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Agreement in the assessment of metastatic spine disease using scoring systems


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Title: Agreement in the assessment of metastatic spine disease using scoring systems
Authors : Arana, Estanislao
Kovacs, Francisco M.
Royuela, Ana
Asenjo, Beatriz
Pérez-Ramírez, Ursula
Ortiz de Mendivil Arrate, Ana
Spanish Back Pain Research Network
Keywords: AgreementClassificationInterobserver variabilityIntraobserver variabilityMagnetic resonance imagingSpine metastases
Publisher: Elsevier
Citation: Arana E, Kovacs FM, Royuela A, Asenjo B, Pérez-Ramírez U, Zamora J; Spanish Back Pain Research Network Task Force for the improvement of inter-disciplinary management of spinal metastasis. Agreement in the assessment of metastatic spine disease using scoring systems. Radiother Oncol. 2015 Apr;115(1):135-40. doi: 10.1016/j.radonc.2015.03.016.
Abstract: Purpose: To assess variability in the use of Tomita and modified Bauer scores in spine metastases. Materials and methods: Clinical data and imaging from 90 patients with biopsy-proven spinal metastases, were provided to 83 specialists from 44 hospitals. Spinal levels involved and the Tomita and modified Bauer scores for each case were determined twice by each clinician, with a minimum of 6-week interval. Clinicians were blinded to every evaluation. Kappa statistic was used to assess intra and inter-observer agreement. Subgroup analyses were performed according to clinicians' specialty (medical oncology, neurosurgery, radiology, orthopedic surgery and radiation oncology), years of experience (⩽7, 8-13, ⩾14), and type of hospital (four levels). Results: For metastases identification, intra-observer agreement was "substantial" (0.60<k<0.80) at sacrum, and "almost perfect" (k>0.80) at the other levels. Inter-observer agreement was "almost perfect" at lumbar spine, and "substantial" at the other levels. Intra-observer agreement for the Tomita and Bauer scores was almost perfect. Inter-observer agreement was almost perfect for the Tomita score and substantial for the Bauer one. Results were similar across specialties, years of experience and type of hospital. Conclusion: Agreement in the assessment of metastatic spine disease is high. These scoring systems can improve communication among clinicians involved in oncology care.
URI: http://hdl.handle.net/10637/15402
Rights : http://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
ISSN: 0167-8140
Issue Date: 10-Apr-2015
Center : Universidad San Pablo-CEU
Appears in Collections:Medicina





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