Interobserver reliability of Masei index validation by a multicenter collaborative group of rheumatologists

Autor: Andrea Cuervo Aguilera, Eulàlia Armengol Pérez, Héctor Corominas Macías, Teresa Clavaguera Poch, Manel Pujol Busquets, Marta Valls Roc, Patricia Moya Alvarado, Julio Ramírez García, Susana Holgado Pérez, Maria Aparicio Espinar, Noemí Busquets Pérez, Paula Estrada Alarcón, Loreto Carmona, Delia Reina Sanz, Meritxell Sallés Lizarzaburu, Lourdes Mateo Soria, Berta Magallares López, Enrique Casado Burgos, Elena Sirvent Alierta, Pilar Santo Panero, Mireia Moreno Martínez-Losa, Elisabet García Casares, Melania Martinez Morillo, Carmen Moragues Pastor, Andrés Ponce Fernández, Eugenio de Miguel Mendieta, Juan José de Agustín de Oro
Rok vydání: 2022
Předmět:
Zdroj: RHEUMATOLOGY INTERNATIONAL
r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
instname
Rheumatology International
r-IGTP. Repositorio Institucional de Producción Científica del Instituto de Investigación Germans Trias i Pujol
r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
ISSN: 0172-8172
Popis: MASEI is the main validated ultrasound score for the evaluation of enthesis. The lack of studies facing the agreement to achieve for the interpretation of the MAdrid Sonographic Enthesis Index (MASEI) among researchers from different centers in multicenter studies is of concern. The aim of this multicenter was to evaluate the interobserver reliability of MASEI. An experienced ultrasonographer-rheumatologist performed ultrasound scans of the areas included in MASEI index in three patients with Ankylosing Spondylitis and Psoriatic Arthritis. Videos were captured. The videos were then evaluated by 24 rheumatologists of the ultrasound working group of the Catalan Society of Rheumatology (EcoCAT). A face-to-face training meeting was held. Ten days after the workshop, the study participants evaluated the videos. A reliability assessment was performed. The ICC for the MASEI scores after the workshop was of 0.97 (95% CI 89-99). Reliability did not vary statistically with examiner experience. Globally, no problems of reliability by structures were seen, and all the ICCs were above 0.90 and improved slightly after the educational program. However, the correlation observed between examiners at plantar aponeursis and triceps tendon was weak. The small variability observed in the results of the index validation in our study, suggests that the MASEI index is reproducible by different observers when those are well trained and show awesome results of the enthesis when examined by ultrasound.
Databáze: OpenAIRE