INCREASING THE RELIABILITY OF THE GRADING SYSTEM FOR VOIDING CYSTOURETHROGRAMS USING ULTRASONOGRAPHY: AN INTER-RATER COMPARISON

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OZAYDIN SEYITHAN; CELEBI SULEYMAN; CAYMAZ ISMAIL; BESIK CEMILE; KARAASLAN BIRGUL; KUZDAN OZGUR; SANDER SERDAR

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Journal: Nephro-Urology Monthly Year:2016 | Volume:8 | Issue:5 Page(s): 0-0

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Title

INCREASING THE RELIABILITY OF THE GRADING SYSTEM FOR VOIDING CYSTOURETHROGRAMS USING ULTRASONOGRAPHY: AN INTER-RATER COMPARISON

Author(s)

Keywords

INTER-RATER RELIABILITY

VESICOURETERAL REFLUX

ULTRASONOGRAPHY

SOCIETY FOR FETAL UROLOGY

INTERNATIONAL CLASSIFICATION OF VESICOURETERAL REFLUX

Abstract

Background: To assess the effectiveness of the current VESICOURETERAL REFLUX (VUR) grading system according to the international classification of VUR (ICVUR) and to evaluate whether VUR grading accuracy could be improved by renal ULTRASONOGRAPHY (RU) according to the SOCIETY FOR FETAL UROLOGY (SFU) grading system.Objectives: Therefore, this study assessed the accuracy of the currentVCUGstaging system by assessing INTER-RATER RELIABILITYamong pediatric radiologists and urologists; it also evaluated whether accuracy is increased byRUwithout consensus (with respect toVCUG grading).Methods: Four pediatric urologists and four pediatric radiologists independently graded 120 voiding cystourethrograms (VCUGs). Middle VUR grades were divided into the following three groups: VUR consensus grade III (group 1), VUR consensus grade IV (group 3), and VUR non-consensus grades III and IV (group 2). All groups were compared with respect to hydronephrosis grade using RU.Results: The intraclass correlation coefficient (ICC) values ranging from 0.86 to 0.89 reflected good reliability. The lowest agreement was associated with middle grades (III and IV). A marked difference in sensitivity was observed between groups 1 and 3 (35% and 95%, respectively, P<0.05), indexed by SFU hydronephrosis grade, suggesting that VCUG cases in group 2 (n=16 at SFU 0 or 1) could be accepted as grade III, and SFU scores of 2, 3, or 4 could be considered grade IV.Conclusions: Inter-rater accuracy could be improved at middle grades using renal ULTRASONOGRAPHY (USG), which could promote communication between different specialists.

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APA: Copy

OZAYDIN, SEYITHAN, CELEBI, SULEYMAN, CAYMAZ, ISMAIL, BESIK, CEMILE, KARAASLAN, BIRGUL, KUZDAN, OZGUR, & SANDER, SERDAR. (2016). INCREASING THE RELIABILITY OF THE GRADING SYSTEM FOR VOIDING CYSTOURETHROGRAMS USING ULTRASONOGRAPHY: AN INTER-RATER COMPARISON. THE JOURNAL OF NEPHRO-UROLOGY MONTHLY, 8(5), 0-0. SID. https://sid.ir/paper/323823/en

Vancouver: Copy

OZAYDIN SEYITHAN, CELEBI SULEYMAN, CAYMAZ ISMAIL, BESIK CEMILE, KARAASLAN BIRGUL, KUZDAN OZGUR, SANDER SERDAR. INCREASING THE RELIABILITY OF THE GRADING SYSTEM FOR VOIDING CYSTOURETHROGRAMS USING ULTRASONOGRAPHY: AN INTER-RATER COMPARISON. THE JOURNAL OF NEPHRO-UROLOGY MONTHLY[Internet]. 2016;8(5):0-0. Available from: https://sid.ir/paper/323823/en

IEEE: Copy

SEYITHAN OZAYDIN, SULEYMAN CELEBI, ISMAIL CAYMAZ, CEMILE BESIK, BIRGUL KARAASLAN, OZGUR KUZDAN, and SERDAR SANDER, “INCREASING THE RELIABILITY OF THE GRADING SYSTEM FOR VOIDING CYSTOURETHROGRAMS USING ULTRASONOGRAPHY: AN INTER-RATER COMPARISON,” THE JOURNAL OF NEPHRO-UROLOGY MONTHLY, vol. 8, no. 5, pp. 0–0, 2016, [Online]. Available: https://sid.ir/paper/323823/en

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