Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/31731
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dc.contributor.authorTHOMEER, Michiel-
dc.contributor.authorDemedts, M-
dc.contributor.authorBehr, J-
dc.contributor.authorBuhl, R-
dc.contributor.authorCostabel, U-
dc.contributor.authorFlower, CDR-
dc.contributor.authorVerschakelen, J-
dc.contributor.authorLaurent, F-
dc.contributor.authorNicholson, AG-
dc.contributor.authorVerbeken, EK-
dc.contributor.authorCapron, F-
dc.contributor.authorSardina, M-
dc.contributor.authorCorvasce, G-
dc.contributor.authorLankhorst, I-
dc.date.accessioned2020-08-14T12:14:49Z-
dc.date.available2020-08-14T12:14:49Z-
dc.date.issued2008-
dc.date.submitted2020-08-14T12:06:41Z-
dc.identifier.citationThe European respiratory journal, 31 (3) , p. 585 -591-
dc.identifier.urihttp://hdl.handle.net/1942/31731-
dc.description.abstractThe purpose of the present study was to evaluate the accuracy of the diagnosis of idiopathic pulmonary fibrosis (IPF) by respiratory physicians in six European countries, and to calculate the interobserver agreement between high-resolution computed tomography reviewers and histology reviewers in IPF diagnosis.The diagnosis of usual interstitial pneumonia (UIP) was assessed by a local investigator, following the American Thoracic Society/European Respiratory Society consensus statement, and confirmed when a minimum of two out of three expert reviewers from each expert panel agreed with the diagnosis. The level of agreement between readers within each expert panel was calculated by weighted kappa.The diagnosis of UIP was confirmed by the expert panels in 87.2% of cases. A total of 179 thoracic high-resolution computed tomography scans were independently reviewed, and an interobserver agreement of 0.40 was found. Open or thoracoscopic lung biopsy was performed in 97 patients, 82 of whom could be reviewed by the expert committee. The weighted kappa between histology readers was 0.30.It is concluded that, although the level of agreement between the readers within each panel was only fair to moderate, the overall accuracy of a clinical diagnosis of idiopathic pulmonary fibrosis in expert centres is good (87.2%).-
dc.description.sponsorshipThe members of the Idiopathic Pulmonary Fibrosis International Group Exploring N-Acetylcysteine I Annual (IFIGENIA) study group are as follows. Steering committee: J. Behr (Grosshadern Clinic, Ludwig Maximilian University, Munich, Germany); R. Buhl (Johannes Gutenberg University Clinic, Mainz, Germany); U. Costabel (Ruhrland Clinic, Essen, Germany); R. Dekhuijzen (Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands); M. Demedts (Chairman) and M. Thomeer (University Hospitals, Catholic University of Leuven, Leuven, Belgium); H.M. Jansen (Academic Medical Centre, Amsterdam, The Netherlands); W. MacNee (University of Edinburgh Medical School, Edinburgh, UK); and B. Wallaert TABLE 4 Overview of studies addressing interobserver agreement on thoracic computed tomography (CT) in various forms of pulmonary fibrosis First author [Ref.] Year Interobserver agreement k coefficient Study population Subjects n Observers n Comments GRENIER [10] 1991 0.64–0.78 Sarcoidosis 53 3 Definition of IPF unclear Pulmonary fibrosis 33 Histiocytosis X 17 Other ILD 37 WELLS [19] 1993 0.58–0.76 Systemic sclerosis 35 2 Interobserver agreement for grading CT appearance IPF 21 and change in nature and extent of disease COLLINS [8] 1994 0.48 Systemic sclerosis 63 4 Interobserver agreement for CT pattern type IPF 63 KAZEROONI [20] 1997 0.51–0.83 UIP; DIP 24; 1 4 Interobserver agreement for pattern type in different lobes MACDONALD [9] 2001 0.40 NSIP 21 4 Interobserver agreement for NSIP and UIP UIP 32 HUNNINGHAKE [7] 2001 0.54 IPF 54 4 Interobserver agreement for IPF versus non-IPF; Non-IPF 37 criteria for IPF diagnosis not mentioned FLAHERTY [3] 2003 0.43 NSIP 23 2 Interobserver agreement for NSIP and UIP UIP 73 AZIZ [21] 2004 0.50 DPLD 131 11 Interobserver agreement for first-choice diagnosis of IPF Present study 0.40 UIP 156 3 Interobserver agreement for IPF versus non-IPF; Non-UIP 23 IPF patients included following ATS/ERS criteria ILD: interstitial lung disease; IPF: idiopathic pulmonary fibrosis; UIP: usual interstitial pneumonia; DIP: desquamative interstitial pneumonia; NSIP: nonspecific interstitial pneumonia; DPLD: diffuse parenchymal lung disease; ATS: American Thoracic Society; ERS: European Respiratory Society. M. THOMEER ET AL. INTEROBSERVER AGREEMENT IN IPF DIAGNOSIS c EUROPEAN RESPIRATORY JOURNAL VOLUME 31 NUMBER 3 589 (Calmette Hospital, Lille Regional University Hospital, Lille, France). Country coordinators: P. de Vuyst (Erasmus University Hospital, Brussels, Belgium); B. Wallaert (France); J. Behr (Germany); S. Petruzzelli (Cardiothoracic Dept, Pisa University, Pisa, Italy); J.M.M. van den Bosch (St Antonius Hospital, Nieuwegein, The Netherlands); E. Rodrı´guez-Becerra (Virgen del Rocı´o University Hospital, Seville, Spain); W. MacNee (UK). Radiology review committee: C.D.R. Flower (Evelyn Hospital, Cambridge, UK); J. Verschakelen (University Hospitals, Catholic University of Leuven, Leuven, Belgium); F. Laurent (Cardiological Hospital, Bordeaux University Hospital, Bordeaux, France). Histology review committee: A.G. Nicholson (Royal Brompton Hospital, London, UK); E.K. Verbeken (University Hospitals, Catholic University of Leuven, Leuven); F. Capron (Pitie-Salpetriere Hospital, Paris, France). Local investigators. Belgium: M. Demedts, P. de Vuyst, E. Michiels (East Limburg Hospital, Genk), H. Slabbynck (Middelheim General Hospital, Antwerp), M. Thomeer. France: A. Bourdin and P. Chanez (Arnaud de Villeneuve Hospital, Montpellier), J. Cadranel (Tenon Hospital, Paris), P. Camus (Le Bocage University Hospital, Dijon), P. Delaval (Pontchaillou Hospital, Rennes), N. Just and B. Wallaert (Calmette Hospital, Lille Regional University Hospital, Lille, France), J.F. Muir (Bois Guillaume Hospital, Rouen). Germany: U. Costabel, R. Baumgartner (Grosshadern Clinic, Ludwig Maximilian University, Munich), J. Behr, R. Bonnet and I Ma¨der (Bad Berka Central Clinic, Bad Berka), R. Buhl, A.M. Kirsten (Johannes Gutenberg University Clinic, Mainz), R. Loddenkemper (Heckeshorn Lung Clinic, Zehlendorf Clinic, Berlin), A. Meyer (Eppendorf University Hospital, Hamburg), J. Mu¨ ller-Quernheim (Borstel Research Centre, Medical Clinic, Borstel), H. Steveling (Ruhrland Clinic, Essen, Germany), T. Welte (Magdeburg University Clinic, Magdeburg), H. Worth (Clinic Fu¨ rth, Fu¨ rth). Italy: G. Anzalone (Prato Hospital, Prato), G.B. Bottino (DIMI, Genoa University, Genoa), G. Bustacchini (S. Maria delle Croci Hospital, Ravenna), M. Dottorini (R. Silvestrini Hospital, Perugia), S. Gasparini (Torrette Hospital, Torrette di Ancona), C. Giuntini (Cardiothoracic Dept, Pisa University, Pisa), A. Rossi (IRCCS S. Matteo General Hospital, Pavia), G. Simon (Azienda Ospedaliera Villa Sofia, Palermo). The Netherlands: F. Beaumont (Bosch Medicentrum, Locatie Grootziekengasthuis, Hertogenbosch), M. Drent (Maastricht University Hospital, Maastricht), H.M. Jansen, J.M.M. van den Bosch, and F.J.J. van den Elshout (Rijnstate Hospital, Arnheim). Spain: J. Ancochea Bermudez (Hospital Universitario de la Princesa, Madrid), L. Callol Sanchez (Hospital Universitario Del Aire, Madrid), J.L. Llorente (Hospital De Cruces, Baracaldo-Bilbao), J.M. Rodriguez-Arias and I. Vigil (Hospital Sant Pau, Barcelona), E. Rodrı´quez-Becerra (Hospital Universitario Virgen del Rocı´o, Seville). Zambon personnel and consultants: A. Ardia (consultant), M. Sardina, G. Corvasce, and I. Lankhorst (consultant).-
dc.language.isoen-
dc.publisherEUROPEAN RESPIRATORY SOC JOURNALS LTD-
dc.rightsERS Journals Ltd 2008-
dc.subject.otheridiopathic pulmonary fibrosis-
dc.subject.otherkappa coefficient-
dc.subject.otherlung biopsy-
dc.subject.otherradiology-
dc.titleMultidisciplinary interobserver agreement in the diagnosis of idiopathic pulmonary fibrosis-
dc.typeJournal Contribution-
dc.identifier.epage591-
dc.identifier.issue3-
dc.identifier.spage585-
dc.identifier.volume31-
local.bibliographicCitation.jcatA1-
local.publisher.place146 WEST ST, STE 2.4, HUTTONS BLDG, SHEFFIELD S1 4ES, ENGLAND-
local.type.refereedRefereed-
local.type.specifiedArticle-
dc.identifier.doi10.1183/09031936.00063706-
dc.identifier.isiWOS:000253876000016-
dc.identifier.eissn-
local.provider.typeWeb of Science-
local.uhasselt.uhpubno-
item.fulltextWith Fulltext-
item.accessRightsRestricted Access-
item.contributorTHOMEER, Michiel-
item.contributorDemedts, M-
item.contributorBehr, J-
item.contributorBuhl, R-
item.contributorCostabel, U-
item.contributorFlower, CDR-
item.contributorVerschakelen, J-
item.contributorLaurent, F-
item.contributorNicholson, AG-
item.contributorVerbeken, EK-
item.contributorCapron, F-
item.contributorSardina, M-
item.contributorCorvasce, G-
item.contributorLankhorst, I-
item.fullcitationTHOMEER, Michiel; Demedts, M; Behr, J; Buhl, R; Costabel, U; Flower, CDR; Verschakelen, J; Laurent, F; Nicholson, AG; Verbeken, EK; Capron, F; Sardina, M; Corvasce, G & Lankhorst, I (2008) Multidisciplinary interobserver agreement in the diagnosis of idiopathic pulmonary fibrosis. In: The European respiratory journal, 31 (3) , p. 585 -591.-
crisitem.journal.issn0903-1936-
crisitem.journal.eissn1399-3003-
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