在儿科高分辨率直肠计量记录中的interrater可靠性
Julia M J van der Zande1,2, Marc A Benninga2, Bruno P Chumpitazi3
1Division of Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, Nationwide Children's Hospital, Columbus, Ohio, USA.
Journal of pediatric gastroenterology and nutrition
|February 2, 2026
概括
高分辨率门测量仪 (HR-ARM) 显示了在儿童中测量门压力的卓越可靠性. 然而,对直腔抑制反射和降压机动的解释需要标准化,以便进行一致的儿科HR-ARM分析.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 神经胃肠病学 神经胃肠病学
- 运动性障碍 运动性障碍
背景情况:
- 高分辨率直肠测量仪 (HR-ARM) 对于评估直肠神经肌肉功能至关重要 在儿童患者中,便秘或便失禁.
- 之前的研究还没有评估HR-ARM在儿科患者群体中的计量器间可靠性.
研究的目的:
- 评估儿科高分辨率门测量 (HR-ARM) 评估的评分器间可靠性.
- 确定儿科专家在HR-ARM解释中的共识和分歧领域.
主要方法:
- 十名儿科胃肠科医生分析了十项未被识别的儿科HR-ARM研究.
- 评估的参数包括静止压力,挤压压力和持续时间,直腔抑制反射 (RAIR),下降机动和整体解释.
- 统计分析使用Fleiss' Kappa (κ) 进行分类数据和类内相关系数 (ICC) 进行连续数据.
主要成果:
- 在门通道静止压力 (ICC 0.97),挤压压力 (ICC 0.97) 和挤压持续时间 (ICC 0.93) 中观察到优异的间隔可靠性.
- 在RAIR检测方面发现了公平协议 (κ=0.35).
- 对于熊下动作 (κ=0.50) 和最终研究解释 (κ=0.43) 发现了适度一致.
结论:
- 儿科HR-ARM在量化压力测量方面表现出卓越的可靠性.
- 对于RAIR和熊下机动的定性评估,存在低于最佳的interrater可靠性.
- 标准化HR-ARM协议和解释标准对于儿科实践至关重要.
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