Validation of a new grading system for endoscopic examination of adenoid hypertrophy
Objective To propose and validate a new subjective grading system of adenoid size with flexible fiberoptic evaluation. Study Design and Setting Digital video clips of 24 flexible fiberoptic nasopharyngeal exams were presented to 24 examiners (otolaryngology resident and consultant physicians) at a t...
Gespeichert in:
| Veröffentlicht in: | Otolaryngology-head and neck surgery 2006-11, Vol.135 (5), p.684-687 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 687 |
|---|---|
| container_issue | 5 |
| container_start_page | 684 |
| container_title | Otolaryngology-head and neck surgery |
| container_volume | 135 |
| creator | Parikh, Sanjay R. Coronel, Mark Lee, James J. Brown, Seth M. |
| description | Objective
To propose and validate a new subjective grading system of adenoid size with flexible fiberoptic evaluation.
Study Design and Setting
Digital video clips of 24 flexible fiberoptic nasopharyngeal exams were presented to 24 examiners (otolaryngology resident and consultant physicians) at a tertiary care institution. Examiners were asked to use the proposed grading system to rate adenoid hypertrophy. Kappa statistical analysis was used to evaluate the degree of intergrader agreement or disagreement.
Results
Statistical analysis of intergrader agreement demonstrated an overall Kappa score of 0.71 suggesting a “substantial” strength of agreement. The Kappa strength of agreement was found to be 0.83 (almost perfect) among consultant physicians and 0.62 (substantial) among resident physicians.
Conclusions
The proposed adenoid staging system is a reliable and consistent method of staging adenoid tissue size.
Significance
This new validated grading system may be a useful standard for reporting adenoid size in future clinical outcome studies. |
| doi_str_mv | 10.1016/j.otohns.2006.05.003 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_69020819</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1016_j.otohns.2006.05.003</sage_id><els_id>S019459980600533X</els_id><sourcerecordid>69020819</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5218-db1392e6ed10af0c8c31c6f63e76dbdd6687134f7484fb927a6877a405a718b3</originalsourceid><addsrcrecordid>eNqNkM1q3DAURkVpaaZp36AUrbqze-UfyYZSaEPTFEKyGbIVsnQ9o8GWXMmT1G9fBQ9k12QluJzzIQ4hHxnkDBj_csj97Pcu5gUAz6HOAcpXZMOgFRlvmHhNNsDaKqvbtjkj72I8QAK5EG_JGRMgWNFWG7K9U4M1arbeUd9TRR0-0F1QxrodjUuccaS9DxSd8VH7yWqKf9Vo3ZNi0Hlr6H6ZMMzBT_vlPXnTqyHih9N7TraXP7cXV9n17a_fF9-vM10XrMlMx8q2QI6GgepBN7pkmve8RMFNZwznjWBl1YuqqfquLYRKB6EqqJVgTVeek8_r7BT8nyPGWY42ahwG5dAfo-QtFNCwNoHVCurgYwzYyynYUYVFMpCPMeVBrjHlY0wJtUwxk_bptH_sRjRP0qleAr6uwIMdcHnRqLy9uvlxWUDNm6SzVY9qh_Lgj8GlWs_96dvqYOp6bzHIqC06jcYG1LM03v5_4B-RYat6</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>69020819</pqid></control><display><type>article</type><title>Validation of a new grading system for endoscopic examination of adenoid hypertrophy</title><source>MEDLINE</source><source>SAGE Complete A-Z List</source><source>Wiley Online Library All Journals</source><source>Alma/SFX Local Collection</source><creator>Parikh, Sanjay R. ; Coronel, Mark ; Lee, James J. ; Brown, Seth M.</creator><creatorcontrib>Parikh, Sanjay R. ; Coronel, Mark ; Lee, James J. ; Brown, Seth M.</creatorcontrib><description>Objective
To propose and validate a new subjective grading system of adenoid size with flexible fiberoptic evaluation.
Study Design and Setting
Digital video clips of 24 flexible fiberoptic nasopharyngeal exams were presented to 24 examiners (otolaryngology resident and consultant physicians) at a tertiary care institution. Examiners were asked to use the proposed grading system to rate adenoid hypertrophy. Kappa statistical analysis was used to evaluate the degree of intergrader agreement or disagreement.
Results
Statistical analysis of intergrader agreement demonstrated an overall Kappa score of 0.71 suggesting a “substantial” strength of agreement. The Kappa strength of agreement was found to be 0.83 (almost perfect) among consultant physicians and 0.62 (substantial) among resident physicians.
Conclusions
The proposed adenoid staging system is a reliable and consistent method of staging adenoid tissue size.
Significance
This new validated grading system may be a useful standard for reporting adenoid size in future clinical outcome studies.</description><identifier>ISSN: 0194-5998</identifier><identifier>EISSN: 1097-6817</identifier><identifier>DOI: 10.1016/j.otohns.2006.05.003</identifier><identifier>PMID: 17071294</identifier><language>eng</language><publisher>Los Angeles, CA: Mosby, Inc</publisher><subject>Adenoids - pathology ; Adolescent ; Adult ; Child ; Child, Preschool ; Endoscopy ; Fiber Optic Technology ; Humans ; Hypertrophy ; Infant ; Middle Aged ; Observer Variation</subject><ispartof>Otolaryngology-head and neck surgery, 2006-11, Vol.135 (5), p.684-687</ispartof><rights>2006 American Academy of Otolaryngology–Head and Neck Surgery Foundation.</rights><rights>2006 SAGE Publications</rights><rights>2006 American Association of Otolaryngology‐Head and Neck Surgery Foundation (AAO‐HNSF)</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5218-db1392e6ed10af0c8c31c6f63e76dbdd6687134f7484fb927a6877a405a718b3</citedby><cites>FETCH-LOGICAL-c5218-db1392e6ed10af0c8c31c6f63e76dbdd6687134f7484fb927a6877a405a718b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1016/j.otohns.2006.05.003$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1016/j.otohns.2006.05.003$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,1416,21818,27923,27924,43620,43621,45573,45574</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17071294$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Parikh, Sanjay R.</creatorcontrib><creatorcontrib>Coronel, Mark</creatorcontrib><creatorcontrib>Lee, James J.</creatorcontrib><creatorcontrib>Brown, Seth M.</creatorcontrib><title>Validation of a new grading system for endoscopic examination of adenoid hypertrophy</title><title>Otolaryngology-head and neck surgery</title><addtitle>Otolaryngol Head Neck Surg</addtitle><description>Objective
To propose and validate a new subjective grading system of adenoid size with flexible fiberoptic evaluation.
Study Design and Setting
Digital video clips of 24 flexible fiberoptic nasopharyngeal exams were presented to 24 examiners (otolaryngology resident and consultant physicians) at a tertiary care institution. Examiners were asked to use the proposed grading system to rate adenoid hypertrophy. Kappa statistical analysis was used to evaluate the degree of intergrader agreement or disagreement.
Results
Statistical analysis of intergrader agreement demonstrated an overall Kappa score of 0.71 suggesting a “substantial” strength of agreement. The Kappa strength of agreement was found to be 0.83 (almost perfect) among consultant physicians and 0.62 (substantial) among resident physicians.
Conclusions
The proposed adenoid staging system is a reliable and consistent method of staging adenoid tissue size.
Significance
This new validated grading system may be a useful standard for reporting adenoid size in future clinical outcome studies.</description><subject>Adenoids - pathology</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Endoscopy</subject><subject>Fiber Optic Technology</subject><subject>Humans</subject><subject>Hypertrophy</subject><subject>Infant</subject><subject>Middle Aged</subject><subject>Observer Variation</subject><issn>0194-5998</issn><issn>1097-6817</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkM1q3DAURkVpaaZp36AUrbqze-UfyYZSaEPTFEKyGbIVsnQ9o8GWXMmT1G9fBQ9k12QluJzzIQ4hHxnkDBj_csj97Pcu5gUAz6HOAcpXZMOgFRlvmHhNNsDaKqvbtjkj72I8QAK5EG_JGRMgWNFWG7K9U4M1arbeUd9TRR0-0F1QxrodjUuccaS9DxSd8VH7yWqKf9Vo3ZNi0Hlr6H6ZMMzBT_vlPXnTqyHih9N7TraXP7cXV9n17a_fF9-vM10XrMlMx8q2QI6GgepBN7pkmve8RMFNZwznjWBl1YuqqfquLYRKB6EqqJVgTVeek8_r7BT8nyPGWY42ahwG5dAfo-QtFNCwNoHVCurgYwzYyynYUYVFMpCPMeVBrjHlY0wJtUwxk_bptH_sRjRP0qleAr6uwIMdcHnRqLy9uvlxWUDNm6SzVY9qh_Lgj8GlWs_96dvqYOp6bzHIqC06jcYG1LM03v5_4B-RYat6</recordid><startdate>200611</startdate><enddate>200611</enddate><creator>Parikh, Sanjay R.</creator><creator>Coronel, Mark</creator><creator>Lee, James J.</creator><creator>Brown, Seth M.</creator><general>Mosby, Inc</general><general>SAGE Publications</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><scope>8BM</scope></search><sort><creationdate>200611</creationdate><title>Validation of a new grading system for endoscopic examination of adenoid hypertrophy</title><author>Parikh, Sanjay R. ; Coronel, Mark ; Lee, James J. ; Brown, Seth M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5218-db1392e6ed10af0c8c31c6f63e76dbdd6687134f7484fb927a6877a405a718b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adenoids - pathology</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Endoscopy</topic><topic>Fiber Optic Technology</topic><topic>Humans</topic><topic>Hypertrophy</topic><topic>Infant</topic><topic>Middle Aged</topic><topic>Observer Variation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Parikh, Sanjay R.</creatorcontrib><creatorcontrib>Coronel, Mark</creatorcontrib><creatorcontrib>Lee, James J.</creatorcontrib><creatorcontrib>Brown, Seth M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>Otolaryngology-head and neck surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Parikh, Sanjay R.</au><au>Coronel, Mark</au><au>Lee, James J.</au><au>Brown, Seth M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Validation of a new grading system for endoscopic examination of adenoid hypertrophy</atitle><jtitle>Otolaryngology-head and neck surgery</jtitle><addtitle>Otolaryngol Head Neck Surg</addtitle><date>2006-11</date><risdate>2006</risdate><volume>135</volume><issue>5</issue><spage>684</spage><epage>687</epage><pages>684-687</pages><issn>0194-5998</issn><eissn>1097-6817</eissn><abstract>Objective
To propose and validate a new subjective grading system of adenoid size with flexible fiberoptic evaluation.
Study Design and Setting
Digital video clips of 24 flexible fiberoptic nasopharyngeal exams were presented to 24 examiners (otolaryngology resident and consultant physicians) at a tertiary care institution. Examiners were asked to use the proposed grading system to rate adenoid hypertrophy. Kappa statistical analysis was used to evaluate the degree of intergrader agreement or disagreement.
Results
Statistical analysis of intergrader agreement demonstrated an overall Kappa score of 0.71 suggesting a “substantial” strength of agreement. The Kappa strength of agreement was found to be 0.83 (almost perfect) among consultant physicians and 0.62 (substantial) among resident physicians.
Conclusions
The proposed adenoid staging system is a reliable and consistent method of staging adenoid tissue size.
Significance
This new validated grading system may be a useful standard for reporting adenoid size in future clinical outcome studies.</abstract><cop>Los Angeles, CA</cop><pub>Mosby, Inc</pub><pmid>17071294</pmid><doi>10.1016/j.otohns.2006.05.003</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0194-5998 |
| ispartof | Otolaryngology-head and neck surgery, 2006-11, Vol.135 (5), p.684-687 |
| issn | 0194-5998 1097-6817 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_69020819 |
| source | MEDLINE; SAGE Complete A-Z List; Wiley Online Library All Journals; Alma/SFX Local Collection |
| subjects | Adenoids - pathology Adolescent Adult Child Child, Preschool Endoscopy Fiber Optic Technology Humans Hypertrophy Infant Middle Aged Observer Variation |
| title | Validation of a new grading system for endoscopic examination of adenoid hypertrophy |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-11T19%3A25%3A12IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Validation%20of%20a%20new%20grading%20system%20for%20endoscopic%20examination%20of%20adenoid%20hypertrophy&rft.jtitle=Otolaryngology-head%20and%20neck%20surgery&rft.au=Parikh,%20Sanjay%20R.&rft.date=2006-11&rft.volume=135&rft.issue=5&rft.spage=684&rft.epage=687&rft.pages=684-687&rft.issn=0194-5998&rft.eissn=1097-6817&rft_id=info:doi/10.1016/j.otohns.2006.05.003&rft_dat=%3Cproquest_cross%3E69020819%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=69020819&rft_id=info:pmid/17071294&rft_sage_id=10.1016_j.otohns.2006.05.003&rft_els_id=S019459980600533X&rfr_iscdi=true |