Interobserver variation in the Parkland scale. Are we seeing the same thing?

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Title: Interobserver variation in the Parkland scale. Are we seeing the same thing?
Alternate Title: Variación interobservador en la escala de Parkland. ¿Estamos viendo lo mismo?
Authors: Maldonado-Calderón, José L.1, Nava-Rivera, Lydia E.2, Urbina-Zeglen, Antonio1, Herrera-Santos, Marco V.1, Carranza-Rosales, Pilar3, Morán-Martínez, Javier2, Betancourt-Martínez, Nadia D.2 nabetancourtm@uadec.edu.mx
Source: Cirugía y Cirujanos. nov/dec2024, Vol. 92 Issue 6, p709-714. 6p.
Subjects: CHOLECYSTECTOMY, CHOLECYSTITIS, LAPAROSCOPY, IMAGE analysis, QUESTIONNAIRES
Abstract (English): Objective: The aim of this study was to analyze the reliability of agreement between surgeons when using the Parkland Grading Scale for Acute Cholecystitis (PGS-AC). Methods: A total of 43 images taken out of videos of laparoscopic cholecystectomies (LCs) were collected, they were used to frame an online questionnaire that was sent to 18 surgeons and resident doctors who classified the images according to the Parkland scale criteria, followed by the evaluation of concordance between observers applying the Fleiss κ test. Results: A global Fleiss’ κ value of 0.213 was obtained, which corresponds to a low interobserver concordance. Factors such as being a surgical resident, having more than 10 years of experience performing this type of procedure, or performing more than 2 LCs per week, were related to greater concordance in diagnosis. Conclusions: The low concordance found when using the Parkland grading scale, translates into a high interobserver variation related to multiple variables, which is why, we are not seeing the same. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Objetivo: Analizar la fiabilidad de la concordancia entre cirujanos al utilizar la PGS-AC (Parkland Grading Scale for Acute Cholecystitis). Métodos: Se recolectaron 43 imágenes extraídas de vídeos de colecistectomías laparoscópicas y se realizó un cuestionario en línea que se envió a 18 cirujanos y médicos residentes, quienes clasificaron las imágenes según los criterios de la PGS-AC. Se evaluó la concordancia entre observadores aplicando la prueba kappa de Fleiss. Resultados: Se obtuvo un valor kappa de Fleiss global de 0.213, lo que corresponde a una baja concordancia interobservador. Factores como ser residente de cirugía, tener más de 10 años de experiencia realizando este tipo de procedimientos o realizar más de dos colecistectomías laparoscópicas por semana se relacionaron con una mayor concordancia en el diagnóstico. Conclusiones: La baja concordancia encontrada al utilizar la PGS-AC se traduce en una alta variación interobservador relacionada con múltiples variables, por lo que no estamos viendo lo mismo. [ABSTRACT FROM AUTHOR]
Copyright of Cirugía y Cirujanos is the property of Publicidad Permanyer SLU and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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Items – Name: Title
  Label: Title
  Group: Ti
  Data: Interobserver variation in the Parkland scale. Are we seeing the same thing?
– Name: TitleAlt
  Label: Alternate Title
  Group: TiAlt
  Data: Variación interobservador en la escala de Parkland. ¿Estamos viendo lo mismo?
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Maldonado-Calderón%2C+José+L%2E%22">Maldonado-Calderón, José L.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Nava-Rivera%2C+Lydia+E%2E%22">Nava-Rivera, Lydia E.</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Urbina-Zeglen%2C+Antonio%22">Urbina-Zeglen, Antonio</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Herrera-Santos%2C+Marco+V%2E%22">Herrera-Santos, Marco V.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Carranza-Rosales%2C+Pilar%22">Carranza-Rosales, Pilar</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Morán-Martínez%2C+Javier%22">Morán-Martínez, Javier</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Betancourt-Martínez%2C+Nadia+D%2E%22">Betancourt-Martínez, Nadia D.</searchLink><relatesTo>2</relatesTo><i> nabetancourtm@uadec.edu.mx</i>
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  Data: <searchLink fieldCode="JN" term="%22Cirugía+y+Cirujanos%22">Cirugía y Cirujanos</searchLink>. nov/dec2024, Vol. 92 Issue 6, p709-714. 6p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22CHOLECYSTECTOMY%22">CHOLECYSTECTOMY</searchLink><br /><searchLink fieldCode="DE" term="%22CHOLECYSTITIS%22">CHOLECYSTITIS</searchLink><br /><searchLink fieldCode="DE" term="%22LAPAROSCOPY%22">LAPAROSCOPY</searchLink><br /><searchLink fieldCode="DE" term="%22IMAGE+analysis%22">IMAGE analysis</searchLink><br /><searchLink fieldCode="DE" term="%22QUESTIONNAIRES%22">QUESTIONNAIRES</searchLink>
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Objective: The aim of this study was to analyze the reliability of agreement between surgeons when using the Parkland Grading Scale for Acute Cholecystitis (PGS-AC). Methods: A total of 43 images taken out of videos of laparoscopic cholecystectomies (LCs) were collected, they were used to frame an online questionnaire that was sent to 18 surgeons and resident doctors who classified the images according to the Parkland scale criteria, followed by the evaluation of concordance between observers applying the Fleiss κ test. Results: A global Fleiss’ κ value of 0.213 was obtained, which corresponds to a low interobserver concordance. Factors such as being a surgical resident, having more than 10 years of experience performing this type of procedure, or performing more than 2 LCs per week, were related to greater concordance in diagnosis. Conclusions: The low concordance found when using the Parkland grading scale, translates into a high interobserver variation related to multiple variables, which is why, we are not seeing the same. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Objetivo: Analizar la fiabilidad de la concordancia entre cirujanos al utilizar la PGS-AC (Parkland Grading Scale for Acute Cholecystitis). Métodos: Se recolectaron 43 imágenes extraídas de vídeos de colecistectomías laparoscópicas y se realizó un cuestionario en línea que se envió a 18 cirujanos y médicos residentes, quienes clasificaron las imágenes según los criterios de la PGS-AC. Se evaluó la concordancia entre observadores aplicando la prueba kappa de Fleiss. Resultados: Se obtuvo un valor kappa de Fleiss global de 0.213, lo que corresponde a una baja concordancia interobservador. Factores como ser residente de cirugía, tener más de 10 años de experiencia realizando este tipo de procedimientos o realizar más de dos colecistectomías laparoscópicas por semana se relacionaron con una mayor concordancia en el diagnóstico. Conclusiones: La baja concordancia encontrada al utilizar la PGS-AC se traduce en una alta variación interobservador relacionada con múltiples variables, por lo que no estamos viendo lo mismo. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Cirugía y Cirujanos is the property of Publicidad Permanyer SLU and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.24875/CIRU.23000362
    Languages:
      – Code: eng
        Text: English
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      Pagination:
        PageCount: 6
        StartPage: 709
    Subjects:
      – SubjectFull: CHOLECYSTECTOMY
        Type: general
      – SubjectFull: CHOLECYSTITIS
        Type: general
      – SubjectFull: LAPAROSCOPY
        Type: general
      – SubjectFull: IMAGE analysis
        Type: general
      – SubjectFull: QUESTIONNAIRES
        Type: general
    Titles:
      – TitleFull: Interobserver variation in the Parkland scale. Are we seeing the same thing?
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            NameFull: Maldonado-Calderón, José L.
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            NameFull: Urbina-Zeglen, Antonio
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            NameFull: Herrera-Santos, Marco V.
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            NameFull: Carranza-Rosales, Pilar
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            NameFull: Morán-Martínez, Javier
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            NameFull: Betancourt-Martínez, Nadia D.
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              M: 11
              Text: nov/dec2024
              Type: published
              Y: 2024
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