Interrater agreement for sonographic stomach position classification in fetal diaphragmatic hernia across the North American Fetal Therapy Network.
Journal
Prenatal diagnosis
ISSN: 1097-0223
Titre abrégé: Prenat Diagn
Pays: England
ID NLM: 8106540
Informations de publication
Date de publication:
Mar 2022
Mar 2022
Historique:
revised:
29
03
2021
received:
19
04
2020
accepted:
15
03
2020
pubmed:
6
4
2021
medline:
3
5
2022
entrez:
5
4
2021
Statut:
ppublish
Résumé
To evaluate inter-rater agreement for sonographic classification of stomach position (as a surrogate for liver herniation) in fetal left congenital diaphragmatic hernia (LCDH) among: (i) fetal medicine specialists from the North American Fetal Therapy Network (NAFTNet) centers within and without the fetal endoscopic tracheal occlusion (FETO) consortium and in comparison to an expert external reviewer (ER1); and (iii) among two expert ERs (ER1 and ER2). Forty-eight physicians from 26 NAFTNet centers and 2 ERs were asked to assess 13 sonographic clips of isolated LCDH and classify stomach position as "intra-abdominal," "anterior left chest," "mid to posterior left chest," or "retro-cardiac" based on the classification published by Basta et al. Agreement for stomach position was 69% (39%-85%; n = 19) and 54% (23%-92%; n = 29) among FETO and non-FETO NAFTNet participants, respectively, when compared to ER1. Most disagreement in stomach position was related to a discrepancy of one position. ERs were in agreement for stomach position in 5 of 13 cases (38.5%) and inter-rater agreement was highest for "anterior" stomach position. Interrater agreement for stomach position assessment in CDH was poor across NAFTNet and indeed amongst expert reviewers.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
348-356Subventions
Organisme : Mount Sinai Hospital, University of Toronto Dept. of Obstetrics & Gynaecology and University Health Network Research Fund
Organisme : Eunice Kennedy Shriver National Institute of Child Health and Development (NICHD)
ID : 5R13HD059293-05
Informations de copyright
© 2021 John Wiley & Sons Ltd.
Références
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