Agreement in Metastatic Spinal Cord Compression
| Autor: | Angel R Piñera, Gregorio Catalan Uribarrena, Andrés González Mandly, LUIS ALVAREZ-GALOVICH, Salvador Fuster, Antonio jose Conde moreno, Marco Antonio Alvarez-Vega, Fernando Aparici-Robles, Ana Ortiz de Mendivil, ANDRES BARRIGA-MARTIN, Ana Lersundi Artamendi |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Biopsy Specialty Fleiss' kappa Severity of Illness Index 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Spinal cord compression Severity of illness medicine Humans Aged Observer Variation medicine.diagnostic_test business.industry Reproducibility of Results Magnetic resonance imaging Middle Aged medicine.disease Magnetic Resonance Imaging digestive system diseases Surgery Oncology 030220 oncology & carcinogenesis Orthopedic surgery Female Epidural Neoplasms Radiology Neurosurgery business Spinal Cord Compression |
| Zdroj: | Journal of the National Comprehensive Cancer Network. 14:70-76 |
| ISSN: | 1540-1413 1540-1405 |
| DOI: | 10.6004/jnccn.2016.0008 |
| Popis: | Background: Metastatic epidural spinal cord compression (ESCC) is a devastating medical emergency. The purpose of this study was to determine the reliability of the 6-point ESCC scoring system and the identification of the spinal level presenting ESCC. Methods: Clinical data and imaging from 90 patients with biopsy-proven spinal metastases were provided to 83 specialists from 44 hospitals. The spinal levels presenting metastases and the ESCC scores for each case were calculated twice by each clinician, with a minimum of 6 weeks’ interval. Clinicians were blinded to assessments made by other specialists and their own previous assessment. Fleiss kappa (κ) statistic was used to assess intraobserver and interobserver agreement. Subgroup analyses were performed according to clinicians’ specialty (medical oncology, neurosurgery, radiology, orthopedic surgery, and radiation oncology), years of experience, and type of hospital. Results: Intraobserver and interobserver agreement on the location of ESCC was substantial (κ>0.61). Intraobserver agreement on the ESCC score was “excellent” (κ=0.82), whereas interobserver agreement was substantial (κ=0.64). Overall agreement with the tumor board classification was substantial (κ=0.71). Results were similar across specialties, years of experience and hospital category. Conclusions: The ESCC score can help improve communication among clinicians involved in oncology care. J Natl Compr Canc Netw 2016;14(1):70–76 |
| Databáze: | OpenAIRE |
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