Inter-Rater Variability of Reflux Finding Score Amongst Otolaryngologists.

Humans Laryngopharyngeal Reflux / diagnosis Laryngoscopes Laryngoscopy / methods Otolaryngologists Reproducibility of Results
Inter-rater reliability Laryngopharyngeal reflux (LPR) Reflux Finding Score (RFS)

Journal

Journal of voice : official journal of the Voice Foundation
ISSN: 1873-4588
Titre abrégé: J Voice
Pays: United States
ID NLM: 8712262

Informations de publication

Date de publication:
Sep 2022
Historique:
received: 21 05 2020
revised: 17 07 2020
accepted: 21 07 2020
pubmed: 3 9 2020
medline: 28 9 2022
entrez: 3 9 2020
Statut: ppublish

Résumé

Laryngopharyngeal reflux (LPR) is an extra-oesophageal variant of gastro-oesophgeal reflux disease. Patients often do not present with the classic reflux symptoms of heartburn or regurgitation. Accurate diagnosis of LPR can be challenging. The reflux finding score (RFS) is system based on the assessment of eight parameters seen on fibre optic laryngoscopy, used to determine the presence and the severity of laryngopharyngeal reflux (LPR). Scoring the RFS is subjective and highly dependent on the examiner's eye and experience. In this study, we investigated the inter-rater reliability between three otolaryngologists scoring a large library of video-recorded laryngoscopies for RFS. To evaluate the usefulness of RFS in daily clinical practice by assessing inter-rater reliability among otolaryngologists when interpreting a bank of identical fibre optic laryngoscopy examinations. Three board-certified otolaryngologists with different subspecialist interests examined video-recorded fibre optic laryngoscopies of 193 patients with or without LPR symptoms and rated each video for RFS. Statistical analysis was performed. Results were compared to determine the inter-rater reliability. Fair to poor correlation was found between the three expert raters for total RFS score, as well as for RFS component items with nonbinary outcomes. For the dichotomous items, the inter-rater reliability was slight to moderate. Inter-rater correlation for determining whether an examination is pathological or nonpathological was fair. The RFS alone was not reliable for confirming the diagnosis of LPR, due to low inter-rater reliability and the subjective nature of the scoring system.

Sections du résumé

BACKGROUND BACKGROUND
Laryngopharyngeal reflux (LPR) is an extra-oesophageal variant of gastro-oesophgeal reflux disease. Patients often do not present with the classic reflux symptoms of heartburn or regurgitation. Accurate diagnosis of LPR can be challenging. The reflux finding score (RFS) is system based on the assessment of eight parameters seen on fibre optic laryngoscopy, used to determine the presence and the severity of laryngopharyngeal reflux (LPR). Scoring the RFS is subjective and highly dependent on the examiner's eye and experience. In this study, we investigated the inter-rater reliability between three otolaryngologists scoring a large library of video-recorded laryngoscopies for RFS.
AIM OBJECTIVE
To evaluate the usefulness of RFS in daily clinical practice by assessing inter-rater reliability among otolaryngologists when interpreting a bank of identical fibre optic laryngoscopy examinations.
METHOD METHODS
Three board-certified otolaryngologists with different subspecialist interests examined video-recorded fibre optic laryngoscopies of 193 patients with or without LPR symptoms and rated each video for RFS. Statistical analysis was performed. Results were compared to determine the inter-rater reliability.
RESULTS RESULTS
Fair to poor correlation was found between the three expert raters for total RFS score, as well as for RFS component items with nonbinary outcomes. For the dichotomous items, the inter-rater reliability was slight to moderate. Inter-rater correlation for determining whether an examination is pathological or nonpathological was fair.
CONCLUSION CONCLUSIONS
The RFS alone was not reliable for confirming the diagnosis of LPR, due to low inter-rater reliability and the subjective nature of the scoring system.

Identifiants

DOI: 10.1016/j.jvoice.2020.07.021 PMID: 32873431
pubmed: 32873431
pii: S0892-1997(20)30270-8
doi: 10.1016/j.jvoice.2020.07.021
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

685-689

Informations de copyright

Copyright © 2020 The Voice Foundation. Published by Elsevier Inc. All rights reserved.

Auteurs

Forsan Jahshan (F)

Department of Otolaryngology Head and Neck Surgery, Nottingham University Hospitals NHS Trust, United Kingdom. Electronic address: forsan.jahshan@gmail.com.

Ohad Ronen (O)

Department of Otolaryngology Head and Neck Surgery, Galilee Medical Center affiliated with Azrieli Faculty of Medicine, Bar Ilan University, Safed, Israel.

Jamal Qarawany (J)

Azrieli Faculty of Medicine, Bar Ilan University, Safed, Israel.

Boaz Markel (B)

Azrieli Faculty of Medicine, Bar Ilan University, Safed, Israel.

Amiel Sberro (A)

Azrieli Faculty of Medicine, Bar Ilan University, Safed, Israel.

Winnie Yeung (W)

Department of Otolaryngology Head and Neck Surgery, Nottingham University Hospitals NHS Trust, United Kingdom.

Yonatan Lahav (Y)

Department of Otolaryngology, Head and Neck Surgery, Kaplan Medical Center, Rehovot, Israel; Hebrew University, Hadassah Medical School, Jerusalem, Israel.

Eli Layous (E)

Department of Otolaryngology Head and Neck Surgery, Galilee Medical Center affiliated with Azrieli Faculty of Medicine, Bar Ilan University, Safed, Israel.

Netanel Eisenbach (N)

Department of Otolaryngology Head and Neck Surgery, Galilee Medical Center affiliated with Azrieli Faculty of Medicine, Bar Ilan University, Safed, Israel.

Eyal Sela (E)

Department of Otolaryngology Head and Neck Surgery, Galilee Medical Center affiliated with Azrieli Faculty of Medicine, Bar Ilan University, Safed, Israel.

Tal Marshak (T)

Department of Otolaryngology Head and Neck Surgery, Galilee Medical Center affiliated with Azrieli Faculty of Medicine, Bar Ilan University, Safed, Israel.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Inter-Rater Variability of Reflux Finding...
questionsmedicales.fr › Maladies de l'appareil respiratoire › Reflux laryngopharyngé › Inter-Rater Variability of Reflux Finding...
questionsmedicales.fr › Équipement et fournitures › Équipement chirurgical › Endoscopes › Laryngoscopes › Inter-Rater Variability of Reflux Finding...
questionsmedicales.fr › Procédures de chirurgie opératoire › Procédures de chirurgie oto-rhino-laryngologique › Laryngoscopie › Inter-Rater Variability of Reflux Finding...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Personnel de santé › Médecins › Otorhinolaryngologistes › Inter-Rater Variability of Reflux Finding...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Méthodologie en recherche épidémiologique › Reproductibilité des résultats › Inter-Rater Variability of Reflux Finding...