Evidence map›Paper›PMID 27725992›Full record

ArticlePediatric radiology2017

Conversion and reliability of two urological grading systems in infants: the Society for Fetal Urology and the urinary tract dilatation classifications system.

Miran Han, Hyun Gi Kim, Jung-Dong Lee, Seon Young Park, Young Keun Sur

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Article in Pediatric radiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

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  13. Urinary tract dilation illustrations.Pediatric radiology · 2017
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Miran HanDepartment of Radiology, Ajou University School of Medicine, Ajou University Medical Center, 164 World cup-ro, Yeongtong-gu, Suwon, Korea, 443-380.
Hyun Gi KimDepartment of Radiology, Ajou University School of Medicine, Ajou University Medical Center, 164 World cup-ro, Yeongtong-gu, Suwon, Korea, 443-380. catharina315@aumc.ac.kr.ORCID http://orcid.org/0000-0002-0086-543X
Jung-Dong LeeOffice of Biostatistics, Ajou University School of Medicine, Suwon, Korea.
Seon Young ParkDepartment of Radiology, Ajou University School of Medicine, Ajou University Medical Center, 164 World cup-ro, Yeongtong-gu, Suwon, Korea, 443-380.
Young Keun SurDepartment of Radiology, Ajou University School of Medicine, Ajou University Medical Center, 164 World cup-ro, Yeongtong-gu, Suwon, Korea, 443-380.
Ajou University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe urinary tract dilation (UTD) classification system was proposed in 2014.

objectiveTo evaluate the correspondence and reliability of two US grading systems for postnatal urinary tract dilatation in infants: the Society for Fetal Urology (SFU) and the UTD systems. MATERIALS AND

methodsWe assessed 180 kidneys in infants younger than 1 year. Four radiologists assessed the kidneys twice using both the SFU system (grades 0 to 4) and the UTD system (grades normal, P1, P2, P3). The SFU system was re-categorized into SFU-A (grades 0, 1-2, 3, 4) and into SFU-B (grades 0-1, 2, 3, 4). The Cohen kappa statistic was used for estimating agreement of both UTD-SFU-A and UTD-SFU-B.

resultsThe Cohen kappa was significantly higher between UTD and SFU-B as compared to the UTD and SFU-A (0.75 vs. 0.50, P < 0.001). Intra-observer agreement was similar for the two grading systems (SFU 0.64-0.88 vs. UTD 0.48-0.92, P = 0.050-0.885). SFU grades 2 and 3 showed fair to moderate inter-observer agreement and corresponding UTD grades P1 and P2 showed moderate to substantial agreement. The overall inter-observer agreement was significantly higher for the UTD system than for the SFU system during the first assessment (95% confidence interval [CI]: right kidney, -0.069 to -0.062; left kidney, -0.048 to -0.043).

conclusionCorrespondence between the systems was poor using a recommended re-categorization (SFU-A). An alternative re-categorization (SFU-B) was found to be more appropriate for establishing correspondence between the systems. Both systems were reliable, with good intra- and inter-observer agreement for the assessment of infant kidneys, but the UTD system had better inter-observer agreement.

Indexed as

Dilatation, PathologicFemaleHumansHydronephrosisInfantKidneyMaleReproducibility of ResultsRetrospective StudiesInfantsPostnatal hydronephrosisReliabilitySociety for Fetal Urology classification systemUltrasoundUrinary tract dilatation classification system

Identifiers

PMID27725992
OpenAlexW2530337791

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.