Authors
Lieke M Spekhorst, Marijn C Visschedijk, Rudi Alberts, Eleonora A Festen, Egbert-Jan van der Wouden, Gerard Dijkstra, Rinse K Weersma, Dutch Initiative on Crohn and Colitis (ICC
Publication date
2014/11/11
Journal
World Journal of Gastroenterology: WJG
Volume
20
Issue
41
Pages
15374
Publisher
Baishideng Publishing Group Inc
Description
AIM: To validate the Montreal classification system for Crohn’s disease (CD) and ulcerative colitis (UC) within the Netherlands.
METHODS: A selection of 20 de-identified medical records with an appropriate representation of the inflammatory bowel disease (IBD) sub phenotypes were scored by 30 observers with different professions (gastroenterologist specialist in IBD, gastroenterologist in training and IBD-nurses) and experience level with IBD patient care. Patients were classified according to the Montreal classification. In addition, participants were asked to score extra-intestinal manifestations (EIM) and disease severity in CD based on their clinical judgment. The inter-observer agreement was calculated by percentages of correct answers (answers identical to the “expert evaluation”) and Fleiss-kappa (κ). Kappa cut-offs:< 0.4-poor; 0.41-0.6-moderate; 0.61-0.8-good;> 0.8 excellent.
RESULTS: The inter-observer …
Scholar articles
LM Spekhorst, MC Visschedijk, R Alberts, EA Festen… - World Journal of Gastroenterology: WJG, 2014