NDLI: Validation of the Endoscopic Part of the Spigelman Classification for Evaluating Duodenal Adenomatosis in Familial Adenomatous Polyposis: A Prospective Study of Interrater and Intrarater Reliability.

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Validation of the Endoscopic Part of the Spigelman Classification for Evaluating Duodenal Adenomatosis in Familial Adenomatous Polyposis: A Prospective Study of Interrater and Intrarater Reliability.

Content Provider	Europe PMC
Author	Karstensen, John Gásdal Bülow, Steffen Burisch, Johan Ellebæk, Mark Bremholm Ostapiuk, Marcin Pommergaard, Hans Christian Schmidt, Palle Nordblad
Copyright Year	2021
Abstract	INTRODUCTION:In patients with familial adenomatous polyposis, the Spigelman classification is recommended for staging and risk stratification of duodenal adenomatosis. Although the classification has been used for decades, it has never been formally validated.METHODS:We included consecutive FAP patients undergoing upper gastrointestinal endoscopic surveillance and evaluated the inter- and intrarater reliability of the Spigelman classification.RESULTS:The interrater reliability of the endoscopic parameters and the Spigelman classification was good and excellent, respectively. The intrarater reliability of the endoscopic parameters and the Spigelman classification was moderate and good, respectively.DISCUSSION:The results support continued use of the Spigelman classification as the primary end point for future studies and as key endoscopic performance measure.
Related Links	https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC8812431&blobtype=pdf
ISSN	00029270
Journal	The American Journal of Gastroenterology [Am J Gastroenterol]
Volume Number	117
DOI	10.14309/ajg.0000000000001582
PubMed Central reference number	PMC8812431
Issue Number	2
PubMed reference number	34913876
e-ISSN	15720241
Language	English
Publisher	Wolters Kluwer
Publisher Date	2022-02-01
Publisher Place	Philadelphia, PA
Access Restriction	Open
Rights License	This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. Copyright © 2021 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology
Content Type	Text
Resource Type	Article
Subject	Hepatology Gastroenterology

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