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Cystic Fibrosis in Adults: Inter- and Intraobserver Agreement for the Brasfield and Chrispin-Norman Chest Radiography Scoring Systems and Correlation With Clinical Data and Spirometry
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Girón, D. Domingo, B. Buendía, E. Antón, L.M. Ruiz-Velasco, J. Ancochea" "autores" => array:6 [ 0 => array:3 [ "preGrado" => "Dra." "nombre" => "R.M." "apellidos" => "Girón" ] 1 => array:2 [ "nombre" => "D." "apellidos" => "Domingo" ] 2 => array:2 [ "nombre" => "B." "apellidos" => "Buendía" ] 3 => array:2 [ "nombre" => "E." "apellidos" => "Antón" ] 4 => array:2 [ "nombre" => "L.M." "apellidos" => "Ruiz-Velasco" ] 5 => array:2 [ "nombre" => "J." "apellidos" => "Ancochea" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212906602838?idApp=UINPBA00003Z" "url" => "/15792129/0000004100000010/v1_201305150131/S1579212906602838/v1_201305150131/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S1579212906602814" "issn" => "15792129" "doi" => "10.1016/S1579-2129(06)60281-4" "estado" => "S300" "fechaPublicacion" => "2005-10-01" "aid" => "60281" "copyright" => "Sociedad Española de Neumología y Cirugía Torácica (SEPAR)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Arch Bronconeumol. 2005;41:547-52" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2788 "formatos" => array:3 [ "EPUB" => 123 "HTML" => 1889 "PDF" => 776 ] ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original Articles</span>" "titulo" => "Changes in Spirometric Parameters and Arterial Oxygen Saturation During a Mountain Ascent to Over 3000 Meters" "tienePdf" => "en" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "547" "paginaFinal" => "552" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "L. Compte-Torrero, J. Botella de Maglia, A. de Diego-Damiá, L. Gómez-Pérez, P. Ramírez-Galleymore, M. Perpiñá-Tordera" "autores" => array:6 [ 0 => array:3 [ "preGrado" => "Dr." "nombre" => "L." "apellidos" => "Compte-Torrero" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Botella de Maglia" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "de Diego-Damiá" ] 3 => array:2 [ "nombre" => "L." "apellidos" => "Gómez-Pérez" ] 4 => array:2 [ "nombre" => "P." "apellidos" => "Ramírez-Galleymore" ] 5 => array:2 [ "nombre" => "M." "apellidos" => "Perpiñá-Tordera" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212906602814?idApp=UINPBA00003Z" "url" => "/15792129/0000004100000010/v1_201305150131/S1579212906602814/v1_201305150131/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original Articles</span>" "titulo" => "Cystic Fibrosis in Adults: Inter- and Intraobserver Agreement for the Brasfield and Chrispin-Norman Chest Radiography Scoring Systems and Correlation With Clinical Data and Spirometry" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "553" "paginaFinal" => "559" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "V. Gutiérrez, M.J. Olivera, R.M. Girón, F. Rodríguez-Salvanés, P. Caballero" "autores" => array:5 [ 0 => array:3 [ "nombre" => "V." "apellidos" => "Gutiérrez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 1 => array:3 [ "nombre" => "M.J." "apellidos" => "Olivera" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 2 => array:3 [ "nombre" => "R.M." "apellidos" => "Girón" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 3 => array:3 [ "nombre" => "F." "apellidos" => "Rodríguez-Salvanés" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 4 => array:5 [ "preGrado" => "Dra." "nombre" => "P." "apellidos" => "Caballero" "email" => array:1 [ 0 => "palomacsr@hotmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor1" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicio de Radiodiagnóstico, Hospital de la Princesa, Universidad Autónoma, Madrid, Spain" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Servicio de Neumología, Hospital de la Princesa, Universidad Autónoma, Madrid, Spain" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] 2 => array:3 [ "entidad" => "Unidad de Epidemiología Clínica, Hospital de la Princesa, Universidad Autónoma, Madrid, Spain" "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff3" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "*" "correspondencia" => "Correspondence: Dra. P. Caballero. Servicio de Radiología. Hospital de la Princesa. 1.<span class="elsevierStyleSup">a</span> planta. Diego de León, 62. 28006 Madrid. España" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2004-08-24" "fechaAceptado" => "2005-04-14" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key Words" "identificador" => "xpalclavsec153706" "palabras" => array:5 [ 0 => "Cystic fibrosis" 1 => "Lung function tests" 2 => "Intraobserver agreement" 3 => "Interobserver agreement" 4 => "Chest radiography scoring systems" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec153707" "palabras" => array:5 [ 0 => "Fibrosis quística" 1 => "Pruebas de función pulmonary" 2 => "Acuerdo intraobservador" 3 => "Acuerdo interobservador" 4 => "Sistemas de puntuación en radiografía de tórax" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">Most chest radiography scoring systems for patients with cystic fibrosis have been developed for children but are also used for adults. Our aim was to evaluate the intra- and interobserver variability of 2 radiographic scoring systems in adults with cystic fibrosis and to assess the correlation of these systems with clinical and spirometric parameters.</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p class="elsevierStyleSimplePara elsevierViewall">The chest x-rays of 24 adult patients with cystic fibrosis were compared using 2 scoring systems (Brasfield and Chrispin-Norman). The x-rays were scored by 2 radiologists and reevaluated 4 months later by 1 of the 2 observers. Intra- and interobserver agreement was assessed using the intraclass and Pearson's correlation coefficients. The radiographic scores were compared to lung function tests and other clinical data.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Both intra- and interobserver agreement were high (r≥0.9 and the intraclass correlation coefficient ≥0.85 with both systems for both samples). Both scoring systems correlated with spirometry results: forced expiratory volume in the first second (FEV<span class="elsevierStyleInf">1</span>) (<span class="elsevierStyleItalic">r</span> = 0.64 and <span class="elsevierStyleItalic">r</span> = 0.55), FEV<span class="elsevierStyleInf">1</span>% (<span class="elsevierStyleItalic">r</span> = 0.75 and <span class="elsevierStyleItalic">r</span> = 0.72), and the percentage of forced vital capacity in relation to the predicted value (<span class="elsevierStyleItalic">r</span> = 0.63 and <span class="elsevierStyleItalic">r</span> = 0.056). We found no association between scoring system and sex, age, or body mass index.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Assessment of chest radiographs of adult patients with cystic fibrosis by the Brasfield and Chrispin-Norman scoring systems shows good intra- and interobserver agreement. Both systems correlate well with lung function variables, especially FEV<span class="elsevierStyleInf">1</span>.</p>" ] "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">La mayoría de los sistemas de puntuación para la radiografía de tórax de pacientes con fibrosis quística (FQ) se desarrollaron en niños y se utilizan en adultos. Nuestro objetivo ha sido valorar la variabilidad intra e interobservador para la radiografía de tórax en 2 sistemas de puntuación en adultos con FQ y relacionarlos con algunos parámetros clínicos y espirométricos.</p> <span class="elsevierStyleSectionTitle">Pacientes y métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Se han comparado las radiografías de tórax de 24 pacientes adultos con FQ mediante 2 sistemas de puntuación (Brasfield y Chrispin-Norman). Dos radiólogos clasificaron los estudios, que revaluó 4 meses después uno de los 2 observadores. Los acuerdos intra e interobservador se calcularon mediante el coeficiente de correlación de Pearson (r) y el coeficiente de correlación intraclase. Las puntuaciones de la radiografía de tórax se relacionaron con pruebas de función respiratoria y otros datos clínicos.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">LOS acuerdos intra e interobservador fueron altos (r ≥ 0,9 y coeficiente de correlación intraclase ≥ 0,85 en los 2 acuerdos para los 2 sistemas). Los 2 sistemas de puntuación mostraron correlación con los datos espirométricos: volumen espiratorio forzado en el primer segundo (FEV<span class="elsevierStyleInf">1</span>; r = 0,64 y 0,55), FEV<span class="elsevierStyleInf">1</span> % (r = 0,75 y 0,72) y porcentaje sobre el valor teórico estándar de la capacidad vital forzada (r = 0,63 y 0,056). No encontramos relación de los sistemas de puntuación con el sexo, la edad ni el índice de masa corporal.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">La radiografía de tórax en pacientes adultos con FQ, valorada mediante los sistemas de puntuación de Brasfield y Chrispin-Norman, presenta buenos acuerdos intra e interobservador. Ambos sistemas de puntuación presentan una buena correlación con la función pulmonar, especialmente con el FEV<span class="elsevierStyleInf">1</span>.</p>" ] ] "NotaPie" => array:1 [ 0 => array:1 [ "nota" => "<p class="elsevierStyleNotepara">Red-Respira (RTIC C03/011)-SEPAR (Spanish Society of Pulmonology and Thoracic Surgery has supported this research.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "REFERENCES" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:24 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cystic fibrosis" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:4 [ 0 => "MJ Welsh" 1 => "LC Tsui" 2 => "TF Boat" 3 => "AL Beaudet" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:4 [ "titulo" => "The metabolic and molecular bases of inherited disease" "paginaInicial" => "3799" "paginaFinal" => "3876" 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 3 | 2 | 5 |
| 2024 October | 29 | 18 | 47 |
| 2024 September | 31 | 15 | 46 |
| 2024 August | 44 | 39 | 83 |
| 2024 July | 32 | 29 | 61 |
| 2024 June | 44 | 30 | 74 |
| 2024 May | 39 | 31 | 70 |
| 2024 April | 17 | 28 | 45 |
| 2024 March | 20 | 18 | 38 |
| 2024 February | 18 | 18 | 36 |
| 2023 March | 2 | 3 | 5 |
| 2023 February | 16 | 24 | 40 |
| 2023 January | 15 | 28 | 43 |
| 2022 December | 18 | 25 | 43 |
| 2022 November | 18 | 23 | 41 |
| 2022 October | 18 | 32 | 50 |
| 2022 September | 15 | 25 | 40 |
| 2022 August | 19 | 35 | 54 |
| 2022 July | 15 | 37 | 52 |
| 2022 June | 11 | 30 | 41 |
| 2022 May | 16 | 34 | 50 |
| 2022 April | 19 | 29 | 48 |
| 2022 March | 16 | 37 | 53 |
| 2022 February | 15 | 27 | 42 |
| 2022 January | 12 | 31 | 43 |
| 2021 December | 19 | 41 | 60 |
| 2021 November | 21 | 47 | 68 |
| 2021 October | 23 | 49 | 72 |
| 2021 September | 20 | 47 | 67 |
| 2021 August | 10 | 29 | 39 |
| 2021 July | 11 | 30 | 41 |
| 2021 June | 10 | 47 | 57 |
| 2021 May | 9 | 25 | 34 |
| 2021 April | 16 | 52 | 68 |
| 2021 March | 21 | 13 | 34 |
| 2021 February | 6 | 20 | 26 |
| 2021 January | 4 | 9 | 13 |
| 2020 December | 9 | 20 | 29 |
| 2020 November | 11 | 9 | 20 |
| 2020 October | 3 | 7 | 10 |
| 2020 September | 2 | 6 | 8 |
| 2020 August | 8 | 14 | 22 |
| 2020 July | 9 | 18 | 27 |
| 2020 June | 3 | 6 | 9 |
| 2020 May | 11 | 15 | 26 |
| 2020 April | 13 | 20 | 33 |
| 2020 March | 9 | 18 | 27 |
| 2020 February | 5 | 26 | 31 |
| 2020 January | 11 | 20 | 31 |
| 2019 December | 11 | 21 | 32 |
| 2019 November | 5 | 14 | 19 |
| 2019 October | 7 | 7 | 14 |
| 2019 September | 15 | 11 | 26 |
| 2019 August | 10 | 14 | 24 |
| 2019 July | 12 | 23 | 35 |
| 2019 June | 3 | 13 | 16 |
| 2019 May | 16 | 23 | 39 |
| 2019 April | 23 | 57 | 80 |
| 2019 March | 12 | 22 | 34 |
| 2019 February | 13 | 9 | 22 |
| 2019 January | 3 | 11 | 14 |
| 2018 December | 9 | 13 | 22 |
| 2018 November | 12 | 3 | 15 |
| 2018 October | 16 | 15 | 31 |
| 2018 September | 6 | 11 | 17 |
| 2018 May | 2 | 0 | 2 |
| 2018 April | 6 | 9 | 15 |
| 2018 March | 4 | 1 | 5 |
| 2018 February | 7 | 7 | 14 |
| 2018 January | 5 | 6 | 11 |
| 2017 December | 6 | 7 | 13 |
| 2017 November | 4 | 6 | 10 |
| 2017 October | 7 | 9 | 16 |
| 2017 September | 5 | 17 | 22 |
| 2017 August | 7 | 10 | 17 |
| 2017 July | 4 | 10 | 14 |
| 2017 June | 3 | 14 | 17 |
| 2017 May | 8 | 10 | 18 |
| 2017 April | 1 | 4 | 5 |
| 2017 March | 2 | 5 | 7 |
| 2017 February | 1 | 5 | 6 |
| 2017 January | 2 | 4 | 6 |
| 2016 December | 7 | 5 | 12 |
| 2016 November | 10 | 6 | 16 |
| 2016 October | 13 | 14 | 27 |
| 2016 September | 5 | 7 | 12 |
| 2016 August | 7 | 3 | 10 |
| 2016 July | 0 | 4 | 4 |
| 2016 March | 1 | 0 | 1 |
| 2016 February | 1 | 0 | 1 |
| 2015 December | 2 | 0 | 2 |
| 2015 October | 41 | 1 | 42 |
| 2015 September | 44 | 15 | 59 |
| 2015 August | 42 | 9 | 51 |
| 2015 July | 42 | 9 | 51 |
| 2015 June | 46 | 8 | 54 |
| 2015 May | 48 | 10 | 58 |
| 2015 April | 43 | 17 | 60 |
| 2015 March | 31 | 15 | 46 |
| 2015 February | 35 | 3 | 38 |
| 2015 January | 39 | 4 | 43 |
| 2014 December | 42 | 3 | 45 |
| 2014 November | 32 | 5 | 37 |
| 2014 October | 45 | 9 | 54 |
| 2014 September | 33 | 7 | 40 |
| 2014 August | 22 | 9 | 31 |
| 2014 July | 41 | 9 | 50 |
| 2014 June | 44 | 10 | 54 |
| 2014 May | 62 | 7 | 69 |
| 2014 April | 55 | 8 | 63 |
| 2014 March | 62 | 6 | 68 |
| 2014 February | 56 | 9 | 65 |
| 2014 January | 32 | 2 | 34 |
| 2013 December | 36 | 10 | 46 |
| 2013 November | 48 | 4 | 52 |
| 2013 October | 40 | 8 | 48 |
| 2013 September | 40 | 7 | 47 |
| 2013 August | 55 | 10 | 65 |
| 2013 July | 59 | 20 | 79 |
| 2013 June | 41 | 7 | 48 |
| 2013 May | 45 | 7 | 52 |
| 2013 April | 26 | 12 | 38 |
| 2013 March | 10 | 2 | 12 |
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