Interobserver reliability of Masei index validation by a multicenter collaborative group of rheumatologists
Por:
Alvarado, PM, de Oro, JJD, Espinar, MA, Perez, EA, Perez, NB, Carmona, L, Burgos, EC, Poch, TC, Aguilera, AC, Mendieta, ED, Alarcon, PE, Casares, EG, Perez, SH, Lopez, BM, Morillo, MM, Soria, LM, Pastor, CM, Martinez-Losa, MM, Fernandez, AP, Busquets, MP, Garcia, JR, Sanz, DR, Lizarzaburu, MS, Santo Panero, P, Alierta, ES, Roc, MV, Macias, HC
Publicada:
1 mar 2022
Ahead of Print:
1 nov 2020
Resumen:
MASEI is the main validated ultrasound score for the evaluation of enthesis. The lack of studies facing the agreement to achieve for the interpretation of the MAdrid Sonographic Enthesis Index (MASEI) among researchers from different centers in multicenter studies is of concern. The aim of this multicenter was to evaluate the interobserver reliability of MASEI. An experienced ultrasonographer-rheumatologist performed ultrasound scans of the areas included in MASEI index in three patients with Ankylosing Spondylitis and Psoriatic Arthritis. Videos were captured. The videos were then evaluated by 24 rheumatologists of the ultrasound working group of the Catalan Society of Rheumatology (EcoCAT). A face-to-face training meeting was held. Ten days after the workshop, the study participants evaluated the videos. A reliability assessment was performed. The ICC for the MASEI scores after the workshop was of 0.97 (95% CI 89-99). Reliability did not vary statistically with examiner experience. Globally, no problems of reliability by structures were seen, and all the ICCs were above 0.90 and improved slightly after the educational program. However, the correlation observed between examiners at plantar aponeursis and triceps tendon was weak. The small variability observed in the results of the index validation in our study, suggests that the MASEI index is reproducible by different observers when those are well trained and show awesome results of the enthesis when examined by ultrasound.
Filiaciones:
Alvarado, PM:
Hosp La Santa Creu & St Pau, Barcelona, Spain
de Oro, JJD:
Hosp Valle De Hebron, Barcelona, Spain
Espinar, MA:
Hosp Badalona Germans Trias & Pujol, Badalona, Spain
Perez, EA:
Hosp Palamos, Palamos, Spain
Perez, NB:
Hosp Gen Granollers, Granollers, Spain
Carmona, L:
Inst Salud Musculoesquelet, Madrid, Spain
Burgos, EC:
Hosp Parc Tauli, Barcelona, Spain
Poch, TC:
Hosp Univ Dr Josep Trueta, Girona, Spain
Aguilera, AC:
Hosp Gen Granollers, Granollers, Spain
Mendieta, ED:
Hosp La Paz, Madrid, Spain
Alarcon, PE:
Hosp St Joan Despi Moises Broggi, St Joan Despi, Spain
Casares, EG:
Hosp Mollet, Mollet, Spain
Perez, SH:
Hosp Badalona Germans Trias & Pujol, Badalona, Spain
Lopez, BM:
Hosp La Santa Creu & St Pau, Barcelona, Spain
Morillo, MM:
Hosp Badalona Germans Trias & Pujol, Badalona, Spain
Soria, LM:
Hosp Badalona Germans Trias & Pujol, Badalona, Spain
Pastor, CM:
Hosp Bellvitge Princeps Espanya, Lhospitalet De Llobregat, Spain
Martinez-Losa, MM:
Hosp Parc Tauli, Barcelona, Spain
Fernandez, AP:
Hosp Clin Barcelona, Barcelona, Spain
Busquets, MP:
Hosp Mutua Terrassa, Terrassa, Spain
Garcia, JR:
Hosp Clin Barcelona, Barcelona, Spain
Sanz, DR:
Hosp St Joan Despi Moises Broggi, St Joan Despi, Spain
Lizarzaburu, MS:
Hosp St Joan de Deu Manresa, Manresa, Spain
Santo Panero, P:
Parc Sanitari St Joan de Deu St Boi, St Boi, Spain
Alierta, ES:
Parc Sanitari St Joan de Deu St Boi, St Boi, Spain
Roc, MV:
Hosp Figueres, Figueres, Spain
Macias, HC:
Hosp La Santa Creu & St Pau, Barcelona, Spain
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