Inter‐rater Agreement for Movement Disorder Classification in Children with Hyperkinetic Movement Disorders
ABSTRACT Background Accurate classification is essential for addressing childhood movement disorders (MD), but the common coexistence of multiple MDs complicates this process. Objective The aim was to assess inter‐rater agreement on classifying hyperkinetic MDs among pediatric neurologists with expe...
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| Veröffentlicht in: | Movement disorders clinical practice (Hoboken, N.J.) N.J.), 2024-12, Vol.11 (12), p.1598-1603 |
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| container_title | Movement disorders clinical practice (Hoboken, N.J.) |
| container_volume | 11 |
| creator | Yilmaz, Sanem Vermilion, Jennifer Dean, Shannon Pourdeyhimi, Roxanna Mink, Jonathan W. |
| description | ABSTRACT
Background
Accurate classification is essential for addressing childhood movement disorders (MD), but the common coexistence of multiple MDs complicates this process.
Objective
The aim was to assess inter‐rater agreement on classifying hyperkinetic MDs among pediatric neurologists with expertise in MDs.
Methods
Five pediatric neurologists were requested to examine 112 videos of 66 pediatric patients. Based on the Movement Disorder‐Childhood Rating Scale, 3 queries were posed: (Q1) Is there more than 1 MD? (Q2) What is the (predominant) MD? (Q3) What is the other MD (if present)?
Results
The final agreement rates were 57.5% for Q1, 66.6% for Q2, and 43.9% for absolute agreement. All videos with absolute agreement at the first evaluation featured 1 MD, whereas only 2 videos with multiple MDs could totally agree in the final review.
Conclusions
This study reveals significant discordance in classification even among pediatric neurologists with expertise in MDs and highlights the necessity for a standardized approach. |
| doi_str_mv | 10.1002/mdc3.14252 |
| format | Article |
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Background
Accurate classification is essential for addressing childhood movement disorders (MD), but the common coexistence of multiple MDs complicates this process.
Objective
The aim was to assess inter‐rater agreement on classifying hyperkinetic MDs among pediatric neurologists with expertise in MDs.
Methods
Five pediatric neurologists were requested to examine 112 videos of 66 pediatric patients. Based on the Movement Disorder‐Childhood Rating Scale, 3 queries were posed: (Q1) Is there more than 1 MD? (Q2) What is the (predominant) MD? (Q3) What is the other MD (if present)?
Results
The final agreement rates were 57.5% for Q1, 66.6% for Q2, and 43.9% for absolute agreement. All videos with absolute agreement at the first evaluation featured 1 MD, whereas only 2 videos with multiple MDs could totally agree in the final review.
Conclusions
This study reveals significant discordance in classification even among pediatric neurologists with expertise in MDs and highlights the necessity for a standardized approach.</description><identifier>ISSN: 2330-1619</identifier><identifier>EISSN: 2330-1619</identifier><identifier>DOI: 10.1002/mdc3.14252</identifier><identifier>PMID: 39460641</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Adolescent ; Agreements ; Child ; Child, Preschool ; childhood ; classification ; Female ; Humans ; Hyperkinesis - classification ; Hyperkinesis - diagnosis ; hyperkinetic ; inter‐rater agreement ; Male ; movement disorder ; Movement disorders ; Movement Disorders - classification ; Movement Disorders - diagnosis ; Movement Disorders - physiopathology ; Observer Variation ; Pediatrics</subject><ispartof>Movement disorders clinical practice (Hoboken, N.J.), 2024-12, Vol.11 (12), p.1598-1603</ispartof><rights>2024 International Parkinson and Movement Disorder Society.</rights><rights>2024 International Parkinson and Movement Disorder Society</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2462-f39cb76f8d079cd5fe4ce6e791962cf647c47d6f2e9aa073b5ec82f45df87dcf3</cites><orcidid>0000-0002-8719-0665</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fmdc3.14252$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fmdc3.14252$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39460641$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yilmaz, Sanem</creatorcontrib><creatorcontrib>Vermilion, Jennifer</creatorcontrib><creatorcontrib>Dean, Shannon</creatorcontrib><creatorcontrib>Pourdeyhimi, Roxanna</creatorcontrib><creatorcontrib>Mink, Jonathan W.</creatorcontrib><title>Inter‐rater Agreement for Movement Disorder Classification in Children with Hyperkinetic Movement Disorders</title><title>Movement disorders clinical practice (Hoboken, N.J.)</title><addtitle>Mov Disord Clin Pract</addtitle><description>ABSTRACT
Background
Accurate classification is essential for addressing childhood movement disorders (MD), but the common coexistence of multiple MDs complicates this process.
Objective
The aim was to assess inter‐rater agreement on classifying hyperkinetic MDs among pediatric neurologists with expertise in MDs.
Methods
Five pediatric neurologists were requested to examine 112 videos of 66 pediatric patients. Based on the Movement Disorder‐Childhood Rating Scale, 3 queries were posed: (Q1) Is there more than 1 MD? (Q2) What is the (predominant) MD? (Q3) What is the other MD (if present)?
Results
The final agreement rates were 57.5% for Q1, 66.6% for Q2, and 43.9% for absolute agreement. All videos with absolute agreement at the first evaluation featured 1 MD, whereas only 2 videos with multiple MDs could totally agree in the final review.
Conclusions
This study reveals significant discordance in classification even among pediatric neurologists with expertise in MDs and highlights the necessity for a standardized approach.</description><subject>Adolescent</subject><subject>Agreements</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>childhood</subject><subject>classification</subject><subject>Female</subject><subject>Humans</subject><subject>Hyperkinesis - classification</subject><subject>Hyperkinesis - diagnosis</subject><subject>hyperkinetic</subject><subject>inter‐rater agreement</subject><subject>Male</subject><subject>movement disorder</subject><subject>Movement disorders</subject><subject>Movement Disorders - classification</subject><subject>Movement Disorders - diagnosis</subject><subject>Movement Disorders - physiopathology</subject><subject>Observer Variation</subject><subject>Pediatrics</subject><issn>2330-1619</issn><issn>2330-1619</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc1Kw0AQxxdRVNSLDyABLyKk7lc2yVFSPwoVL3oO6e6s3Zps6m5q6c1H8Bl9ErdGRRQ8zQzzmz8z80fokOABwZieNUqyAeE0oRtolzKGYyJIvvkj30EH3s8wxoQmAlOyjXZYzgUWnOyiZmQ7cG8vr64KMTp_cAAN2C7SrYtu2ue-GBrfOhX6RV15b7SRVWdaGxkbFVNTKwc2WppuGl2v5uAejYXOyL_jfh9t6ar2cPAZ99D95cVdcR2Pb69Gxfk4lpQLGmuWy0kqdKZwmkuVaOASBKQ5yQWVWvBU8lQJTSGvKpyySQIyo5onSmepkprtoZNed-7apwX4rmyMl1DXlYV24UtGKAn350kW0ONf6KxdOBu2CxRPMCeZ4IE67SnpWu8d6HLuTFO5VUlwufahXPtQfvgQ4KNPycWkAfWNfn09AKQHlqaG1T9S5c2wYL3oO1ZnlAI</recordid><startdate>202412</startdate><enddate>202412</enddate><creator>Yilmaz, Sanem</creator><creator>Vermilion, Jennifer</creator><creator>Dean, Shannon</creator><creator>Pourdeyhimi, Roxanna</creator><creator>Mink, Jonathan W.</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</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>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8719-0665</orcidid></search><sort><creationdate>202412</creationdate><title>Inter‐rater Agreement for Movement Disorder Classification in Children with Hyperkinetic Movement Disorders</title><author>Yilmaz, Sanem ; Vermilion, Jennifer ; Dean, Shannon ; Pourdeyhimi, Roxanna ; Mink, Jonathan W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2462-f39cb76f8d079cd5fe4ce6e791962cf647c47d6f2e9aa073b5ec82f45df87dcf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adolescent</topic><topic>Agreements</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>childhood</topic><topic>classification</topic><topic>Female</topic><topic>Humans</topic><topic>Hyperkinesis - classification</topic><topic>Hyperkinesis - diagnosis</topic><topic>hyperkinetic</topic><topic>inter‐rater agreement</topic><topic>Male</topic><topic>movement disorder</topic><topic>Movement disorders</topic><topic>Movement Disorders - classification</topic><topic>Movement Disorders - diagnosis</topic><topic>Movement Disorders - physiopathology</topic><topic>Observer Variation</topic><topic>Pediatrics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yilmaz, Sanem</creatorcontrib><creatorcontrib>Vermilion, Jennifer</creatorcontrib><creatorcontrib>Dean, Shannon</creatorcontrib><creatorcontrib>Pourdeyhimi, Roxanna</creatorcontrib><creatorcontrib>Mink, Jonathan W.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Movement disorders clinical practice (Hoboken, N.J.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yilmaz, Sanem</au><au>Vermilion, Jennifer</au><au>Dean, Shannon</au><au>Pourdeyhimi, Roxanna</au><au>Mink, Jonathan W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Inter‐rater Agreement for Movement Disorder Classification in Children with Hyperkinetic Movement Disorders</atitle><jtitle>Movement disorders clinical practice (Hoboken, N.J.)</jtitle><addtitle>Mov Disord Clin Pract</addtitle><date>2024-12</date><risdate>2024</risdate><volume>11</volume><issue>12</issue><spage>1598</spage><epage>1603</epage><pages>1598-1603</pages><issn>2330-1619</issn><eissn>2330-1619</eissn><abstract>ABSTRACT
Background
Accurate classification is essential for addressing childhood movement disorders (MD), but the common coexistence of multiple MDs complicates this process.
Objective
The aim was to assess inter‐rater agreement on classifying hyperkinetic MDs among pediatric neurologists with expertise in MDs.
Methods
Five pediatric neurologists were requested to examine 112 videos of 66 pediatric patients. Based on the Movement Disorder‐Childhood Rating Scale, 3 queries were posed: (Q1) Is there more than 1 MD? (Q2) What is the (predominant) MD? (Q3) What is the other MD (if present)?
Results
The final agreement rates were 57.5% for Q1, 66.6% for Q2, and 43.9% for absolute agreement. All videos with absolute agreement at the first evaluation featured 1 MD, whereas only 2 videos with multiple MDs could totally agree in the final review.
Conclusions
This study reveals significant discordance in classification even among pediatric neurologists with expertise in MDs and highlights the necessity for a standardized approach.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>39460641</pmid><doi>10.1002/mdc3.14252</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-8719-0665</orcidid></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adolescent Agreements Child Child, Preschool childhood classification Female Humans Hyperkinesis - classification Hyperkinesis - diagnosis hyperkinetic inter‐rater agreement Male movement disorder Movement disorders Movement Disorders - classification Movement Disorders - diagnosis Movement Disorders - physiopathology Observer Variation Pediatrics |
| title | Inter‐rater Agreement for Movement Disorder Classification in Children with Hyperkinetic Movement Disorders |
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