Evidence map›Paper›PMID 32041626›Full record

ArticleChiropractic & manual therapies2020

Degenerative findings in lumbar spine MRI: an inter-rater reliability study involving three raters.

Klaus Doktor, Tue Secher Jensen, Henrik Wulff Christensen, Ulrich Fredberg, Morten Kindt, Eleanor Boyle, Jan Hartvigsen

Open access · goldAbstract read
In one paragraph

Article in Chiropractic & manual therapies, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.2field-weighted citation impact, top 10% 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, 22 citations in OpenAlex.

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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

7 authors at 3 institutions in 1 country.

Klaus DoktorDepartment of Sport Sciences and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark. k.doktor@nikkb.dk.ORCID 0000-0001-8483-9361
Tue Secher JensenNordic Institute of Chiropractic and Clinical Biomechanics, Odense, Denmark.
Henrik Wulff ChristensenNordic Institute of Chiropractic and Clinical Biomechanics, Odense, Denmark.
Ulrich FredbergDiagnostic Centre, University Research Clinic for Innovative Patient Pathways, Silkeborg Regional Hospital, Aarhus University, Odense, Denmark.
Morten KindtDiagnostic Centre, University Research Clinic for Innovative Patient Pathways, Silkeborg Regional Hospital, Aarhus University, Odense, Denmark.
Eleanor BoyleDepartment of Sport Sciences and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.
Jan HartvigsenDepartment of Sport Sciences and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.
University of Southern Denmark · DKAarhus University · DKNordisk Institut for Kiropraktik og Klinisk Biomekanik · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFor diagnostic procedures to be clinically useful, they must be reliable. The interpretation of lumbar spine MRI scans is subject to variability and there is a lack of studies where reliability of multiple degenerative pathologies are rated simultaneously. The objective of our study was to determine the inter-rater reliability of three independent raters evaluating degenerative pathologies seen with lumbar spine MRI.

methodsFifty-nine people, 35 patients with low back pain (LBP) or LBP and leg pain and 24 people without LBP or leg pain, received an MRI of the lumbar spine. Three raters (one radiologist and two chiropractors) evaluated the MRIs for the presence and severity of eight degenerative spinal pathologies using a standardized format: Spondylolisthesis, scoliosis, annular fissure, disc degeneration, disc contour, nerve root compromise, spinal stenosis and facet joint degeneration. Findings were identified and classified at disc level according to type and severity. Raters were instructed to evaluate all study sample persons once to assess inter-rater reliability (fully crossed design). Reliability was calculated using Gwet's Agreement Coefficients (AC

resultsInter-rater reliability for all raters combined, ranged from (Gwet's AC

conclusionInter-rater reliability for 3 raters, evaluating 177 disc levels, was found to be overall acceptable for 6 out of 8 degenerative MRI-findings in the lumbar spine. Ratings of facet joint degeneration and disc contour achieved moderate reliability and was considered unacceptable.

Indexed as

Magnetic Resonance ImagingAdultFemaleHumansLow Back PainMaleMiddle AgedObserver VariationReproducibility of ResultsSpinal DiseasesAgreementLeg painLow Back painLumbar spineMagnetic resonance imagingMRNo-low back painRecumbent MRIReliabilityReproducibilitySciaticaSupine MRI

Identifiers

PMID32041626
PMCPMC7011264
OpenAlexW3009077972

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.