Evidence map›Paper›PMID 27878404›Full record

Observational studyEmergency radiology2017

Inter-rater agreement between trained emergency medicine residents and radiologists in the examination of gallbladder and common bile duct by ultrasonography.

Javad Seyedhosseini, Azade Nasrelari, Narges Mohammadrezaei, Ehsan Karimialavijeh

Abstract readObservational Study
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In one paragraph

Observational study in Emergency radiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Article
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  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Javad SeyedhosseiniDepartment of Emergency Medicine, Tehran University of Medical Sciences, Dr Shariati Hospital, Kargar Ave, Tehran, Iran.
Azade NasrelariDepartment of Emergency Medicine, Tehran University of Medical Sciences, Dr Shariati Hospital, Kargar Ave, Tehran, Iran.
Narges MohammadrezaeiDepartment of Emergency Medicine, Tehran University of Medical Sciences, Dr Shariati Hospital, Kargar Ave, Tehran, Iran.
Ehsan KarimialavijehDepartment of Emergency Medicine, Tehran University of Medical Sciences, Dr Shariati Hospital, Kargar Ave, Tehran, Iran. e-karimi@sina.tums.ac.ir.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectivesBedside emergency ultrasonograAmerican Society of Emergency Radiologyphy is a rapid diagnostic tool in the emergency department (ED). Nevertheless, the learning curve for ultrasound (US) training in various indications has to date not been clearly defined. The aim of the present study was to assess how much a short specialized training program in hepatobiliary US might impact the skills of novice emergency medicine residents.

methodsThis was a prospective observational study conducted at a university-affiliated ED from May 2014 to January 2015. Adult patients who had right upper quadrant (RUQ) abdominal pain were included. Prior to enrolling patients, seven residents voluntarily passed a 10-h hepatobiliary US training course; they also carried out 20 hands-on US examinations. To compare the results, three board-certified radiologists performed another US examination blindly. The degree of agreement between the two groups was calculated.

resultsA total of 200 individuals enrolled, among whom 106 (53%) were males and 53 (47%) were females. Mean ± SD age was 50.21 ± 22.06 years. There was a moderate to perfect level of agreement between emergency medicine residents and radiologists in terms of the presence of a gallstone (Cohen's kappa = 0.85), sonographic Murphy sign (Cohen's kappa = 0.95), gallbladder wall thickening (Cohen kappa = 0.75), and common bile duct (CBD) dilation (Cohen's kappa = 0.79).

conclusionNovice emergency medicine residents attained a moderate to perfect degree of agreement with expert radiologists in detecting gallstone presence, thick gallbladder wall, sonographic Murphy sign, and CBD dilation in standard patients, after participating in a specific US course.

Indexed as

Clinical CompetenceEmergency Service, HospitalRadiologistsCommon Bile DuctEmergency MedicineFemaleGallbladder DiseasesHumansInternship and ResidencyMaleMiddle AgedProspective StudiesReproducibility of ResultsUltrasonographyCommon bile ductEmergency medicineGallbladderUltrasound

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Registered trials

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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.