Reliability of the OMERACT Giant cell arteritis Ultrasonography Score (OGUS): results of a patient-based exercise involving experts and non-experts in vascular ultrasonography
Objective To test the reliability of the Outcome Measures in Rheumatology Giant cell arteritis (GCA) Ultrasonography Score (OGUS) and other composite scores in a patient-based exercise involving experts and non-experts in vascular ultrasonography.Methods Six GCA patients were scanned twice (two roun...
Saved in:
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2025-01-01
|
| Series: | RMD Open |
| Online Access: | https://rmdopen.bmj.com/content/11/1/e004667.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850080749481361408 |
|---|---|
| author | Christian Dejaco Stavros Chrysidis Sara Monti Cristina Ponte Peter Mandl Lene Terslev Bhaskar Dasgupta Alojzija Hočevar Christina Duftner Wolfgang Schmidt Carlos Pineda Eugenio De Miguel Andreas P Diamantopoulos Helen Keen Kati Mykkänen George A Bruyn Wolfgang Hartung Maria Antonietta D’Agostino Nikitas Gkikopoulos Luca Seitz Adela-Cristina Sarbu Eva Manger Berit Dalsgaard Nielsen Norbert Redlinger Veerendra Chadachan Maria Correyero Giovanni Fulvio Vesselina Kurteva Paolo Mercatelli Irina Midtgard Raili Muller Duriad Reffat |
| author_facet | Christian Dejaco Stavros Chrysidis Sara Monti Cristina Ponte Peter Mandl Lene Terslev Bhaskar Dasgupta Alojzija Hočevar Christina Duftner Wolfgang Schmidt Carlos Pineda Eugenio De Miguel Andreas P Diamantopoulos Helen Keen Kati Mykkänen George A Bruyn Wolfgang Hartung Maria Antonietta D’Agostino Nikitas Gkikopoulos Luca Seitz Adela-Cristina Sarbu Eva Manger Berit Dalsgaard Nielsen Norbert Redlinger Veerendra Chadachan Maria Correyero Giovanni Fulvio Vesselina Kurteva Paolo Mercatelli Irina Midtgard Raili Muller Duriad Reffat |
| author_sort | Christian Dejaco |
| collection | DOAJ |
| description | Objective To test the reliability of the Outcome Measures in Rheumatology Giant cell arteritis (GCA) Ultrasonography Score (OGUS) and other composite scores in a patient-based exercise involving experts and non-experts in vascular ultrasonography.Methods Six GCA patients were scanned twice (two rounds separated ≥3 hours) by 12 experts and 12 non-experts. Non-experts received 90 min of theoretical and 240 min of practical training between rounds 1 and 2. Ultrasonography was conducted on temporal arteries (common superficial, frontal and parietal branches) and axillary arteries bilaterally to calculate the OGUS, the Southend score and the Halo count. Inter-reader and intra-reader reliability were assessed by intraclass correlation coefficient (ICC).Results Mean age of GCA patients was 78±5.1 years, 2 (33.3%) were women, and all were in clinical remission. Expert inter-reader ICC of the OGUS was 0.60 in both rounds, 0.40 in round 1 and 0.51 in round 2 for the Southend score and 0.45 and 0.52, respectively, for the Halo count. Median ICCs for intra-reader reliability were 0.86, 0.73 and 0.65 for the OGUS, Southend score and Halo count, respectively.For non-experts, inter-reader ICCs in round 1 were 0.20 for the OGUS, 0.20 for a normalised Southend score (=score divided by available segments) and 0.35 for a normalised Halo count. After training, inter-reader reliability ICCs improved to 0.52, 0.29 and 0.54, respectively.Conclusion Inter-reader reliability was fair to moderate, and intra-reader reliability was good for OGUS, Southend score and Halo count among experts. Inter-reader reliability of non-experts in vascular ultrasonography improved after the training. |
| format | Article |
| id | doaj-art-bfefb93eb4c547d598cdec206f9fcee7 |
| institution | DOAJ |
| issn | 2056-5933 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | RMD Open |
| spelling | doaj-art-bfefb93eb4c547d598cdec206f9fcee72025-08-20T02:44:53ZengBMJ Publishing GroupRMD Open2056-59332025-01-0111110.1136/rmdopen-2024-004667Reliability of the OMERACT Giant cell arteritis Ultrasonography Score (OGUS): results of a patient-based exercise involving experts and non-experts in vascular ultrasonographyChristian Dejaco0Stavros Chrysidis1Sara Monti2Cristina Ponte3Peter Mandl4Lene Terslev5Bhaskar Dasgupta6Alojzija Hočevar7Christina Duftner8Wolfgang Schmidt9Carlos Pineda10Eugenio De Miguel11Andreas P Diamantopoulos12Helen Keen13Kati Mykkänen14George A Bruyn15Wolfgang Hartung16Maria Antonietta D’Agostino17Nikitas Gkikopoulos18Luca Seitz19Adela-Cristina Sarbu20Eva Manger21Berit Dalsgaard Nielsen22Norbert Redlinger23Veerendra Chadachan24Maria Correyero25Giovanni Fulvio26Vesselina Kurteva27Paolo Mercatelli28Irina Midtgard29Raili Muller30Duriad Reffat31Rheumatology, Brunico Hospital, Brunico, ItalyDepartment of Regional Health Research, University of Southern Denmark, Esbjerg, DenmarkRheumatology, Division of Rheumatology, Fondazione IRCCS Policlinico San Matteo Pavia, Pavia, PV, ItalyRheumatology, Centro Hospitalar Universitario Lisboa Norte EPE, Lisboa, PortugalInternal Medicine 3, Division of Rheumatology, Medical University Vienna, Vienna, AustriaCenter for Rheumatology and Spine Diseases, Rigshospitalet Glostrup, Glostrup, DenmarkDepartment of Rheumatology, Southend University Hospital, Westcliff-on-Sea, UKMedical Faculty, University of Ljubljana, Ljubljana, SloveniaDepartment of Internal Medicine, Clinical Division of Internal Medicine II, Medical University of Innsbruck, Innsbruck, Tirol, AustriaImmanuel Krankenhaus Berlin, Standort Berlin-Wannsee, Berlin, GermanyDivision of Musculoskeletal and Rheumatic Disorders, Instituto Nacional de Rehabilitacion Luis Guillermo Ibarra Ibarra, Mexico City, MexicoHospital Universitario La Paz, Madrid, SpainInternal Medicine, Section of Rheumatology, Akershus University Hospital, Lorenskog, NorwayDepartment of Internal Medicine, Clinical Division of Internal Medicine II, Medical University of Innsbruck, Innsbruck, Tirol, AustriaRheumatology, University of Helsinki and Helsinki University Hospital, Helsinki, FinlandTergooi MC Hospitals, Hilversum, NetherlandsRheumatology / Clinical Immunology, Asklepios Clinic, Bad Abbach, GermanyFoundation Policlinico Universitario Agostino gemelli IRCSS, Rome, ItalyDepartment for Rheumatology, Schulthess Klinik, Zurich, SwitzerlandDepartment of Rheumatology and Immunology, University of Bern, Bern, SwitzerlandDepartment of Rheumatology and Immunology, Inselspital, Bern, SwitzerlandDepartment of Internal Medicine, Clinical Division of Internal Medicine II, Medical University of Innsbruck, Innsbruck, Tirol, AustriaDepartment of Rheumatology, Aarhus University Hospital, Aarhus, DenmarkDepartment of Internal Medicine, Clinical Division of Internal Medicine II, Medical University of Innsbruck, Innsbruck, Tirol, AustriaDepartment of Internal Medicine (Vascular Medicine), Tan Tock Seng Hospital, SingaporeDepartment of Rheumatology, Hospital Universitario 12 de Octubre, Madrid, SpainDepartment of Clinical and Experimental Medicine, University of Pisa, Rheumatology Unit, Pisa, ItalyKlinik Favoriten, 2. Medizinische Abteilung mit Rheumatologie und Osteologie, Vienna, AustriaAzienda Ospedaliera Careggi, Firenze, ItalyRheumatological Department, Northen Bodø Hospital, Bodø, NorwayInstitute of Clinical Medicine, Tartu University Hospital, Tartu, EstoniaDepartment of Rheumatology, University Hospital Kerry, Tralee, Kerry, IrelandObjective To test the reliability of the Outcome Measures in Rheumatology Giant cell arteritis (GCA) Ultrasonography Score (OGUS) and other composite scores in a patient-based exercise involving experts and non-experts in vascular ultrasonography.Methods Six GCA patients were scanned twice (two rounds separated ≥3 hours) by 12 experts and 12 non-experts. Non-experts received 90 min of theoretical and 240 min of practical training between rounds 1 and 2. Ultrasonography was conducted on temporal arteries (common superficial, frontal and parietal branches) and axillary arteries bilaterally to calculate the OGUS, the Southend score and the Halo count. Inter-reader and intra-reader reliability were assessed by intraclass correlation coefficient (ICC).Results Mean age of GCA patients was 78±5.1 years, 2 (33.3%) were women, and all were in clinical remission. Expert inter-reader ICC of the OGUS was 0.60 in both rounds, 0.40 in round 1 and 0.51 in round 2 for the Southend score and 0.45 and 0.52, respectively, for the Halo count. Median ICCs for intra-reader reliability were 0.86, 0.73 and 0.65 for the OGUS, Southend score and Halo count, respectively.For non-experts, inter-reader ICCs in round 1 were 0.20 for the OGUS, 0.20 for a normalised Southend score (=score divided by available segments) and 0.35 for a normalised Halo count. After training, inter-reader reliability ICCs improved to 0.52, 0.29 and 0.54, respectively.Conclusion Inter-reader reliability was fair to moderate, and intra-reader reliability was good for OGUS, Southend score and Halo count among experts. Inter-reader reliability of non-experts in vascular ultrasonography improved after the training.https://rmdopen.bmj.com/content/11/1/e004667.full |
| spellingShingle | Christian Dejaco Stavros Chrysidis Sara Monti Cristina Ponte Peter Mandl Lene Terslev Bhaskar Dasgupta Alojzija Hočevar Christina Duftner Wolfgang Schmidt Carlos Pineda Eugenio De Miguel Andreas P Diamantopoulos Helen Keen Kati Mykkänen George A Bruyn Wolfgang Hartung Maria Antonietta D’Agostino Nikitas Gkikopoulos Luca Seitz Adela-Cristina Sarbu Eva Manger Berit Dalsgaard Nielsen Norbert Redlinger Veerendra Chadachan Maria Correyero Giovanni Fulvio Vesselina Kurteva Paolo Mercatelli Irina Midtgard Raili Muller Duriad Reffat Reliability of the OMERACT Giant cell arteritis Ultrasonography Score (OGUS): results of a patient-based exercise involving experts and non-experts in vascular ultrasonography RMD Open |
| title | Reliability of the OMERACT Giant cell arteritis Ultrasonography Score (OGUS): results of a patient-based exercise involving experts and non-experts in vascular ultrasonography |
| title_full | Reliability of the OMERACT Giant cell arteritis Ultrasonography Score (OGUS): results of a patient-based exercise involving experts and non-experts in vascular ultrasonography |
| title_fullStr | Reliability of the OMERACT Giant cell arteritis Ultrasonography Score (OGUS): results of a patient-based exercise involving experts and non-experts in vascular ultrasonography |
| title_full_unstemmed | Reliability of the OMERACT Giant cell arteritis Ultrasonography Score (OGUS): results of a patient-based exercise involving experts and non-experts in vascular ultrasonography |
| title_short | Reliability of the OMERACT Giant cell arteritis Ultrasonography Score (OGUS): results of a patient-based exercise involving experts and non-experts in vascular ultrasonography |
| title_sort | reliability of the omeract giant cell arteritis ultrasonography score ogus results of a patient based exercise involving experts and non experts in vascular ultrasonography |
| url | https://rmdopen.bmj.com/content/11/1/e004667.full |
| work_keys_str_mv | AT christiandejaco reliabilityoftheomeractgiantcellarteritisultrasonographyscoreogusresultsofapatientbasedexerciseinvolvingexpertsandnonexpertsinvascularultrasonography AT stavroschrysidis reliabilityoftheomeractgiantcellarteritisultrasonographyscoreogusresultsofapatientbasedexerciseinvolvingexpertsandnonexpertsinvascularultrasonography AT saramonti reliabilityoftheomeractgiantcellarteritisultrasonographyscoreogusresultsofapatientbasedexerciseinvolvingexpertsandnonexpertsinvascularultrasonography AT cristinaponte reliabilityoftheomeractgiantcellarteritisultrasonographyscoreogusresultsofapatientbasedexerciseinvolvingexpertsandnonexpertsinvascularultrasonography AT petermandl reliabilityoftheomeractgiantcellarteritisultrasonographyscoreogusresultsofapatientbasedexerciseinvolvingexpertsandnonexpertsinvascularultrasonography AT leneterslev reliabilityoftheomeractgiantcellarteritisultrasonographyscoreogusresultsofapatientbasedexerciseinvolvingexpertsandnonexpertsinvascularultrasonography AT bhaskardasgupta reliabilityoftheomeractgiantcellarteritisultrasonographyscoreogusresultsofapatientbasedexerciseinvolvingexpertsandnonexpertsinvascularultrasonography AT alojzijahocevar reliabilityoftheomeractgiantcellarteritisultrasonographyscoreogusresultsofapatientbasedexerciseinvolvingexpertsandnonexpertsinvascularultrasonography AT christinaduftner reliabilityoftheomeractgiantcellarteritisultrasonographyscoreogusresultsofapatientbasedexerciseinvolvingexpertsandnonexpertsinvascularultrasonography AT wolfgangschmidt reliabilityoftheomeractgiantcellarteritisultrasonographyscoreogusresultsofapatientbasedexerciseinvolvingexpertsandnonexpertsinvascularultrasonography AT carlospineda reliabilityoftheomeractgiantcellarteritisultrasonographyscoreogusresultsofapatientbasedexerciseinvolvingexpertsandnonexpertsinvascularultrasonography AT eugeniodemiguel reliabilityoftheomeractgiantcellarteritisultrasonographyscoreogusresultsofapatientbasedexerciseinvolvingexpertsandnonexpertsinvascularultrasonography AT andreaspdiamantopoulos reliabilityoftheomeractgiantcellarteritisultrasonographyscoreogusresultsofapatientbasedexerciseinvolvingexpertsandnonexpertsinvascularultrasonography AT helenkeen reliabilityoftheomeractgiantcellarteritisultrasonographyscoreogusresultsofapatientbasedexerciseinvolvingexpertsandnonexpertsinvascularultrasonography AT katimykkanen reliabilityoftheomeractgiantcellarteritisultrasonographyscoreogusresultsofapatientbasedexerciseinvolvingexpertsandnonexpertsinvascularultrasonography AT georgeabruyn reliabilityoftheomeractgiantcellarteritisultrasonographyscoreogusresultsofapatientbasedexerciseinvolvingexpertsandnonexpertsinvascularultrasonography AT wolfganghartung reliabilityoftheomeractgiantcellarteritisultrasonographyscoreogusresultsofapatientbasedexerciseinvolvingexpertsandnonexpertsinvascularultrasonography AT mariaantoniettadagostino reliabilityoftheomeractgiantcellarteritisultrasonographyscoreogusresultsofapatientbasedexerciseinvolvingexpertsandnonexpertsinvascularultrasonography AT nikitasgkikopoulos reliabilityoftheomeractgiantcellarteritisultrasonographyscoreogusresultsofapatientbasedexerciseinvolvingexpertsandnonexpertsinvascularultrasonography AT lucaseitz reliabilityoftheomeractgiantcellarteritisultrasonographyscoreogusresultsofapatientbasedexerciseinvolvingexpertsandnonexpertsinvascularultrasonography AT adelacristinasarbu reliabilityoftheomeractgiantcellarteritisultrasonographyscoreogusresultsofapatientbasedexerciseinvolvingexpertsandnonexpertsinvascularultrasonography AT evamanger reliabilityoftheomeractgiantcellarteritisultrasonographyscoreogusresultsofapatientbasedexerciseinvolvingexpertsandnonexpertsinvascularultrasonography AT beritdalsgaardnielsen reliabilityoftheomeractgiantcellarteritisultrasonographyscoreogusresultsofapatientbasedexerciseinvolvingexpertsandnonexpertsinvascularultrasonography AT norbertredlinger reliabilityoftheomeractgiantcellarteritisultrasonographyscoreogusresultsofapatientbasedexerciseinvolvingexpertsandnonexpertsinvascularultrasonography AT veerendrachadachan reliabilityoftheomeractgiantcellarteritisultrasonographyscoreogusresultsofapatientbasedexerciseinvolvingexpertsandnonexpertsinvascularultrasonography AT mariacorreyero reliabilityoftheomeractgiantcellarteritisultrasonographyscoreogusresultsofapatientbasedexerciseinvolvingexpertsandnonexpertsinvascularultrasonography AT giovannifulvio reliabilityoftheomeractgiantcellarteritisultrasonographyscoreogusresultsofapatientbasedexerciseinvolvingexpertsandnonexpertsinvascularultrasonography AT vesselinakurteva reliabilityoftheomeractgiantcellarteritisultrasonographyscoreogusresultsofapatientbasedexerciseinvolvingexpertsandnonexpertsinvascularultrasonography AT paolomercatelli reliabilityoftheomeractgiantcellarteritisultrasonographyscoreogusresultsofapatientbasedexerciseinvolvingexpertsandnonexpertsinvascularultrasonography AT irinamidtgard reliabilityoftheomeractgiantcellarteritisultrasonographyscoreogusresultsofapatientbasedexerciseinvolvingexpertsandnonexpertsinvascularultrasonography AT railimuller reliabilityoftheomeractgiantcellarteritisultrasonographyscoreogusresultsofapatientbasedexerciseinvolvingexpertsandnonexpertsinvascularultrasonography AT duriadreffat reliabilityoftheomeractgiantcellarteritisultrasonographyscoreogusresultsofapatientbasedexerciseinvolvingexpertsandnonexpertsinvascularultrasonography |