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首页> 外文期刊>Endoscopy International Open >KODA score: an updated and validated bowel preparation scale for patients undergoing small bowel capsule endoscopy
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KODA score: an updated and validated bowel preparation scale for patients undergoing small bowel capsule endoscopy

机译：柯达得分：用于接受小肠胶囊内窥镜检查的患者的更新和验证的肠道准备规模

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Background and study aims A reliable outcome measure is needed for bowel preparation quality during capsule endoscopy. Currently, no scales are adequately validated. Our objective was to update an existing small bowel preparation score, create a standardized training module, then determine its inter-rater and intra-rater reliability. Patients and methods Modification to produce standardized scoring of an existing small bowel preparation score was performed followed by development of a training module and validation to create the new Korea-Canada (KODA) score. Twenty readers from a range of backgrounds, including capsule endoscopists, gastroenterology fellows, residents, medical students, and nurses rated bowel cleanliness in 25 capsule videos consisting of 1,233 images, in duplicate 4 weeks apart, after completing the training module. Sequential images selected in 5-minute intervals during small bowel transit were rated on a scale between 0–3 based on the amount of visualized mucosa and the degree of obstruction. Reliability was assessed using estimates of intraclass correlation coefficients (ICCs). Results Intraclass correlation coefficients for inter-rater (ICC 0.81, 95?% CI 0.70–0.87) and intra-rater (ICC 0.92, 95 % CI 0.87–0.94) reliability were almost perfect among the 20 readers. Inter-rater reliability ranged between 0.72 (95?% CI 0.57–0.81) and 0.89 (95?% CI 0.79–0.93) for nurses and residents, respectively. Intra-rater reliability was greater than 0.90 for all groups except for nurses, which was still almost perfect (ICC 0.86, 95?% CI 0.79–0.90). Conclusions Almost perfect inter-rater and intra-rater reliability was observed for the KODA score. This simple score could be used for future clinical trials after completion of the training module.
机译：背景和研究旨在在胶囊内窥镜检查期间肠道准备质量所需的可靠结果测量。目前，没有足够的尺度被充分验证。我们的目标是更新现有的小肠准备评分，创建标准化训练模块，然后确定其帧间间和帧内可靠性。患者和方法改进以产生现有的小肠准备评分的标准化评分，然后开发培训模块和验证，以创建新的韩国 - 加拿大（柯达）得分。来自一系列背景的二十名读者，包括胶囊内窥镜，胃肠学主，居民，医学生，医学生和护士等25个胶囊视频，由1,233个图像组成，在完成培训模块后4周分开。在小肠过渡期间以5分钟间隔选择的顺序图像基于可视化粘膜的量和阻塞程度为0-3之间的等级。使用跨周性相关系数（ICC）的估计进行评估可靠性。结果植物间腹泻的相关系数（ICC 0.81,95〜95℃）和患者内部（ICC 0.92,95％CI 0.87-0.94）的可靠性几乎是完美的。帧间间可靠性范围为0.72（95〜％CI 0.57-0.81）和9.89（95〜50ci 0.79-0.93），适用于护士和居民。除护士外，帧内可靠性大于0.90，除护士仍然是完美的（ICC 0.86,95？％CI 0.79-0.90）。结论对于柯达评分，观察到几乎完美的评估室和帧内帧内可靠性。这个简单的分数可用于完成训练模块后的未来临床试验。

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