Diagnosis of allergic rhinitis: Inter-rater reliability and predictive value of nasal endoscopic examination: A prospective observational study

Simple item page
dc.contributor.authorEren E.
dc.contributor.authorAktaş A.
dc.contributor.authorArslanoǧlu S.
dc.contributor.authorKopar A.
dc.contributor.authorCiǧer E.
dc.contributor.authorÖzkul Y.
dc.contributor.authorÖnal K.
dc.contributor.authorKatilmiş H.
dc.date.accessioned2024-07-22T08:17:46Z
dc.date.available2024-07-22T08:17:46Z
dc.date.issued2013
dc.description.abstractObjective: To determine the inter-rater reliability of nasal endoscopic findings and the feasibility of diagnosis of allergic rhinitis based solely on symptoms and nasal endoscopy. Design: Prospective observational study. Setting: University Teaching hospital. Participants: One hundred and eight patients were referred from the allergy clinic included in the study. Main outcome measures: Predictive value of symptoms and nasal endoscopic examination to diagnose allergic rhinitis and inter-rater reliability of the examination were evaluated. Results: Logistic regression analysis of patient symptoms and nasal examination findings revealed no significant predictive power for any of the symptoms or examination findings. The Fleiss κ coefficient of the three raters was calculated. Inter-rater variability among the three physicians demonstrated that mucosal oedema (κ = 0,48, P < 0.001), polypoid degeneration of the inferior turbinate tail (κ = 0.48, P = 0.01), nasal polyps (κ = 0.96, P < 0.001) and nasal septal deviation (κ = 0.65, P = 0.01) showed significant inter-rater agreement. A low κ coefficient (0.29) was found, and the inter-rater variability among physicians in interpreting the characteristics of nasal secretions was significant (P = 0.04). The inter-rater variability among the three physicians suggested that turbinate hypertrophy (κ = 0.31) and turbinate colour (κ = 0.38) showed no significant inter-rater agreement. Conclusions: Patient symptoms and nasal endoscopy findings do not provide reliable diagnosis of allergic rhinitis. Turbinate colour and hypertrophy are believed to be related to allergic rhinitis; however, these were subject to marked inter-rater variability in this study. © 2013 John Wiley & Sons Ltd 38 6 December 2013 10.1111/coa.12171 Original Article Original Articles © 2013 John Wiley & Sons Ltd.
dc.identifier.DOI-ID10.1111/coa.12171
dc.identifier.issn17494486
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/17121
dc.language.isoEnglish
dc.subjectAdult
dc.subjectDiagnosis, Differential
dc.subjectEndoscopy
dc.subjectFemale
dc.subjectHumans
dc.subjectMale
dc.subjectNose
dc.subjectProspective Studies
dc.subjectReproducibility of Results
dc.subjectRhinitis, Allergic
dc.subjectROC Curve
dc.subjectTurbinates
dc.subjectadult
dc.subjectallergic rhinitis
dc.subjectarticle
dc.subjectasthma
dc.subjectcolor
dc.subjectdysphonia
dc.subjectedema
dc.subjectendoscopy
dc.subjectfemale
dc.subjecthuman
dc.subjecthypertrophy
dc.subjectinterrater reliability
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectnasal endoscopy
dc.subjectnose obstruction
dc.subjectnose polyp
dc.subjectnose secretion
dc.subjectnose septum
dc.subjectobservational study
dc.subjectpredictive value
dc.subjectpriority journal
dc.subjectpruritus
dc.subjectrhinorrhea
dc.subjectsensitivity and specificity
dc.subjectturbinate
dc.subjectdifferential diagnosis
dc.subjectendoscopy
dc.subjectnose
dc.subjectpathology
dc.subjectprocedures
dc.subjectprospective study
dc.subjectreceiver operating characteristic
dc.subjectreproducibility
dc.subjectRhinitis, Allergic
dc.titleDiagnosis of allergic rhinitis: Inter-rater reliability and predictive value of nasal endoscopic examination: A prospective observational study
dc.typeArticle

Files

Collections

Scopus Koleksiyonu