Reliability of the University of Miami chronic rhinosinusitis staging system
The aim of this study was to determine the interrater reliability and correlation between computed tomography (CT) and endoscopic components of the University of Miami (UM) Chronic Rhinosinusitis Staging System (UMCRSS), a comprehensive staging system for chronic rhinosinusitis (CRS). A prospective...
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| Veröffentlicht in: | American journal of rhinology 2006-01, Vol.20 (1), p.11-19 |
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| creator | Lehman, David A Casiano, Roy R Polak, Marek |
| description | The aim of this study was to determine the interrater reliability and correlation between computed tomography (CT) and endoscopic components of the University of Miami (UM) Chronic Rhinosinusitis Staging System (UMCRSS), a comprehensive staging system for chronic rhinosinusitis (CRS).
A prospective analysis of 55 patients undergoing endoscopic sinus surgeryfor CRS was performed. The population consisted of 28 men and 27 women, with a mean age of 45.9 years. All patients underwent staging, via the CT and endoscopic components of the UMCRSS in the operating room, by three examiners. The reliability of the system and all of its components was determined by kappa-coefficient analysis, comparing the data from all three examiners. Correlation between the CT and endoscopic arms was analyzed by Pearson's product moment coefficient.
Interrater reliability for the CT arm (kappa = 0.83) and endoscopic arm (kappa = 0.74 for the revision population, and kappa = 0.72 for the primary surgery population) were found to be significant. Endoscopic staging established significant correlation with CT staging (Pearson's r2 = 0.40; p < 0.0001 overall, 0.57, p < 0.0001 for revision, and 0.42, p < 0.0001 for primary cases).
The UMCRSS is a comprehensive and reliable staging system with very strong and positive correlation between the CT and endoscopic components. |
| doi_str_mv | 10.1177/194589240602000103 |
| format | Article |
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A prospective analysis of 55 patients undergoing endoscopic sinus surgeryfor CRS was performed. The population consisted of 28 men and 27 women, with a mean age of 45.9 years. All patients underwent staging, via the CT and endoscopic components of the UMCRSS in the operating room, by three examiners. The reliability of the system and all of its components was determined by kappa-coefficient analysis, comparing the data from all three examiners. Correlation between the CT and endoscopic arms was analyzed by Pearson's product moment coefficient.
Interrater reliability for the CT arm (kappa = 0.83) and endoscopic arm (kappa = 0.74 for the revision population, and kappa = 0.72 for the primary surgery population) were found to be significant. Endoscopic staging established significant correlation with CT staging (Pearson's r2 = 0.40; p < 0.0001 overall, 0.57, p < 0.0001 for revision, and 0.42, p < 0.0001 for primary cases).
The UMCRSS is a comprehensive and reliable staging system with very strong and positive correlation between the CT and endoscopic components.</description><identifier>ISSN: 1050-6586</identifier><identifier>ISSN: 1945-8924</identifier><identifier>EISSN: 1539-6290</identifier><identifier>EISSN: 1945-8932</identifier><identifier>DOI: 10.1177/194589240602000103</identifier><identifier>PMID: 16539288</identifier><language>eng</language><publisher>United States: SAGE PUBLICATIONS, INC</publisher><subject>Adolescent ; Adult ; Aged ; Child ; Chronic Disease ; Endoscopy ; Female ; Humans ; Male ; Middle Aged ; Paranasal Sinuses - pathology ; Paranasal Sinuses - surgery ; Prospective Studies ; Reproducibility of Results ; Rhinitis - pathology ; Rhinitis - surgery ; Severity of Illness Index ; Sinusitis - pathology ; Sinusitis - surgery ; Tomography, X-Ray Computed</subject><ispartof>American journal of rhinology, 2006-01, Vol.20 (1), p.11-19</ispartof><rights>Copyright OceanSide Publications Jan 1, 2006</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c328t-da8b6b928d432948cdb1aec35236a647bc860edc1c98119617de8d61fd0872563</citedby><cites>FETCH-LOGICAL-c328t-da8b6b928d432948cdb1aec35236a647bc860edc1c98119617de8d61fd0872563</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16539288$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lehman, David A</creatorcontrib><creatorcontrib>Casiano, Roy R</creatorcontrib><creatorcontrib>Polak, Marek</creatorcontrib><title>Reliability of the University of Miami chronic rhinosinusitis staging system</title><title>American journal of rhinology</title><addtitle>Am J Rhinol</addtitle><description>The aim of this study was to determine the interrater reliability and correlation between computed tomography (CT) and endoscopic components of the University of Miami (UM) Chronic Rhinosinusitis Staging System (UMCRSS), a comprehensive staging system for chronic rhinosinusitis (CRS).
A prospective analysis of 55 patients undergoing endoscopic sinus surgeryfor CRS was performed. The population consisted of 28 men and 27 women, with a mean age of 45.9 years. All patients underwent staging, via the CT and endoscopic components of the UMCRSS in the operating room, by three examiners. The reliability of the system and all of its components was determined by kappa-coefficient analysis, comparing the data from all three examiners. Correlation between the CT and endoscopic arms was analyzed by Pearson's product moment coefficient.
Interrater reliability for the CT arm (kappa = 0.83) and endoscopic arm (kappa = 0.74 for the revision population, and kappa = 0.72 for the primary surgery population) were found to be significant. Endoscopic staging established significant correlation with CT staging (Pearson's r2 = 0.40; p < 0.0001 overall, 0.57, p < 0.0001 for revision, and 0.42, p < 0.0001 for primary cases).
The UMCRSS is a comprehensive and reliable staging system with very strong and positive correlation between the CT and endoscopic components.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Child</subject><subject>Chronic Disease</subject><subject>Endoscopy</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Paranasal Sinuses - pathology</subject><subject>Paranasal Sinuses - surgery</subject><subject>Prospective Studies</subject><subject>Reproducibility of Results</subject><subject>Rhinitis - pathology</subject><subject>Rhinitis - surgery</subject><subject>Severity of Illness Index</subject><subject>Sinusitis - pathology</subject><subject>Sinusitis - surgery</subject><subject>Tomography, X-Ray Computed</subject><issn>1050-6586</issn><issn>1945-8924</issn><issn>1539-6290</issn><issn>1945-8932</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNplkFtLxDAQhYMo7rr6B3yQ4oNv1UzSXPooizdYEcR9LmmS7mbpZU1aof_eyBYEfZph5jtnhoPQJeBbACHuIM-YzEmGOSYYY8D0CM2B0TzlJMfHsccMp5xJPkNnIewiIoiEUzQDHiki5Ryt3m3tVOlq149JVyX91ibr1n1ZH6bJq1ONS_TWd63Tid-6tguuHeLahST0auPaTRLG0NvmHJ1Uqg72YqoLtH58-Fg-p6u3p5fl_SrVlMg-NUqWvIz3TUZJnkltSlBWU0YoVzwTpZYcW6NB5xIg5yCMlYZDZbAUhHG6QDcH373vPgcb-qJxQdu6Vq3thlBwIVgmQUTw-g-46wbfxt8KQrEkmAkWIXKAtO9C8LYq9t41yo8F4OIn6OJ_0FF0NTkPZWPNr2RKln4DSPR38A</recordid><startdate>200601</startdate><enddate>200601</enddate><creator>Lehman, David A</creator><creator>Casiano, Roy R</creator><creator>Polak, Marek</creator><general>SAGE PUBLICATIONS, 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>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>200601</creationdate><title>Reliability of the University of Miami chronic rhinosinusitis staging system</title><author>Lehman, David A ; Casiano, Roy R ; Polak, Marek</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c328t-da8b6b928d432948cdb1aec35236a647bc860edc1c98119617de8d61fd0872563</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Child</topic><topic>Chronic Disease</topic><topic>Endoscopy</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Paranasal Sinuses - pathology</topic><topic>Paranasal Sinuses - surgery</topic><topic>Prospective Studies</topic><topic>Reproducibility of Results</topic><topic>Rhinitis - pathology</topic><topic>Rhinitis - surgery</topic><topic>Severity of Illness Index</topic><topic>Sinusitis - pathology</topic><topic>Sinusitis - surgery</topic><topic>Tomography, X-Ray Computed</topic><toplevel>online_resources</toplevel><creatorcontrib>Lehman, David A</creatorcontrib><creatorcontrib>Casiano, Roy R</creatorcontrib><creatorcontrib>Polak, Marek</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 Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of rhinology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lehman, David A</au><au>Casiano, Roy R</au><au>Polak, Marek</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reliability of the University of Miami chronic rhinosinusitis staging system</atitle><jtitle>American journal of rhinology</jtitle><addtitle>Am J Rhinol</addtitle><date>2006-01</date><risdate>2006</risdate><volume>20</volume><issue>1</issue><spage>11</spage><epage>19</epage><pages>11-19</pages><issn>1050-6586</issn><issn>1945-8924</issn><eissn>1539-6290</eissn><eissn>1945-8932</eissn><abstract>The aim of this study was to determine the interrater reliability and correlation between computed tomography (CT) and endoscopic components of the University of Miami (UM) Chronic Rhinosinusitis Staging System (UMCRSS), a comprehensive staging system for chronic rhinosinusitis (CRS).
A prospective analysis of 55 patients undergoing endoscopic sinus surgeryfor CRS was performed. The population consisted of 28 men and 27 women, with a mean age of 45.9 years. All patients underwent staging, via the CT and endoscopic components of the UMCRSS in the operating room, by three examiners. The reliability of the system and all of its components was determined by kappa-coefficient analysis, comparing the data from all three examiners. Correlation between the CT and endoscopic arms was analyzed by Pearson's product moment coefficient.
Interrater reliability for the CT arm (kappa = 0.83) and endoscopic arm (kappa = 0.74 for the revision population, and kappa = 0.72 for the primary surgery population) were found to be significant. Endoscopic staging established significant correlation with CT staging (Pearson's r2 = 0.40; p < 0.0001 overall, 0.57, p < 0.0001 for revision, and 0.42, p < 0.0001 for primary cases).
The UMCRSS is a comprehensive and reliable staging system with very strong and positive correlation between the CT and endoscopic components.</abstract><cop>United States</cop><pub>SAGE PUBLICATIONS, INC</pub><pmid>16539288</pmid><doi>10.1177/194589240602000103</doi><tpages>9</tpages></addata></record> |
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| source | MEDLINE; SAGE Complete |
| subjects | Adolescent Adult Aged Child Chronic Disease Endoscopy Female Humans Male Middle Aged Paranasal Sinuses - pathology Paranasal Sinuses - surgery Prospective Studies Reproducibility of Results Rhinitis - pathology Rhinitis - surgery Severity of Illness Index Sinusitis - pathology Sinusitis - surgery Tomography, X-Ray Computed |
| title | Reliability of the University of Miami chronic rhinosinusitis staging system |
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