Cargando…

Reliability of the Grading System for Voiding Cystourethrograms in the Management of Vesicoureteral Reflux: An Interrater Comparison

Aim. Vesicoureteral reflux (VUR) is one of the most common conditions seen in pediatric urology. Fortunately, there are many treatment options for this disorder. The grading system for VUR varies among doctors, and the literature on its reliability is sparse. Here, we assessed the effectiveness of t...

Descripción completa

Detalles Bibliográficos
Autores principales: Çelebi, Süleyman, Özaydın, Seyithan, Baştaş, Cemile Beşik, Kuzdan, Özgür, Erdoğan, Cankat, Yazıcı, Mehmet, Caymaz, İsmail, Sander, Serdar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4812193/
https://www.ncbi.nlm.nih.gov/pubmed/27069475
http://dx.doi.org/10.1155/2016/1684190
_version_ 1782424105763471360
author Çelebi, Süleyman
Özaydın, Seyithan
Baştaş, Cemile Beşik
Kuzdan, Özgür
Erdoğan, Cankat
Yazıcı, Mehmet
Caymaz, İsmail
Sander, Serdar
author_facet Çelebi, Süleyman
Özaydın, Seyithan
Baştaş, Cemile Beşik
Kuzdan, Özgür
Erdoğan, Cankat
Yazıcı, Mehmet
Caymaz, İsmail
Sander, Serdar
author_sort Çelebi, Süleyman
collection PubMed
description Aim. Vesicoureteral reflux (VUR) is one of the most common conditions seen in pediatric urology. Fortunately, there are many treatment options for this disorder. The grading system for VUR varies among doctors, and the literature on its reliability is sparse. Here, we assessed the effectiveness of the current VUR grading system. Methods. A series of 40 voiding cystourethrogram (VCUG) studies were selected. Four pediatric urologists (PU) and four pediatric radiologists (PR) independently graded each VCUG and then agreed on a uniform interpretation. For statistical analysis the intraclass correlation coefficient (ICC) was applied to assess interrater agreement. Results. ICC values ranging from 0.82 to 0.88 reflected the strong reliability of VCUG for grading cases of VUR among pediatric urologists and radiologists as separate groups, and the reliability between the two groups was also good, as indicated by an ICC of 0.89. Despite the high ICC, disagreement existed between raters; the lowest agreement was associated with middle grades (III and IV). Conclusions. The interrater reliability of the international grading system for VUR was high but imperfect. Thus, grading differences at middle grades can profoundly influence the type of treatment pursued.
format Online
Article
Text
id pubmed-4812193
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher Hindawi Publishing Corporation
record_format MEDLINE/PubMed
spelling pubmed-48121932016-04-11 Reliability of the Grading System for Voiding Cystourethrograms in the Management of Vesicoureteral Reflux: An Interrater Comparison Çelebi, Süleyman Özaydın, Seyithan Baştaş, Cemile Beşik Kuzdan, Özgür Erdoğan, Cankat Yazıcı, Mehmet Caymaz, İsmail Sander, Serdar Adv Urol Clinical Study Aim. Vesicoureteral reflux (VUR) is one of the most common conditions seen in pediatric urology. Fortunately, there are many treatment options for this disorder. The grading system for VUR varies among doctors, and the literature on its reliability is sparse. Here, we assessed the effectiveness of the current VUR grading system. Methods. A series of 40 voiding cystourethrogram (VCUG) studies were selected. Four pediatric urologists (PU) and four pediatric radiologists (PR) independently graded each VCUG and then agreed on a uniform interpretation. For statistical analysis the intraclass correlation coefficient (ICC) was applied to assess interrater agreement. Results. ICC values ranging from 0.82 to 0.88 reflected the strong reliability of VCUG for grading cases of VUR among pediatric urologists and radiologists as separate groups, and the reliability between the two groups was also good, as indicated by an ICC of 0.89. Despite the high ICC, disagreement existed between raters; the lowest agreement was associated with middle grades (III and IV). Conclusions. The interrater reliability of the international grading system for VUR was high but imperfect. Thus, grading differences at middle grades can profoundly influence the type of treatment pursued. Hindawi Publishing Corporation 2016 2016-03-16 /pmc/articles/PMC4812193/ /pubmed/27069475 http://dx.doi.org/10.1155/2016/1684190 Text en Copyright © 2016 Süleyman Çelebi et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Study
Çelebi, Süleyman
Özaydın, Seyithan
Baştaş, Cemile Beşik
Kuzdan, Özgür
Erdoğan, Cankat
Yazıcı, Mehmet
Caymaz, İsmail
Sander, Serdar
Reliability of the Grading System for Voiding Cystourethrograms in the Management of Vesicoureteral Reflux: An Interrater Comparison
title Reliability of the Grading System for Voiding Cystourethrograms in the Management of Vesicoureteral Reflux: An Interrater Comparison
title_full Reliability of the Grading System for Voiding Cystourethrograms in the Management of Vesicoureteral Reflux: An Interrater Comparison
title_fullStr Reliability of the Grading System for Voiding Cystourethrograms in the Management of Vesicoureteral Reflux: An Interrater Comparison
title_full_unstemmed Reliability of the Grading System for Voiding Cystourethrograms in the Management of Vesicoureteral Reflux: An Interrater Comparison
title_short Reliability of the Grading System for Voiding Cystourethrograms in the Management of Vesicoureteral Reflux: An Interrater Comparison
title_sort reliability of the grading system for voiding cystourethrograms in the management of vesicoureteral reflux: an interrater comparison
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4812193/
https://www.ncbi.nlm.nih.gov/pubmed/27069475
http://dx.doi.org/10.1155/2016/1684190
work_keys_str_mv AT celebisuleyman reliabilityofthegradingsystemforvoidingcystourethrogramsinthemanagementofvesicoureteralrefluxaninterratercomparison
AT ozaydınseyithan reliabilityofthegradingsystemforvoidingcystourethrogramsinthemanagementofvesicoureteralrefluxaninterratercomparison
AT bastascemilebesik reliabilityofthegradingsystemforvoidingcystourethrogramsinthemanagementofvesicoureteralrefluxaninterratercomparison
AT kuzdanozgur reliabilityofthegradingsystemforvoidingcystourethrogramsinthemanagementofvesicoureteralrefluxaninterratercomparison
AT erdogancankat reliabilityofthegradingsystemforvoidingcystourethrogramsinthemanagementofvesicoureteralrefluxaninterratercomparison
AT yazıcımehmet reliabilityofthegradingsystemforvoidingcystourethrogramsinthemanagementofvesicoureteralrefluxaninterratercomparison
AT caymazismail reliabilityofthegradingsystemforvoidingcystourethrogramsinthemanagementofvesicoureteralrefluxaninterratercomparison
AT sanderserdar reliabilityofthegradingsystemforvoidingcystourethrogramsinthemanagementofvesicoureteralrefluxaninterratercomparison