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| DOI | 10.1177/02841851211029082 | ||||
| Año | 2022 | ||||
| Tipo | artículo de investigación |
Citas Totales
Autores Afiliación Chile
Instituciones Chile
% Participación
Internacional
Autores
Afiliación Extranjera
Instituciones
Extranjeras
Background Recently, a scoring system to grade sacroiliac joint (SIJ) degeneration using computed tomography (CT) scans was described. No independent evaluation has determined the inter- and intra-observer agreement using this scheme. Purpose To perform an independent inter- and intra-observer agreement assessment using the Eno classification and determining gas in the SIJ. Material and Methods We studied 64 patients aged >= 60 years who were evaluated with abdominal and pelvic computed tomography scans. Six physicians (three orthopaedic spine surgeons and three musculoskeletal radiologists) assessed axial images to grade SIJ degeneration into grade 0 (normal), grade 1 (mild degeneration), grade 2 (significant degeneration), and grade 3 (ankylosis). We also evaluated the agreement assessing the presence of gas in the SIJ. After a four-week interval, all cases were presented in a random sequence for repeat assessment. We determined the agreement using the kappa (kappa) or weighted kappa coefficient (w kappa). Results The inter-observer agreement was moderate (w kappa = 0.50 [0.44-0.56]), without differences among surgeons (w kappa = 0.53 [0.45-0.61]) and radiologists (w kappa = 0.49 [0.42-0.57]). The agreement evaluating the presence of gas was also moderate (kappa = 0.45 [0.35-0.54]), but radiologists obtained better agreement (kappa = 0.61 [0.48-0.72]) than surgeons (kappa = 0.29 [0.18-0.39]). The intra-observer agreement using the classification was substantial (w kappa = 0.79 [0.76-0.82]), without differences comparing surgeons (w kappa = 0.75 [0.70-0.80]) and radiologists (w kappa = 0.83 [0.79-0.87]). The intra-rater agreement evaluating gas was substantial (kappa = 0.77 [0.72-0.82]), without differences between surgeons (kappa = 0.71 [0.63-0.78]) and radiologists (kappa = 0.84 [0.78-0.90]). Conclusion Given the only moderate agreement obtained using the Eno classification, it does not seem adequate to be used in clinical practice or in research.
| Ord. | Autor | Género | Institución - País |
|---|---|---|---|
| 1 | URRUTIA-ESCOBAR, JULIO | Hombre |
Pontificia Universidad Católica de Chile - Chile
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| 2 | Willhuber, Gaston Camino | Hombre |
HOSP ITALIANO BUENOS AIRES - Argentina
Instituto Universitario del Hospital Italiano de Buenos Aires - Argentina |
| 3 | Astur, Nelson | Hombre |
Santa Casa Misericordia Sao Paulo - Brasil
Hosp Israelita Albert Einstein - Brasil Santa Casa de Misericórdia de São Paulo - Brasil Hospital Israelita Albert Einstein - Brasil |
| 4 | Valacco, Marcelo | Hombre |
Hosp Churruca Visca - Argentina
Churruca Visca Hospital - Argentina |
| 5 | Borensztein, Matias | Hombre |
HOSP ITALIANO BUENOS AIRES - Argentina
Instituto Universitario del Hospital Italiano de Buenos Aires - Argentina |
| 6 | Velan, Osvaldo | Hombre |
HOSP ITALIANO BUENOS AIRES - Argentina
Instituto Universitario del Hospital Italiano de Buenos Aires - Argentina |
| 7 | Cikutovic, Pablo | Hombre |
Pontificia Universidad Católica de Chile - Chile
|