- Title
- The dica endoscopic classification for diverticular disease of the colon shows a significant interobserver agreement among community endoscopists: An international study
- Creator
- Tursi, Antonio; Allegretta, L; Altavilla, N; Amaro, P; Annunziata, ML; Barberio, F; Basile, G; Bedogni, G; Belfiori, V; Benvenuti, S; Bertolami, C; Bisello, M; El Dammak, MB; Bozzi, R; Buono, M; Cambie, G; Capezzuto, E; Casamassima, C; Chavoushian, A; Ciofani, R; Citarella, C; Compare, D; Cotruta, B; D¿amico, F; Dulk, MD; Dyrda, BE; Festa, V; Gallina, S; Grasso, R; Hanzel, J; Taieb, JM; Lai, MA; Latella, G; Lisi, D; Lodi, L; Marangi, S; Mardegan, A; Marlicz, W; Maurano, A; Milazzo, G; Militaru, V; Miraglia, S; Monica, F; Moskalev, A; Natale, A; Nicolas, C; Pancetti, A; Penna, A; Pepe, AS; Pisano, M; Pontone, S; Prati, M; Prisco, A; Rando, L; Hernandez, ER; Rosati, O; Rossi, G; Passoni, GR; Papa, V; Nesme, NS; Schiffino, L; Schillaci, D; Selvaggi, G; Brandimarte, Giovanni; Biondo, Sebastiano; Cassieri, Claudio; Crucitti, Antonio; Dumitra¿cu, Dan L.; Elisei, Walter; Escalante, Ricardo; Herszenyi, Laszlo; Kruis, Wolfgang; Kupcinskas, Juozas; Lahat, Adi; Di Mario, Francesco; Lecca, PG; Maconi, G; Malfertheiner, P; Mazzarri, A; Mearin, F; Milosavljevic, T; Nardone, G; de Oliveira, EC; Papa, A; Papagrigoriadis, S; Lanas, Angel; Pera, M; Persiani, R; Picchio, M; Regula, J; ¿timac, D; Stollman, N; Strate, LL; Walker, Marjorie M. D.; Scarpignato, Carmelo; Bafutto, Mauro; Barbara, Giovanni; Bassotti, Gabrio; Binda, Gian Andrea; Biondi, Alberto
- Relation
- Journal of Gastrointestinal and Liver Diseases Vol. 28, Issue Suppl. 4, p. 39-43
- Publisher Link
- http://dx.doi.org/10.15403/jgld-558
- Publisher
- Universitatea de Medicina si Farmacie "Iuliu Hatieganu"
- Resource Type
- journal article
- Date
- 2019
- Description
- Background & Aims: The Diverticular Inflammation and Complication Assessment (DICA) endoscopic classification of diverticulosis and diverticular disease (DD) is currently available. It scores severity of the disease as DICA 1, DICA 2 and DICA 3. Our aim was to assess the agreement on this classification in an international endoscopists community setting. Methods: A total of 96 doctors (82.9% endoscopists) independently scored a set of DD endoscopic videos. The percentages of overall agreement on DICA score and a free-marginal multirater kappa (κ) coefficient were reported as statistical measures of interrater agreement.Results: Overall agreement in using DICA was 91.8% with a free-marginal kappa of 88% (95% CI 80-95). The overall agreement levels were: DICA 1, 85.2%; DICA 2, 96.5%; DICA 3, 99.5%. The free marginal κ was: DICA 1 = 0.753, DICA 2 = 0.958, DICA 3 = 0.919. The agreement about the main endoscopic items was 83.4% (k 67%) for diverticular extension, 62.6% (k 65%) for number of diverticula for each district, 86.8% (k 82%) for presence of inflammation, and 98.5 (k 98%) for presence of complications. Conclusions: The overall interrater agreement in this study ranges from good to very good. DICA score is a simple and reproducible endoscopic scoring system for diverticulosis and DD.
- Subject
- agreement; colonoscopy; community setting; diverticular disease of the colon; endoscopic classification
- Identifier
- http://hdl.handle.net/1959.13/1460339
- Identifier
- uon:45929
- Identifier
- ISSN:1841-8724
- Language
- eng
- Reviewed
- Hits: 24720
- Visitors: 24707
- Downloads: 0