Interobserver agreement on DISE: Do we all see the same?
Objectives: Evaluate interobserver agreement on DISE classification and consequent therapeutic decision-making. Study design: Cross-sectional. Material & methods: 20 DISEs performed in adults at one Hospital were recorded. Videos were reviewed by six observers (3 senior Otolaryngologists...
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| Format: | Article |
| Language: | English |
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Portuguese Society of Otolaryngology and Head and Neck Surgery
2022-03-01
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| Series: | Revista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço |
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| Online Access: | https://journalsporl.com/index.php/sporl/article/view/2151 |
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| author | Nuno O'Neill Mendes Joselina Antunes João Rito Gustavo Pedrosa Cristina Adónis Ana Guimarães Filipe Freire |
| author_facet | Nuno O'Neill Mendes Joselina Antunes João Rito Gustavo Pedrosa Cristina Adónis Ana Guimarães Filipe Freire |
| author_sort | Nuno O'Neill Mendes |
| collection | DOAJ |
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Objectives: Evaluate interobserver agreement on DISE classification and consequent therapeutic decision-making.
Study design: Cross-sectional.
Material & methods: 20 DISEs performed in adults at one Hospital were recorded. Videos were reviewed by six observers (3 senior Otolaryngologists and 3 residents). The observers rated the exam findings and suggested the best treatment for each case. Kappa coefficient(K) was used to evaluate interobserver agreement.
Results and Conclusions: Airway obstruction was assessed by seniors and residents and, in this parameter, there was 100% agreement between groups at the level of soft palate(K=1), 90% at oropharynx(K=0,69), 85% at tongue base(K=0,68) and 85% at epiglottis(K=0,69). Concerning to the severity of the obstruction, interobserver agreement was moderate to high at every level except at tongue base(K=0,38). With regard to the treatment, we found a higher rate of indication for tongue base surgery from residents(7/20) comparing to specialists(1/20); k=0,34 (p=0,04).
Consequently, agreement between residents and seniors seems to be quite acceptable except on grading severity of obstruction at the level of tongue base (weak agreement) and therapeutic decision on the same anatomical area (weak agreement).
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| format | Article |
| id | doaj-art-55503dc2b4ec4468b4cf3278c6d381cd |
| institution | OA Journals |
| issn | 2184-6499 |
| language | English |
| publishDate | 2022-03-01 |
| publisher | Portuguese Society of Otolaryngology and Head and Neck Surgery |
| record_format | Article |
| series | Revista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço |
| spelling | doaj-art-55503dc2b4ec4468b4cf3278c6d381cd2025-08-20T02:21:20ZengPortuguese Society of Otolaryngology and Head and Neck SurgeryRevista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço2184-64992022-03-0160110.34631/sporl.965Interobserver agreement on DISE: Do we all see the same?Nuno O'Neill Mendes0Joselina Antunes1João Rito2Gustavo Pedrosa3Cristina Adónis4Ana Guimarães5Filipe Freire6Hospital Professor Doutor Fernando Fonseca, PortugalHospital Professor Doutor Fernando Fonseca, PortugalHospital Professor Doutor Fernando Fonseca, PortugalHospital Professor Doutor Fernando Fonseca, PortugalHospital Professor Doutor Fernando Fonseca, PortugalHospital Professor Doutor Fernando Fonseca, PortugalHospital Professor Doutor Fernando Fonseca, Portugal Objectives: Evaluate interobserver agreement on DISE classification and consequent therapeutic decision-making. Study design: Cross-sectional. Material & methods: 20 DISEs performed in adults at one Hospital were recorded. Videos were reviewed by six observers (3 senior Otolaryngologists and 3 residents). The observers rated the exam findings and suggested the best treatment for each case. Kappa coefficient(K) was used to evaluate interobserver agreement. Results and Conclusions: Airway obstruction was assessed by seniors and residents and, in this parameter, there was 100% agreement between groups at the level of soft palate(K=1), 90% at oropharynx(K=0,69), 85% at tongue base(K=0,68) and 85% at epiglottis(K=0,69). Concerning to the severity of the obstruction, interobserver agreement was moderate to high at every level except at tongue base(K=0,38). With regard to the treatment, we found a higher rate of indication for tongue base surgery from residents(7/20) comparing to specialists(1/20); k=0,34 (p=0,04). Consequently, agreement between residents and seniors seems to be quite acceptable except on grading severity of obstruction at the level of tongue base (weak agreement) and therapeutic decision on the same anatomical area (weak agreement). https://journalsporl.com/index.php/sporl/article/view/2151Drug Induced Sleep EndoscopySleep ApneaTongue basePharynx |
| spellingShingle | Nuno O'Neill Mendes Joselina Antunes João Rito Gustavo Pedrosa Cristina Adónis Ana Guimarães Filipe Freire Interobserver agreement on DISE: Do we all see the same? Revista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço Drug Induced Sleep Endoscopy Sleep Apnea Tongue base Pharynx |
| title | Interobserver agreement on DISE: Do we all see the same? |
| title_full | Interobserver agreement on DISE: Do we all see the same? |
| title_fullStr | Interobserver agreement on DISE: Do we all see the same? |
| title_full_unstemmed | Interobserver agreement on DISE: Do we all see the same? |
| title_short | Interobserver agreement on DISE: Do we all see the same? |
| title_sort | interobserver agreement on dise do we all see the same |
| topic | Drug Induced Sleep Endoscopy Sleep Apnea Tongue base Pharynx |
| url | https://journalsporl.com/index.php/sporl/article/view/2151 |
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