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Interobserver Reliability of the Endoscopic Ultrasound Criteria for the Diagnosis of Early Chronic Pancreatitis: Comparison between the 2009 and 2019 Japanese Diagnostic Criteria

Authors :
Akira Yamamiya
Atsushi Irisawa
Keiichi Tominaga
Kohei Tsuchida
Takeshi Sugaya
Misako Tsunemi
Koki Hoshi
Hidehito Jinnai
Akane Yamabe
Naoya Izawa
Mari Iwasaki
Yoichi Takimoto
Akira Kanamori
Kazunori Nagashima
Takahito Minaguchi
Ken Kashima
Yasuhito Kunogi
Ai Sato
Kenichi Goda
Makoto Iijima
Yasuo Haruyama
Source :
Diagnostics, Vol 11, Iss 3, p 431 (2021)
Publication Year :
2021
Publisher :
MDPI AG, 2021.

Abstract

In 2009, diagnostic criteria for early chronic pancreatitis (DCECP2009) were proposed by the Japan Pancreas Society. This study aimed to evaluate the interobserver reliability (IOR) of endoscopic ultrasound (EUS) criteria for diagnosis of early chronic pancreatitis (ECP) between DCECP2009 and 2019 diagnostic criteria for ECP (DCECP2019) to assess the validity of the revision from the perspective of EUS findings. Among patients who underwent a detailed observation of the pancreas by EUS at our institution between January 2018 and March 2019, EUS images of 97 patients were extracted. Images were reviewed by 12 gastrointestinal endoscopy experts (eight pancreatologists, group A and four nonpancreatologists, group B). The overall kappa (K)-values for the IOR of the DCECP2009 EUS criteria were 0.424 and 0.563:0.231 for groups A:B, whereas the overall K-values for the DCECP2019 criteria were 0.618, and 0.733:0.442 for groups A:B. Regarding changes in the final diagnosis of ECP based on clinical features and EUS findings, 20 cases were definite ECP, 53 were probable ECP, and 24 were normal according to DCECP2009. In contrast, seven were definite ECP, 19 were probable ECP, and 71 were normal according to DECEP2019. IOR of DCECP2019 was higher than that of DCECP2009, which indicates an improvement in precision.

Details

Language :
English
ISSN :
20754418
Volume :
11
Issue :
3
Database :
Directory of Open Access Journals
Journal :
Diagnostics
Publication Type :
Academic Journal
Accession number :
edsdoj.f29cb0c172e64e43aaeb517063a07dbd
Document Type :
article
Full Text :
https://doi.org/10.3390/diagnostics11030431