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Interobserver Variability of Coronary Stenosis Characterized by Coronary Angiography: A Single-Center (Toronto General Hospital) Retrospective Chart Review by Staff Cardiologists

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Název: Interobserver Variability of Coronary Stenosis Characterized by Coronary Angiography: A Single-Center (Toronto General Hospital) Retrospective Chart Review by Staff Cardiologists
Autoři: Seyedmohammadshahab Shivaie, Hadi Tohidi, Pragash Loganathan, Manish Kar, Habiba Hashemy, Mohammad Shafiee
Zdroj: Vasc Health Risk Manag
Vascular Health and Risk Management, Vol Volume 20, Pp 359-368 (2024)
Informace o vydavateli: Informa UK Limited, 2024.
Rok vydání: 2024
Témata: Male, pci, Coronary Angiography, Hospitals, General, Severity of Illness Index, 01 natural sciences, 03 medical and health sciences, Cardiologists, 0302 clinical medicine, Predictive Value of Tests, Diseases of the circulatory (Cardiovascular) system, Humans, interobserver variability, 0101 mathematics, fractional flow reserve, Original Research, Retrospective Studies, Aged, Observer Variation, Ontario, Coronary Stenosis, Reproducibility of Results, Middle Aged, 3. Good health, RC666-701, Female, coronary angiography, ica
Popis: The reliability of interpretation of coronary angiography as a diagnostic tool was investigated. Furthermore, the impact of interobserver variability of coronary lesions on clinical decision-making was assessed. One of our motivations to do this research was the research gaps and our aim to have up-to-date information regarding interobserver variability among different cardiologists.Our objective was to quantify interobserver variability among cardiologists who have seen angiograms independently. Disagreement among cardiologists in the visual assessment of invasive coronary angiography of coronary artery stenosis is not uncommon in previous studies. Three cardiologists with extensive experience in coronary angiography, including the primary cardiologist of each patient, read the angiograms of 200 patients from Toronto General Hospital independently.Our research showed the mean agreement among all participating observers was 77.4%; therefore, the interobserver variability of coronary angiography interpretation was 22.6%.Coronary angiography is still the gold-standard technique for guidance regarding coronary lesions. Sometimes, coronary angiography results in underestimation or overestimation of a lesion's functional severity. Interobserver variability should also be considered when interpreting the severity of coronary stenoses via invasive coronary angiography. This research shows that interobserver variability regarding coronary angiograms is still present (22.6%).
Druh dokumentu: Article
Other literature type
Jazyk: English
ISSN: 1178-2048
DOI: 10.2147/vhrm.s431612
Přístupová URL adresa: https://pubmed.ncbi.nlm.nih.gov/39157424
https://doaj.org/article/62475aeff1434b18b1ee3bd0c093cf28
Rights: CC BY NC
URL: http://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at http://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (http://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (http://www.dovepress.com/terms.php).
Přístupové číslo: edsair.doi.dedup.....f96cc2a40c1fe4df68f4196b4c1ad0df
Databáze: OpenAIRE
Popis
Abstrakt:The reliability of interpretation of coronary angiography as a diagnostic tool was investigated. Furthermore, the impact of interobserver variability of coronary lesions on clinical decision-making was assessed. One of our motivations to do this research was the research gaps and our aim to have up-to-date information regarding interobserver variability among different cardiologists.Our objective was to quantify interobserver variability among cardiologists who have seen angiograms independently. Disagreement among cardiologists in the visual assessment of invasive coronary angiography of coronary artery stenosis is not uncommon in previous studies. Three cardiologists with extensive experience in coronary angiography, including the primary cardiologist of each patient, read the angiograms of 200 patients from Toronto General Hospital independently.Our research showed the mean agreement among all participating observers was 77.4%; therefore, the interobserver variability of coronary angiography interpretation was 22.6%.Coronary angiography is still the gold-standard technique for guidance regarding coronary lesions. Sometimes, coronary angiography results in underestimation or overestimation of a lesion's functional severity. Interobserver variability should also be considered when interpreting the severity of coronary stenoses via invasive coronary angiography. This research shows that interobserver variability regarding coronary angiograms is still present (22.6%).
ISSN:11782048
DOI:10.2147/vhrm.s431612