Intraobserver and interobserver reliability of videotaped laparoscopy evaluations for endometriosis and adhesions

Philomeen T M Weijenborg, Philomeen Weijenborg, Weijenborg PT, ter Kuile MM, Moniek M. ter Kuile, Frank W. Jansen, Jansen FW
Fertility and sterility · 2006 · vol. 87(2) , pp. 373–380 · doi:10.1016/j.fertnstert.2006.06.052 · PMID:17141769 · W2007829860
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This study evaluated the consistency of scoring laparoscopy videos for endometriosis and adhesions between and within multiple observers.

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Abstract

OBJECTIVE: To determine the intra- and interobserver reliability of evaluations during videotaped laparoscopy, with real-time laparoscopy as the "gold standard." DESIGN: Prospective evaluation. SETTING: University hospital. PATIENT(S): Women who underwent laparoscopy for chronic pelvic pain, sterilization, or infertility workup. INTERVENTION(S): Real-time laparoscopies were videotaped and scored then later reassessed. MAIN OUTCOME MEASURE(S): Intra- and interobserver levels of agreement between evaluations for endometriosis and adhesions. RESULT(S): With the use of reassessments on 90 (videotaped) laparoscopies, the intra- and interobserver levels of agreement between the scorings for endometriosis were found to be substantial, except for ovarian implantations. A high agreement was found in the staging of endometriotic disease. The intra- and interobserver levels of agreement for scoring adhesions were only fair to moderate, and a substantial number of differences between measurements in adhesion total scores was found. No systematic difference between the number of disagreements was observed in either setting. CONCLUSION(S): Although special attention has to be given to the assessments of ovarian lesions, the evaluations of videotaped laparoscopies for endometriosis were reliable and justified the use of recorded findings. Because evaluations of adhesions during videotaped laparoscopy are not reliable, in some cases a second laparoscopy may need to be performed.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Video Recording Adult Adult Diagnosis, Differential Diagnosis, Differential Endometriosis Endometriosis Female Female Humans Humans Netherlands Netherlands Netherlands Observer Variation Observer Variation Reproducibility of Results Reproducibility of Results Sensitivity and Specificity

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (15)

Cited by (13)

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License: CC0 · commercial use OK