Evidence map›Paper›PMID 36249305›Full record

ArticleOphthalmology science2021

Reliability of Subjective Assessment of Spectral-Domain OCT Pathologic Features by Multiple Raters in Retinal Vein Occlusion.

Sebastian Bemme, Amelie Heins, Peer Lauermann, Marcus Werner Storch, Mohammed Haitham Khattab, Hans Hoerauf, Nicolas Feltgen, Christian van Oterendorp

Open access · goldAbstract read
In one paragraph

Article in Ophthalmology science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.1field-weighted citation impact, top 25% 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

4 citing papers in PubMed, 10 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

8 authors at 1 institution in 1 country.

Sebastian BemmeDepartment of Ophthalmology, University Medical Center Göttingen, Göttingen, Germany.
Amelie HeinsDepartment of Ophthalmology, University Medical Center Göttingen, Göttingen, Germany.
Peer LauermannDepartment of Ophthalmology, University Medical Center Göttingen, Göttingen, Germany.
Marcus Werner StorchDepartment of Ophthalmology, University Medical Center Göttingen, Göttingen, Germany.
Mohammed Haitham KhattabDepartment of Ophthalmology, University Medical Center Göttingen, Göttingen, Germany.
Hans HoeraufDepartment of Ophthalmology, University Medical Center Göttingen, Göttingen, Germany.
Nicolas FeltgenDepartment of Ophthalmology, University Medical Center Göttingen, Göttingen, Germany.
Christian van OterendorpDepartment of Ophthalmology, University Medical Center Göttingen, Göttingen, Germany.
Universitätsmedizin Göttingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To examine the interrater and intrarater reliability of qualitatively and quantitatively assessed disorganization of retinal inner layers (DRIL) and disorganization of retinal outer layers (DROL) by multiple raters. Subjectively assessing these surrogate biomarkers can be challenging in daily routine, despite the high resolution of spectral-domain (SD) OCT scans. Design: Retrospective trial. Participants: Three hundred six pooled SD OCT scans of 34 patients treated for macular edema caused by retinal vein occlusion (RVO) between January 2016 and December 2017. Methods: SD OCT scans were assessed by 6 raters regarding presence of cystoid macular edema, subretinal fluid (SRF), vitreoretinal traction, and epiretinal membrane and extent of DRIL and DROL. Main Outcome Measures: Interrater and intrarater reliability were calculated applying κ statistics for qualitative assessment regarding each pathologic feature's presence in all evaluated OCT scans, and for quantified horizontal DRIL and DROL extent within each OCT cross-section. Results: Cystoid macular edema and SRF assessments revealed excellent inter- and intrarater reliability with almost perfect strength of agreement, whereas subjective DRIL and DROL evaluations yielded low κ statistics with slight to moderate strength of agreement. Furthermore, the presence of SRF remarkably compromised the reliability of DROL detection. Conclusions: Our data highlight the limited subjective assessibility of DRIL and DROL, underscoring the need for automated image analysis to improve the reliability of OCT biomarkers for clinical studies and daily practice.

Indexed as

CME, cystoid macular edemaDME, diabetic macular edemaDRILDRIL, disorganization of retinal inner layersDROLDROL, disorganization of retinal outer layersELM, external limiting membraneERM, epiretinal membraneEZ, ellipsoid zoneinterrater reliabilityIZ, interdigitation zoneRVORVO, retinal vein occlusionSD-OCTSD, spectral-domainSRF, subretinal fluidVRT, vitreoretinal tractionκC, Cohen’s κκF, Fleiss’ κ

Identifiers

PMID36249305
PMCPMC9562329
OpenAlexW3165887779

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

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.