Interrater Reliability among Endoscopists: Diagnosis of Laryngopharyngeal Reflux Based on the Reflux Finding Score Determined by Upper Endoscopy
Background/Aims: Laryngopharyngeal reflux (LPR) is an extraesophageal manifestation of gastroesophageal reflux disease. Endoscopic assessment of LPR is needed for convenient diagnosis and documentation of treatment efficacy. The aim of this study was to investigate the interrater reliability of LPR...
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Korean College of Helicobacter and Upper Gastrointestinal Research
2017-03-01
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| Series: | The Korean Journal of Helicobacter and Upper Gastrointestinal Research |
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| Online Access: | http://www.helicojournal.org/journal/view.html?doi=10.7704/kjhugr.2017.17.1.26 |
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| author | Seok Won Lee Chang Seok Bang Yeon Soo Kim Gwang Ho Baik Dong Kyu Kim Young Don Kim Koon Hee Han Sang Jin Lee Jong Kyu Park Hyun Il Seo Sung Chul Park Sang Hyuk Lee Kyong Joo Lee |
| author_facet | Seok Won Lee Chang Seok Bang Yeon Soo Kim Gwang Ho Baik Dong Kyu Kim Young Don Kim Koon Hee Han Sang Jin Lee Jong Kyu Park Hyun Il Seo Sung Chul Park Sang Hyuk Lee Kyong Joo Lee |
| author_sort | Seok Won Lee |
| collection | DOAJ |
| description | Background/Aims: Laryngopharyngeal reflux (LPR) is an extraesophageal manifestation of gastroesophageal reflux disease. Endoscopic assessment of LPR is needed for convenient diagnosis and documentation of treatment efficacy. The aim of this study was to investigate the interrater reliability of LPR among endoscopists based on endoscopic laryngeal images. Materials and Methods: Nineteen endoscopists participated in this study. Before the test, they completed an intensive education program by an otorhinolaryngologist on the reflux finding score (RFS), which is a validated laryngoscopic assessment of LPR. A total of 100 endoscopic laryngeal images were used for 3 tests of RFS. Cohen’s and Fleiss’ kappa coefficients were used to determine the degree of interrater agreement in the diagnosis of LPR. Results: In the first test, the mean of Cohen’s kappa coefficients for LPR diagnosis between the otorhinolaryngologist and each of the 19 endoscopists was 0.3. In the second test, after additional education, the mean kappa value was 0.32. Fleiss’ kappa coefficients for diagnosis of LPR among the 19 endoscopists in the first and second tests were 0.30 and 0.26, respectively. Conclusions: A short-term education program for endoscopists did not result in an improvement of accuracy in the diagnosis of LPR. Further studies using advanced educational programs for endoscopists are required. |
| format | Article |
| id | doaj-art-4fc859ed23634546b0aa9a0a5283f409 |
| institution | Kabale University |
| issn | 1738-3331 |
| language | English |
| publishDate | 2017-03-01 |
| publisher | Korean College of Helicobacter and Upper Gastrointestinal Research |
| record_format | Article |
| series | The Korean Journal of Helicobacter and Upper Gastrointestinal Research |
| spelling | doaj-art-4fc859ed23634546b0aa9a0a5283f4092025-08-20T03:33:36ZengKorean College of Helicobacter and Upper Gastrointestinal ResearchThe Korean Journal of Helicobacter and Upper Gastrointestinal Research1738-33312017-03-01171263210.7704/kjhugr.2017.17.1.26kjhugr.2017.17.1.26Interrater Reliability among Endoscopists: Diagnosis of Laryngopharyngeal Reflux Based on the Reflux Finding Score Determined by Upper EndoscopySeok Won Lee0Chang Seok Bang1Yeon Soo Kim2Gwang Ho Baik3Dong Kyu Kim4Young Don Kim5Koon Hee Han6Sang Jin Lee7Jong Kyu Park8Hyun Il Seo9Sung Chul Park10Sang Hyuk Lee11Kyong Joo Lee12Department of Internal Medicine, Hallym University College of Medicine, Chuncheon, KoreaDepartment of Internal Medicine, Hallym University College of Medicine, Chuncheon, KoreaDepartment of Internal Medicine, Hallym University College of Medicine, Chuncheon, KoreaDepartment of Internal Medicine, Hallym University College of Medicine, Chuncheon, KoreaDepartment of Otorhinolaryngology-Head and Neck Surgery, Hallym University College of Medicine, Chuncheon, KoreaDepartment of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, KoreaDepartment of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, KoreaDepartment of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, KoreaDepartment of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, KoreaDepartment of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, KoreaDepartment of Internal Medicine, Kangwon National University School of Medicine, Chuncheon, KoreaDepartment of Internal Medicine, Kangwon National University School of Medicine, Chuncheon, KoreaDepartment of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, KoreaBackground/Aims: Laryngopharyngeal reflux (LPR) is an extraesophageal manifestation of gastroesophageal reflux disease. Endoscopic assessment of LPR is needed for convenient diagnosis and documentation of treatment efficacy. The aim of this study was to investigate the interrater reliability of LPR among endoscopists based on endoscopic laryngeal images. Materials and Methods: Nineteen endoscopists participated in this study. Before the test, they completed an intensive education program by an otorhinolaryngologist on the reflux finding score (RFS), which is a validated laryngoscopic assessment of LPR. A total of 100 endoscopic laryngeal images were used for 3 tests of RFS. Cohen’s and Fleiss’ kappa coefficients were used to determine the degree of interrater agreement in the diagnosis of LPR. Results: In the first test, the mean of Cohen’s kappa coefficients for LPR diagnosis between the otorhinolaryngologist and each of the 19 endoscopists was 0.3. In the second test, after additional education, the mean kappa value was 0.32. Fleiss’ kappa coefficients for diagnosis of LPR among the 19 endoscopists in the first and second tests were 0.30 and 0.26, respectively. Conclusions: A short-term education program for endoscopists did not result in an improvement of accuracy in the diagnosis of LPR. Further studies using advanced educational programs for endoscopists are required.http://www.helicojournal.org/journal/view.html?doi=10.7704/kjhugr.2017.17.1.26Gastroesophageal refluxEndoscopyLaryngopharyngeal reflux |
| spellingShingle | Seok Won Lee Chang Seok Bang Yeon Soo Kim Gwang Ho Baik Dong Kyu Kim Young Don Kim Koon Hee Han Sang Jin Lee Jong Kyu Park Hyun Il Seo Sung Chul Park Sang Hyuk Lee Kyong Joo Lee Interrater Reliability among Endoscopists: Diagnosis of Laryngopharyngeal Reflux Based on the Reflux Finding Score Determined by Upper Endoscopy The Korean Journal of Helicobacter and Upper Gastrointestinal Research Gastroesophageal reflux Endoscopy Laryngopharyngeal reflux |
| title | Interrater Reliability among Endoscopists: Diagnosis of Laryngopharyngeal Reflux Based on the Reflux Finding Score Determined by Upper Endoscopy |
| title_full | Interrater Reliability among Endoscopists: Diagnosis of Laryngopharyngeal Reflux Based on the Reflux Finding Score Determined by Upper Endoscopy |
| title_fullStr | Interrater Reliability among Endoscopists: Diagnosis of Laryngopharyngeal Reflux Based on the Reflux Finding Score Determined by Upper Endoscopy |
| title_full_unstemmed | Interrater Reliability among Endoscopists: Diagnosis of Laryngopharyngeal Reflux Based on the Reflux Finding Score Determined by Upper Endoscopy |
| title_short | Interrater Reliability among Endoscopists: Diagnosis of Laryngopharyngeal Reflux Based on the Reflux Finding Score Determined by Upper Endoscopy |
| title_sort | interrater reliability among endoscopists diagnosis of laryngopharyngeal reflux based on the reflux finding score determined by upper endoscopy |
| topic | Gastroesophageal reflux Endoscopy Laryngopharyngeal reflux |
| url | http://www.helicojournal.org/journal/view.html?doi=10.7704/kjhugr.2017.17.1.26 |
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