica ; Dodi, Claudio ; D'Andrea, Antonello ; Villari, Bruno ; Arystan, Ayana ; De Nes, Michele ; Carpeggiani, Clara</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c362t-c6a8f167fdf4903fc364749d05e60642c4977990b745d58e78cde9347ca2ca653</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Cardiologists - 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The aim of the study was control quality and harmonize reading criteria.
One reader from 78 centers of the SE 2020 network asked for credentials to read a set of 20 SE video-clips selected by the core lab. All aspiring centers met the pre-requisite of high-volume and the years of experience in SE ranged from 5 to 31years (mean value 18years). The diagnostic gold standard was a reading by the core lab. The a priori determined pass threshold was 18/20 (≥90%).
Of the initial 78 who started, 57 completed the first attempt: individual readers' score on first attempt ranged from 07/20 to 20/20 (accuracy from 35% to 100%, mean 78.7±13%) and 44 readers passed it. There was a very poor correlation between years of experience and the reader's score on first attempt (r=−0.161, p=0.231). Of the 13 readers who failed the first attempt, 12 took it again after the web-based session and their accuracy improved (74% vs. 96%, p<0.001). The kappa inter-observer agreement before and after web-based training was 0.59 on first attempt and rose to 0.91 on the last attempt.
In SE reading, the volume of activity or years of experience is not synonymous with diagnostic quality. Qualitative analysis and operator-dependence can become a limiting weakness in clinical practice, in the absence of strict pathways of learning, credentialing and audit.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>28986062</pmid><doi>10.1016/j.ijcard.2017.09.172</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-7059-7525</orcidid><orcidid>https://orcid.org/0000-0002-5761-2484</orcidid><orcidid>https://orcid.org/0000-0001-5864-2012</orcidid><orcidid>https://orcid.org/0000-0002-3458-3684</orcidid><orcidid>https://orcid.org/0000-0001-7216-4985</orcidid><orcidid>https://orcid.org/0000-0002-9806-4509</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0167-5273 |
| ispartof | International journal of cardiology, 2017-12, Vol.249, p.479-485 |
| issn | 0167-5273 1874-1754 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1948759338 |
| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Cardiologists - standards Certification Clinical Competence - standards Coronary Disease - diagnostic imaging Coronary Disease - epidemiology Echocardiography, Stress - methods Echocardiography, Stress - standards Humans Internationality Quality Control Reproducibility of Results Stress echocardiography Wall motion |
| title | Quality control of regional wall motion analysis in stress Echo 2020 |
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