Evidence map›Paper›PMID 39178912›Full record

ArticleJornal de pediatria

Analysis of agreement between specialists for the evaluation of radiological findings of necrotizing enterocolitis.

Erica Cristina Scarpa, João C Lyra, Pedro L T de A Lourenção, Andréa S Hachem, Geraldo H S da Silva, Glauce R F Giacóia, Erika V P Ortolan, Camila de Paula Silva, Guilherme L da Silveira, Maria R Bentlin

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In one paragraph

Article in Jornal de pediatria. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

10 authors.

Erica Cristina ScarpaUniversidade Estadual Paulista (UNESP), Faculdade de Medicina de Botucatu, Departamento de Pediatria, Divisão de Neonatologia, São Paulo, SP, Brazil. Electronic address: erica_scarpa@hotmail.com.
João C LyraUniversidade Estadual Paulista (UNESP), Faculdade de Medicina de Botucatu, Departamento de Pediatria, Divisão de Neonatologia, São Paulo, SP, Brazil.
Pedro L T de A LourençãoUniversidade Estadual Paulista (UNESP), Faculdade de Medicina de Botucatu, Departamento de Cirurgia e Ortopedia - Divisão de Cirurgia Pediátrica, São Paulo, SP, Brazil.
Andréa S HachemUniversidade Estadual Paulista (UNESP), Faculdade de Medicina de Botucatu, Departamento de Pediatria, Divisão de Neonatologia, São Paulo, SP, Brazil.
Geraldo H S da SilvaUniversidade Estadual Paulista (UNESP), Faculdade de Medicina de Botucatu, Departamento de Pediatria, Divisão de Neonatologia, São Paulo, SP, Brazil.
Glauce R F GiacóiaUniversidade Estadual Paulista (UNESP), Faculdade de Medicina de Botucatu, Departamento de Pediatria, Divisão de Neonatologia, São Paulo, SP, Brazil.
Erika V P OrtolanUniversidade Estadual Paulista (UNESP), Faculdade de Medicina de Botucatu, Departamento de Cirurgia e Ortopedia - Divisão de Cirurgia Pediátrica, São Paulo, SP, Brazil.
Camila de Paula SilvaHospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Guilherme L da SilveiraMega Imagem Clinic, Santos, SP, Brazil.
Maria R BentlinUniversidade Estadual Paulista (UNESP), Faculdade de Medicina de Botucatu, Departamento de Pediatria, Divisão de Neonatologia, São Paulo, SP, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe analysis of abdominal radiography is essential for the diagnosis and management of necrotizing enterocolitis (NEC) in newborns (NB). Studies, however, show a lack of agreement among physicians in the interpretation of images. This study aims to evaluate the agreement in the radiological interpretation of the NEC between examiners from different specialties (interexaminer analysis) and between the same examiner at different times (intraexaminer analysis).

methodsCross-sectional study for concordance analysis using plain radiographs of the abdomen of NB with suspected or confirmed NEC. The study included two neonatologists (Neo), two surgeons (SU), and two radiologists (RD). The participants filled out a form with questions about the radiographic findings; regarding the presence of intestinal loop distension, the specialists answered subjectively (yes or no) and objectively (calculation of the ratio between loop diameter and lumbar vertebrae measurements). Kappa coefficients were calculated for agreement analysis.

resultsA total of 90 radiological images were analyzed. For the interexaminer evaluation, the agreement was low (kappa<0.4) in 30 % of the answers (Neo versus SU), 38 % (Neo versus RD), and 46 % (SU versus RD). In the intraexaminer evaluation, the neonatologist and the surgeon presented substantial or almost perfect agreement in 92 % of the answers, and the radiologist in 77 %. In the evaluation of intestinal loop distention, the greatest agreement between the specialties occurred when done objectively.

conclusionThe results confirmed the low intra- and interexaminer agreement in the radiological analysis of the NEC, reinforcing the importance of standardizing the methods of radiological interpretation of the disease.

Indexed as

Enterocolitis, NecrotizingObserver VariationCross-Sectional StudiesFemaleHumansInfant, NewbornMaleNeonatologistsRadiography, AbdominalRadiologistsSurgeonsAbdominal radiographyConcordance studyNecrotizing enterocolitis

Identifiers

PMID39178912
PMCPMC11763538

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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.