Elena Tunitsky1, Sara Abbott, Matthew D Barber. 1. Female Pelvic Medicine & Reconstructive Surgery Obstetrics, Gynecology and Women's Health Institute at Cleveland Clinic, Cleveland, OH 44195, USA. tunitse@ccf.org
Abstract
OBJECTIVE: We sought to assess interrater reliability of the International Continence Society (ICS)/International Urogynecological Association (IUGA) classification system of vaginal mesh-related complications and compare this with several other available complication classification systems. STUDY DESIGN: This was a retrospective analysis of mesh-related complications in patients presenting after pelvic organ prolapse or incontinence surgery. The complications were classified by 2 independent reviewers using the ICS/IUGA classification system as well as 3 other available classification systems. Interrater reliability was assessed using percent agreement and the weighted κ statistic. RESULTS: The ICS/IUGA mesh complication classification system was found to have poor interrater reliability (κ = 0.15-0.78). The other systems yielded a κ that ranged from 0.18-0.60, but were too general or could only be applied to 68% of the complications. CONCLUSION: The complexity of the ICS/IUGA mesh complication system, the large number of categories, and lack of clarity likely contribute to its poor interrater reliability.
OBJECTIVE: We sought to assess interrater reliability of the International Continence Society (ICS)/International Urogynecological Association (IUGA) classification system of vaginal mesh-related complications and compare this with several other available complication classification systems. STUDY DESIGN: This was a retrospective analysis of mesh-related complications in patients presenting after pelvic organ prolapse or incontinence surgery. The complications were classified by 2 independent reviewers using the ICS/IUGA classification system as well as 3 other available classification systems. Interrater reliability was assessed using percent agreement and the weighted κ statistic. RESULTS: The ICS/IUGA mesh complication classification system was found to have poor interrater reliability (κ = 0.15-0.78). The other systems yielded a κ that ranged from 0.18-0.60, but were too general or could only be applied to 68% of the complications. CONCLUSION: The complexity of the ICS/IUGA mesh complication system, the large number of categories, and lack of clarity likely contribute to its poor interrater reliability.
Authors: Meghana Gowda; Laura Chang Kit; W Stuart Reynolds; Li Wang; Roger R Dmochowski; Melissa R Kaufman Journal: Int Urogynecol J Date: 2013-03-28 Impact factor: 2.894
Authors: Dimitri Barski; Holger Gerullis; Evangelos Georgas; Andreas Bär; Bernhard Lammers; Albert Ramon; Dirk Ysebaert; Bernd Klosterhalfen; Mihaly Boros; Thomas Otto Journal: Biomed Res Int Date: 2014-09-16 Impact factor: 3.411