Jacques Fechtenbaum1, Karine Briot2, Simon Paternotte2, Maurice Audran3, Véronique Breuil4, Bernard Cortet5, Françoise Debiais6, Franck Grados7, Pascal Guggenbuhl8, Michel Laroche9, Erick Legrand3, Eric Lespessailles10, Christian Marcelli11, Philippe Orcel12, Pawel Szulc13, Thierry Thomas14, Sami Kolta2, Christian Roux2. 1. Paris Descartes University, Rheumatology department, Cochin Hospital, 27, rue du Faubourg-St-Jacques, 75014 Paris, France. Electronic address: jacques.fechtenbaum@cch.aphp.fr. 2. Paris Descartes University, Rheumatology department, Cochin Hospital, 27, rue du Faubourg-St-Jacques, 75014 Paris, France. 3. Department of rheumatology, LUNAM, CHU d'Angers, 49933 Angers cedex 09, France. 4. Rheumatology, Hôpital l'Archet, 06202 Nice cedex, France. 5. Department of rheumatology, Hôpital Roger-Salengro, CHU de Lille, 59037 Lille cedex, France. 6. Department of rheumatology, CHU la Milétrie, 86021 Poitiers cedex, France. 7. Department of rheumatology, CHU Amiens Nord, 80054 Amiens cedex 1, France. 8. Department of rheumatology, Hôpital Sud, CHU de Rennes, 35203 Rennes cedex 2, France. 9. Department of rheumatology, Hôpital Purpan, 31059 Toulouse cedex 09, France. 10. Department of rheumatology, CHR la Source, 45067 Orléans cedex 2, France. 11. Department of rheumatology, CHU Côte de Nacre, 14033 Caen cedex, France. 12. Department of rheumatology, CHU Lariboisière, 75475 Paris cedex 10, France. 13. Inserm, Hôpital de Lyon, 69437 Lyon cedex, France. 14. Department of rheumatology, Hôpital Nord, CHU de Saint-Étienne, 42055 Saint-Étienne, France.
Abstract
UNLABELLED: The agreement for vertebral fracture (VF) diagnosis in men, between doctors is poor. OBJECTIVES: To assess the agreement for VF diagnosis, in men, on standard radiographs, between experts, before and after consensual workshop and establishing an algorithm. METHODS: The agreement between thirteen experimented rheumatologists has been calculated in thirty osteoporotic men. Then, the group discussed in a workshop and 28 other radiograph sets of osteoporotic men with follow-up radiographs and incident confirmed VF, have been reviewed. The experts identified and hierarchised 18 pathological features of vertebral deformation and established an algorithm of VF diagnosis. Eleven experts have realized a second reading of the first set of radiographs. We compared the agreement between the 2 readings without and with the algorithm. RESULTS: After consensus and the use of the algorithm the results are: number of fractured patients (with at least 1 VF) according to the experts varies from 13 to 26 patients out of 30 (13 to 28 during the first reading). The agreement between the experts at the patient level is 75% (70% at the first reading). Among the 390 vertebrae analyzed by the experts, the number of VF detected varies from 18 to 59 (18 to 98 at the first reading). The agreement between the experts at the vertebral level is 92% (89% at the first reading). The algorithm allows a good improvement of the agreement, especially for 8 of the 11 experts. Discrepancies for the VF diagnosis between experts exist. The algorithm improves the agreement.
UNLABELLED: The agreement for vertebral fracture (VF) diagnosis in men, between doctors is poor. OBJECTIVES: To assess the agreement for VF diagnosis, in men, on standard radiographs, between experts, before and after consensual workshop and establishing an algorithm. METHODS: The agreement between thirteen experimented rheumatologists has been calculated in thirty osteoporoticmen. Then, the group discussed in a workshop and 28 other radiograph sets of osteoporoticmen with follow-up radiographs and incident confirmed VF, have been reviewed. The experts identified and hierarchised 18 pathological features of vertebral deformation and established an algorithm of VF diagnosis. Eleven experts have realized a second reading of the first set of radiographs. We compared the agreement between the 2 readings without and with the algorithm. RESULTS: After consensus and the use of the algorithm the results are: number of fracturedpatients (with at least 1 VF) according to the experts varies from 13 to 26 patients out of 30 (13 to 28 during the first reading). The agreement between the experts at the patient level is 75% (70% at the first reading). Among the 390 vertebrae analyzed by the experts, the number of VF detected varies from 18 to 59 (18 to 98 at the first reading). The agreement between the experts at the vertebral level is 92% (89% at the first reading). The algorithm allows a good improvement of the agreement, especially for 8 of the 11 experts. Discrepancies for the VF diagnosis between experts exist. The algorithm improves the agreement.
Authors: Yì Xiáng J Wáng; Davide Diacinti; Jason C S Leung; Antonio Iannacone; Endi Kripa; Timothy C Y Kwok; Daniele Diacinti Journal: Arch Osteoporos Date: 2021-11-16 Impact factor: 2.617
Authors: T T Jansz; N A Goto; A J van Ballegooijen; H C Willems; M C Verhaar; B C van Jaarsveld Journal: Osteoporos Int Date: 2019-11-14 Impact factor: 4.507
Authors: Yì Xiáng J Wáng; Daniele Diacinti; Wei Yu; Xiao-Guang Cheng; Marcello H Nogueira-Barbosa; Nazmi Che-Nordin; Giuseppe Guglielmi; Fernando Ruiz Santiago Journal: Ann Transl Med Date: 2020-03