Cited by 28Sinusitis and nasal conditionsNasal Surgery and Airway StudiesReliability and Agreement in Measurement

The DOI matches its Crossref record; 16 of the 17 references it cites were found in a registry or an index.

Interrater agreement of nasal endoscopy in patients with a prior history of endoscopic sinus surgery

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Abstract

Background: Nasal endoscopy is an important part of the clinical evaluation of patients with chronic rhinosinusitis. However, the objectivity and interrater agreement of the procedure related findings have not been well studied, especially in patients who have previously had sinus surgery. Methods: Patients with a history of endoscopic sinus surgery for chronic rhinosinusitis were prospectively enrolled from a tertiary rhinology practice. Fourteen endoscopic nasal examinations were recorded using digital video capture software. Each patient also underwent computed tomography (CT) and completed the Sinonasal Outcome Test (SNOT‐22). Blinded review of inflammatory and anatomic findings for each video was independently performed by 5 academic rhinologists at separate institutions. Comparisons were performed using the unweighted Fleiss' kappa statistic (K f) and the prevalence‐ and bias‐adjusted kappa (PABAK). Results: There were no significant correlations between age, Lund‐Mackay score, or SNOT‐22 score. Interrater agreement was variable across the characteristics studied. Mean PABAK was excellent for the assessment of polyps (K f = 0.886); moderate for the assessments of middle turbinate (MT) integrity (K f = 0.543), MT position (K f = 0.443), maxillary sinus patency (K f = 0.593), and ethmoid sinus patency (K f = 0.429); fair for discharge (K f = 0.314), synechiae (K f = 0.257), and middle meatus patency (K f = 0.229); and poor for MT mucosal changes (K f = 0.148) and uncinate process (K f = 0.126). Conclusion: This study was notable for variability in the interrater agreement among the inflammatory and anatomic attributes that were examined. Further standardization of nasal endoscopy with regard to interpretation may improve the reliability of this procedure in clinical practice. ©2012 ARSAAOA, LLC.

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  • Most recently published articles that have assessed inter-rater reliability have used Cohen's Kappa exclusively [19-26].

    “Most recently published articles that have assessed inter-rater reliability have used Cohen’s Kappa exclusively [19-26]”

    From A comparison of cohen's Kappa and gwet's AC1 when calculating inter-rater reliability coefficients: A study conducted with personality disorder samples (2013) · cites this paper as [25]

    The Methods (Statistical Analysis; page unavailable) state that this study assessed inter-rater agreement with Fleiss’ kappa, supplemented by Spearman rank correlations and prevalence- and bias-adjusted kappa. Thus, this cited article is a counterexample to the claim that the cited inter-rater reliability articles used Cohen’s kappa exclusively. (LLM, conf=0.90)

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  • Few researchers have used AC1 as a statistical tool, or are even aware of it, especially in the medical field.

    “few researchers have used AC1 as a statistical tool, or are even aware of it, especially in the medical field.”

    From A comparison of cohen's Kappa and gwet's AC1 when calculating inter-rater reliability coefficients: A study conducted with personality disorder samples (2013) · cites this paper as [25]

    The Methods (Statistical Analysis; page unavailable) describe Fleiss’ kappa and prevalence-adjusted, bias-adjusted kappa, not AC1. Searches for AC1 and Gwet’s agreement coefficient found no passage about how often researchers use AC1 or whether medical researchers are aware of it. (LLM, conf=0.76)

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  1. Lund VJ, 1993, Staging in rhinosinusitis, Rhinology, 107, 183

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Metadata

Authors
McCoul, E. D., Smith, T. L., Mace, J. C., Anand, V. K., Senior, B. A., Hwang, P. H., Stankiewicz, J. A., & Tabaee, A.
Affiliations
  • Weill Cornell Medicine (US)
  • Oregon Health & Science University (US)
  • Cornell University (US)
  • University of North Carolina at Chapel Hill (US)
  • Stanford University (US)
  • Loyola University Chicago (US)
  • Albert Einstein College of Medicine (US)
Corresponding author
Tabaee, Abtin
Venue
International Forum of Allergy & Rhinology
Publisher
Wiley
Published
2012-06-13
Volume
2
Issue
6
Pages
453-459
ISSN
  • 2042-6976 (ISSN-L)
  • 2042-6984
OpenAlex
W1990701183
Cited by
28
References
17
Citations by year
2026: 2 · 2025: 1 · 2024: 4 · 2023: 1 · 2022: 1 · 2021: 1 · 2019: 2 · 2018: 2 · 2017: 1 · 2016: 5 · 2015: 3 · 2014: 2 · 2013: 2 · 2012: 1
FWCI
2.49
Type
journal article
Language
en
Open access
Locations
  • International Forum of Allergy & Rhinology (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute on Deafness and Other Communication Disorders (R01DC005805)
Topics
  • Health Sciences › Medicine › Otorhinolaryngology › Sinusitis and nasal conditions
  • Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
  • Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › Reliability and Agreement in Measurement
Keywords
nasal endoscopy, interobserver agreement, chronic rhinosinusitis, endoscopic sinus surgery, polyps, middle turbinate, synechiae, middle meatus, mucosal changes, Lund-Mackay score
MeSH terms
Adult, Aged, Chronic Disease, Clinical Competence, Endoscopy, Female, Humans, Male, Middle Aged, Nasal Polyps, Otolaryngology, Prospective Studies, Quality of Life, Reoperation, Rhinitis, Risk Factors, Sinusitis, Tomography, X-Ray Computed, Video Recording, Observer Variation, Young Adult

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