Interobserver agreement in interpretation of chest radiographs for pediatric community acquired pneumonia: Findings of the pedCAPNETZ-cohort
| Autor: | Patricia-Maria Parpatt, Matthias V. Kopp, Dominik Thiele, Holger Koster, Christoph Härtel, Christian Vogelberg, Gesche M. Voigt, Gernot Rohde, Martin Wetzke, Gesine Hansen, Jürgen Weidemann, Tobias Welte, Jürgen Seidenberg |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Radiography Concordance 610 Medicine & health 03 medical and health sciences 0302 clinical medicine Community-acquired pneumonia 030225 pediatrics medicine Humans ddc:610 Prospective Studies Child Observer Variation medicine.diagnostic_test business.industry Pneumonia medicine.disease Community-Acquired Infections Inter-rater reliability 030228 respiratory system Clinical diagnosis Pediatrics Perinatology and Child Health Cohort Radiography Thoracic Radiology business Chest radiograph 610 Medizin und Gesundheit Kappa |
| Zdroj: | Voigt, Gesche M; Thiele, Dominik; Wetzke, Martin; Weidemann, Jürgen; Parpatt, Patricia-Maria; Welte, Tobias; Seidenberg, Jürgen; Vogelberg, Christian; Koster, Holger; Rohde, Gernot G U; Härtel, Christoph; Hansen, Gesine; Kopp, Matthias V. (2021). Interobserver agreement in interpretation of chest radiographs for pediatric community acquired pneumonia: Findings of the pedCAPNETZ-cohort. Pediatric pulmonology, 56(8), pp. 2676-2685. Wiley-Blackwell 10.1002/ppul.25528 |
| Popis: | Although chest radiograph (CXR) is commonly used in diagnosing pediatric community acquired pneumonia (pCAP), limited data on interobserver agreement among radiologists exist. PedCAPNETZ is a prospective, observational, and multicenter study on pCAP. N = 233 CXR from patients with clinical diagnosis of pCAP were retrieved and n = 12 CXR without pathological findings were added. All CXR were interpreted by a radiologist at the site of recruitment and by two external, blinded pediatric radiologists. To evaluate interobserver agreement, the reporting of presence or absence of pCAP in CXR was analyzed, and prevalence and bias‐adjusted kappa (PABAK) statistical testing was applied. Overall, n = 190 (82%) of CXR were confirmed as pCAP by two external pediatric radiologists. Compared with patients with pCAP negative CXR, patients with CXR‐confirmed pCAP displayed higher C‐reactive protein levels and a longer duration of symptoms before enrollment (p |
| Databáze: | OpenAIRE |
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