Evidence map›Paper›PMID 40276388›Full record

ReviewCureus2025

Reliability of the Cormack-Lehane Classification: A Scoping Review.

Anoohya Arkala, Maninder Kaur, Joseph Rauscher, Jestin N Carlson, Dhimitri A Nikolla

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. 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

5 authors.

Anoohya ArkalaDepartment of Internal Medicine / Emergency Medicine, Lake Erie College of Osteopathic Medicine, Erie, USA.
Maninder KaurDepartment of Internal Medicine / Emergency Medicine, Lake Erie College of Osteopathic Medicine, Erie, USA.
Joseph RauscherDepartment of Emergency Medicine, Allegheny Health Network, Erie, USA.
Jestin N CarlsonDepartment of Emergency Medicine, Allegheny Health Network, Erie, USA.
Dhimitri A NikollaDepartment of Internal Medicine / Emergency Medicine, Lake Erie College of Osteopathic Medicine, Erie, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We aimed to find and describe studies estimating the reliability of the Cormack-Lehane and modified Cormack-Lehane classifications, using the kappa statistic (κ). We performed a scoping review searching PubMed as well as Google Scholar and Google.com (gray literature) between October 2024 and January 2025 for published studies without date or language restrictions reporting a κ for Cormack-Lehane grades between at least two raters. We screened 825 records in PubMed and 1,200 in the gray literature of which 15 articles ultimately met our inclusion criteria. Most studies used still images (n=6) and pre-recorded videos (n=8) obtained from a direct (n=5), video (n=5), or fiberoptic (n=4) laryngoscopy (one used both direct and video) performed by clinicians from multiple specialties on patients in the operating room (n=8), simulation (n=2), office (n=3), and prehospital (n=1) settings (one unknown). Studies examined both the Cormack-Lehane classification (n=10) and the modified classification (n=6). Inter-rater reliability ranged from slight to almost perfect, κ from 0.020 to 0.888. The evidence examining the reliability of the Cormack-Lehane and modified Cormack-Lehane classifications is limited with heterogeneous methods and results.

Indexed as

cormack-lehane classificationendotracheal intubationinter-rater reliabilitykappalaryngoscopymodified cormack-lehane classificationscoping reviewtracheal intubation

Identifiers

PMID40276388
PMCPMC12020663

What OpenQuestion holds

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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.