The influence of clinical experience on reliable evaluation of pharyngeal and laryngeal lesions : comparison of high-definition laryngoscopy using narrow band imaging with fibre-optic laryngoscopy
BACKGROUND: Fibre-optic laryngoscopy is still widely used in daily clinical practice; however, high-definition laryngoscopy using narrow band imaging could be more reliable in characterising pharyngeal and laryngeal lesions.
METHODS: Endoscopic videos were assessed in a tertiary referral hospital by 12 observers with different levels of clinical experience. Thirty pairs of high-definition laryngoscopy with narrow band imaging and fibre-optic laryngoscopy videos were judged twice, with an interval of two to four weeks, in a random order. Inter- and intra-observer reliability, sensitivity and specificity were calculated in terms of detecting a malignant lesion and a specific histological entity, for beginners, trained observers and experts.
RESULTS: Using high-definition laryngoscopy with narrow band imaging, inter-observer reliability for detecting malignant lesions increased from moderate to substantial in trained observers and experts (high-definition laryngoscopy with narrow band imaging κ = 0.66 and κ = 0.77 vs fibre-optic laryngoscopy κ = 0.51 and κ = 0.56, for trained observers and experts respectively) and sensitivity increased by 16 per cent.
CONCLUSION: Inter-observer reliability increased with the level of clinical experience, especially when using high-definition laryngoscopy with narrow band imaging.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:138 |
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| Enthalten in: |
The Journal of laryngology and otology - 138(2024), 4 vom: 20. März, Seite 425-430 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Scholman, Constanze [VerfasserIn] |
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| Links: |
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| Themen: |
Journal Article |
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| Anmerkungen: |
Date Completed 20.03.2024 Date Revised 21.03.2024 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1017/S0022215123001846 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM363723544 |
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| 100 | 1 | |a Scholman, Constanze |e verfasserin |4 aut | |
| 245 | 1 | 4 | |a The influence of clinical experience on reliable evaluation of pharyngeal and laryngeal lesions |b comparison of high-definition laryngoscopy using narrow band imaging with fibre-optic laryngoscopy |
| 264 | 1 | |c 2024 | |
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| 500 | |a Date Completed 20.03.2024 | ||
| 500 | |a Date Revised 21.03.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a BACKGROUND: Fibre-optic laryngoscopy is still widely used in daily clinical practice; however, high-definition laryngoscopy using narrow band imaging could be more reliable in characterising pharyngeal and laryngeal lesions | ||
| 520 | |a METHODS: Endoscopic videos were assessed in a tertiary referral hospital by 12 observers with different levels of clinical experience. Thirty pairs of high-definition laryngoscopy with narrow band imaging and fibre-optic laryngoscopy videos were judged twice, with an interval of two to four weeks, in a random order. Inter- and intra-observer reliability, sensitivity and specificity were calculated in terms of detecting a malignant lesion and a specific histological entity, for beginners, trained observers and experts | ||
| 520 | |a RESULTS: Using high-definition laryngoscopy with narrow band imaging, inter-observer reliability for detecting malignant lesions increased from moderate to substantial in trained observers and experts (high-definition laryngoscopy with narrow band imaging κ = 0.66 and κ = 0.77 vs fibre-optic laryngoscopy κ = 0.51 and κ = 0.56, for trained observers and experts respectively) and sensitivity increased by 16 per cent | ||
| 520 | |a CONCLUSION: Inter-observer reliability increased with the level of clinical experience, especially when using high-definition laryngoscopy with narrow band imaging | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Laryngoscopy | |
| 650 | 4 | |a laryngoscopes | |
| 650 | 4 | |a narrow band imaging | |
| 650 | 4 | |a referral and consultation | |
| 650 | 4 | |a reproducibility of results | |
| 700 | 1 | |a Zwakenberg, Manon A |e verfasserin |4 aut | |
| 700 | 1 | |a Wedman, Jan |e verfasserin |4 aut | |
| 700 | 1 | |a Wachters, Jan E |e verfasserin |4 aut | |
| 700 | 1 | |a Halmos, Gyorgy B |e verfasserin |4 aut | |
| 700 | 1 | |a van der Laan, Bernard F A M |e verfasserin |4 aut | |
| 700 | 1 | |a Plaat, Boudewijn E C |e verfasserin |4 aut | |
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