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Reliability assessment of the definition of ultrasound enthesitis in SpA: results of a large, multicentre, international, web-based study
A. Di Matteo, E. Cipolletta, GM. Destro Castaniti, G. Smerilli, C. Airoldi, SZ. Aydin, A. Becciolini, K. Bonfiglioli, A. Bruns, G. Carrara, T. Cazenave, A. Ciapetti, MA. Cosatti, JJ. de Agustín, M. Di Carlo, E. Di Donato, L. Di Geso, E. Duran, A....
Jazyk angličtina Země Anglie, Velká Británie
Typ dokumentu multicentrická studie, časopisecké články, práce podpořená grantem
NLK
Free Medical Journals
od 1996 do Před 1 rokem
Open Access Digital Library
od 1996-01-01
Medline Complete (EBSCOhost)
od 1999-01-01 do Před 1 rokem
- MeSH
- entezopatie * diagnostické zobrazování MeSH
- internet MeSH
- lidé MeSH
- reprodukovatelnost výsledků MeSH
- ultrasonografie dopplerovská metody MeSH
- ultrasonografie metody MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- multicentrická studie MeSH
- práce podpořená grantem MeSH
OBJECTIVES: To investigate the reliability of the OMERACT US Task Force definition of US enthesitis in SpA. METHODS: In this web exercise, based on the evaluation of 101 images and 39 clips of the main entheses of the lower limbs, the elementary components included in the OMERACT definition of US enthesitis in SpA (hypoechoic areas, entheseal thickening, power Doppler signal at the enthesis, enthesophytes/calcifications, bone erosions) were assessed by 47 rheumatologists from 37 rheumatology centres in 15 countries. Inter- and intra-observer reliability of the US components of enthesitis was calculated using Light's kappa, Cohen's kappa, Prevalence And Bias Adjusted Kappa (PABAK) and their 95% CIs. RESULTS: Bone erosions and power Doppler signal at the enthesis showed the highest overall inter-reliability [Light's kappa: 0.77 (0.76-0.78), 0.72 (0.71-0.73), respectively; PABAK: 0.86 (0.86-0.87), 0.73 (0.73-0.74), respectively], followed by enthesophytes/calcifications [Light's kappa: 0.65 (0.64-0.65), PABAK: 0.67 (0.67-0.68)]. This was moderate for entheseal thickening [Light's kappa: 0.41 (0.41-0.42), PABAK: 0.41 (0.40-0.42)], and fair for hypoechoic areas [Light's kappa: 0.37 (0.36-0.38); PABAK: 0.37 (0.37-0.38)]. A similar trend was observed in the intra-reliability exercise, although this was characterized by an overall higher degree of reliability for all US elementary components compared with the inter-observer evaluation. CONCLUSIONS: The results of this multicentre, international, web-based study show a good reliability of the OMERACT US definition of bone erosions, power Doppler signal at the enthesis and enthesophytes/calcifications. The low reliability of entheseal thickening and hypoechoic areas raises questions about the opportunity to revise the definition of these two major components for the US diagnosis of enthesitis.
CEMIC Centro de investigaciones médicas Norberto Quirno Buenos Aires Argentina
Centre for Experimental Medicine Queen's University Belfast
Department of Emergency and Organ Transplants Rheumatology Unit Bari
Department of Internal Medicine Ospedale Madonna del Soccorso San Benedetto del Tronto Marche Italy
Department of Paediatric and Adult Rheumatology University Hospital Motol Prague Czech Republic
Department of Rheumatology Clinical Immunology and Allergy University Hospital of Heraklion Greece
Department of Rheumatology Iuliu Hatieganu University of Medicine and Pharmacy Cluj Napoca Romania
Division of Rheumatology Sherbrooke University Sherbrooke Canada
Epidemiology Unit Italian Society of Rheumatology Milan Italy
Faculdade de Medicina Coimbra University Coimbra Portugal
Faculty of Health Sciences University of Beira Interior Covilhã Portugal
Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo Sao Paulo SP Brazil
Hospital Italiano de Buenos Aires Buenos Aires Argentina
Internal Medicine and Rheumatology Department Dr 1 Cantacuzino Clinical Hospital Bucharest Romania
Rheumatology Clinic ATS Sardegna Medicina Specialistica Ambulatoriale Oristano Nuoro
Rheumatology Department Centro Hospitalar de Leiria Leiria
Rheumatology Department Hokkaido Medical Center for Rheumatic Diseases Sapporo Japan
Rheumatology Department Internal Medicine Clinic Kalmar County Hospital Kalmar Sweden
Rheumatology Department Queen Alexandra Hospital Portsmouth UK
Rheumatology Department University of Medicine and Pharmacy of Craiova Craiova Romania
Rheumatology Hospital Provincial Rosario Argentina
Rheumatology Liverpool University Hospitals Foundation Trust Liverpool UK
Rheumatology Unit Instituto de Rehabilitación Psicofísica Buenos Aires Argentina
Rheumatology Unit Policlinico S Orsola Malpighi Bologna Italy
San Roque Hospital La Plata Buenos Aires Argentina
SSD Reumatologia Ospedale Sant'Andrea di Vercelli Vercelli Italy
University of Ottawa Ottawa Hospital Research Institute Ottawa Ontario Canada
Citace poskytuje Crossref.org
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- $a OBJECTIVES: To investigate the reliability of the OMERACT US Task Force definition of US enthesitis in SpA. METHODS: In this web exercise, based on the evaluation of 101 images and 39 clips of the main entheses of the lower limbs, the elementary components included in the OMERACT definition of US enthesitis in SpA (hypoechoic areas, entheseal thickening, power Doppler signal at the enthesis, enthesophytes/calcifications, bone erosions) were assessed by 47 rheumatologists from 37 rheumatology centres in 15 countries. Inter- and intra-observer reliability of the US components of enthesitis was calculated using Light's kappa, Cohen's kappa, Prevalence And Bias Adjusted Kappa (PABAK) and their 95% CIs. RESULTS: Bone erosions and power Doppler signal at the enthesis showed the highest overall inter-reliability [Light's kappa: 0.77 (0.76-0.78), 0.72 (0.71-0.73), respectively; PABAK: 0.86 (0.86-0.87), 0.73 (0.73-0.74), respectively], followed by enthesophytes/calcifications [Light's kappa: 0.65 (0.64-0.65), PABAK: 0.67 (0.67-0.68)]. This was moderate for entheseal thickening [Light's kappa: 0.41 (0.41-0.42), PABAK: 0.41 (0.40-0.42)], and fair for hypoechoic areas [Light's kappa: 0.37 (0.36-0.38); PABAK: 0.37 (0.37-0.38)]. A similar trend was observed in the intra-reliability exercise, although this was characterized by an overall higher degree of reliability for all US elementary components compared with the inter-observer evaluation. CONCLUSIONS: The results of this multicentre, international, web-based study show a good reliability of the OMERACT US definition of bone erosions, power Doppler signal at the enthesis and enthesophytes/calcifications. The low reliability of entheseal thickening and hypoechoic areas raises questions about the opportunity to revise the definition of these two major components for the US diagnosis of enthesitis.
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