The Toronto Upper Gastrointestinal Cleaning Score : a prospective validation study

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00023001%3A_____%2F23%3A00083809" target="_blank" >RIV/00023001:_____/23:00083809 - isvavai.cz</a>

Výsledek na webu

<a href="https://www.thieme-connect.com/products/ejournals/abstract/10.1055/a-1865-4180" target="_blank" >https://www.thieme-connect.com/products/ejournals/abstract/10.1055/a-1865-4180</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1055/a-1865-4180" target="_blank" >10.1055/a-1865-4180</a>

Jazyk výsledku

angličtina

Název v původním jazyce

The Toronto Upper Gastrointestinal Cleaning Score : a prospective validation study

Popis výsledku v původním jazyce

Background Assessment of mucosal visualization during esophagogastroduodenoscopy (EGD) can be improved with a standardized scoring system. To address this need, we created the Toronto Upper Gastrointestinal Cleaning Score (TUGCS). Methods We developed the TUGCS using Delphi methodology, whereby an international group of endoscopy experts iteratively rated their agreement with proposed TUGCS items and anchors on a 5-point Likert scale. After each Delphi round, we analyzed responses and refined the TUGCS using an 80% agreement threshold for consensus. We used the intraclass correlation coefficient (ICC) to assess inter-rater and test-retest reliability. We assessed internal consistency with Cronbach&apos;s alpha and item-total and inter-item correlations with Pearson&apos;s correlation coefficient. We compared TUGCS ratings with an independent endoscopist&apos;s global rating of mucosal visualization using Spearman&apos;s rho. Results We achieved consensus with 14 invited participants after three Delphi rounds. Inter-rater reliability was high at 0.79 (95%CI 0.64-0.88). Test-retest reliability was excellent at 0.83 (95%CI 0.77-0.87). Cronbach&apos;s alpha was 0.81, item-total correlation range was 0.52-0.70, and inter-item correlation range was 0.38-0.74. There was a positive correlation between TUGCS ratings and a global rating of visualization (r=0.41, P=0.002). TUGCS ratings for EGDs with global ratings of excellent were significantly higher than those for EGDs with global ratings of fair (P=0.01). Conclusion The TUGCS had strong evidence of validity in the clinical setting. The international group of assessors, broad variety of EGD indications, and minimal assessor training improves the potential for dissemination.

Název v anglickém jazyce

The Toronto Upper Gastrointestinal Cleaning Score : a prospective validation study

Popis výsledku anglicky

Background Assessment of mucosal visualization during esophagogastroduodenoscopy (EGD) can be improved with a standardized scoring system. To address this need, we created the Toronto Upper Gastrointestinal Cleaning Score (TUGCS). Methods We developed the TUGCS using Delphi methodology, whereby an international group of endoscopy experts iteratively rated their agreement with proposed TUGCS items and anchors on a 5-point Likert scale. After each Delphi round, we analyzed responses and refined the TUGCS using an 80% agreement threshold for consensus. We used the intraclass correlation coefficient (ICC) to assess inter-rater and test-retest reliability. We assessed internal consistency with Cronbach&apos;s alpha and item-total and inter-item correlations with Pearson&apos;s correlation coefficient. We compared TUGCS ratings with an independent endoscopist&apos;s global rating of mucosal visualization using Spearman&apos;s rho. Results We achieved consensus with 14 invited participants after three Delphi rounds. Inter-rater reliability was high at 0.79 (95%CI 0.64-0.88). Test-retest reliability was excellent at 0.83 (95%CI 0.77-0.87). Cronbach&apos;s alpha was 0.81, item-total correlation range was 0.52-0.70, and inter-item correlation range was 0.38-0.74. There was a positive correlation between TUGCS ratings and a global rating of visualization (r=0.41, P=0.002). TUGCS ratings for EGDs with global ratings of excellent were significantly higher than those for EGDs with global ratings of fair (P=0.01). Conclusion The TUGCS had strong evidence of validity in the clinical setting. The international group of assessors, broad variety of EGD indications, and minimal assessor training improves the potential for dissemination.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30219 - Gastroenterology and hepatology

Projekt

—

Návaznosti

N - Vyzkumna aktivita podporovana z neverejnych zdroju

Rok uplatnění

2023

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Endoscopy

ISSN

0013-726X

e-ISSN

1438-8812

Svazek periodika

55

Číslo periodika v rámci svazku

2

Stát vydavatele periodika

DE - Spolková republika Německo

Počet stran výsledku

8

Strana od-do

121-128

Kód UT WoS článku

000847805900001

EID výsledku v databázi Scopus

2-s2.0-85137380869