Observer variation in chest radiography of acute lower respiratory infections in children: a systematic review

 

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dc.contributor.author Swingler, George H en_ZA
dc.date.accessioned 2015-10-12T11:01:09Z
dc.date.available 2015-10-12T11:01:09Z
dc.date.issued 2001 en_ZA
dc.identifier.citation Swingler, G.H. (2001). Observer variation in chest radiography of acute lower respiratory infections in children: a systematic review. BMC Medical Imaging, 1:1. en_ZA
dc.identifier.uri http://hdl.handle.net/11427/14215
dc.identifier.uri http://dx.doi.org/10.1186/1471-2342-1-1
dc.description.abstract BACKGROUND: Knowledge of the accuracy of chest radiograph findings in acute lower respiratory infection in children is important when making clinical decisions. METHODS: I conducted a systematic review of agreement between and within observers in the detection of radiographic features of acute lower respiratory infections in children, and described the quality of the design and reporting of studies, whether included or excluded from the review.Included studies were those of observer variation in the interpretation of radiographic features of lower respiratory infection in children (neonatal nurseries excluded) in which radiographs were read independently and a clinical population was studied. I searched MEDLINE, HealthSTAR and HSRPROJ databases (1966 to 1999), handsearched the reference lists of identified papers and contacted authors of identified studies. I performed the data extraction alone. RESULTS: Ten studies of observer interpretation of radiographic features of lower respiratory infection in children were identified. Seven of the studies satisfied four or more of the seven design and reporting criteria. Six studies met the inclusion criteria for the review. Inter-observer agreement varied with the radiographic feature examined. Kappa statistics ranged from around 0.80 for individual radiographic features to 0.27-0.38 for bacterial vs viral etiology. CONCLUSIONS: Little information was identified on observer agreement on radiographic features of lower respiratory tract infections in children. Agreement varied with the features assessed from "fair" to "very good". Aspects of the quality of the methods and reporting need attention in future studies, particularly the description of criteria for radiographic features. en_ZA
dc.language.iso eng en_ZA
dc.publisher BioMed Central Ltd en_ZA
dc.rights This is an Open Access article distributed under the terms of the Creative Commons Attribution License en_ZA
dc.rights.uri http://creativecommons.org/licenses/by/2.0 en_ZA
dc.source BMC Medical Imaging en_ZA
dc.source.uri http://www.biomedcentral.com/bmcmedimaging/ en_ZA
dc.subject.other Child and Adolescent Health en_ZA
dc.title Observer variation in chest radiography of acute lower respiratory infections in children: a systematic review en_ZA
dc.type Journal Article en_ZA
uct.type.publication Research en_ZA
uct.type.resource Article en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Department of Paediatrics and Child Health en_ZA
uct.type.filetype Text
uct.type.filetype Image
dc.identifier.apacitation Swingler, G. H. (2001). Observer variation in chest radiography of acute lower respiratory infections in children: a systematic review. <i>BMC Medical Imaging</i>, http://hdl.handle.net/11427/14215 en_ZA
dc.identifier.chicagocitation Swingler, George H "Observer variation in chest radiography of acute lower respiratory infections in children: a systematic review." <i>BMC Medical Imaging</i> (2001) http://hdl.handle.net/11427/14215 en_ZA
dc.identifier.vancouvercitation Swingler GH. Observer variation in chest radiography of acute lower respiratory infections in children: a systematic review. BMC Medical Imaging. 2001; http://hdl.handle.net/11427/14215. en_ZA
dc.identifier.ris TY - Journal Article AU - Swingler, George H AB - BACKGROUND: Knowledge of the accuracy of chest radiograph findings in acute lower respiratory infection in children is important when making clinical decisions. METHODS: I conducted a systematic review of agreement between and within observers in the detection of radiographic features of acute lower respiratory infections in children, and described the quality of the design and reporting of studies, whether included or excluded from the review.Included studies were those of observer variation in the interpretation of radiographic features of lower respiratory infection in children (neonatal nurseries excluded) in which radiographs were read independently and a clinical population was studied. I searched MEDLINE, HealthSTAR and HSRPROJ databases (1966 to 1999), handsearched the reference lists of identified papers and contacted authors of identified studies. I performed the data extraction alone. RESULTS: Ten studies of observer interpretation of radiographic features of lower respiratory infection in children were identified. Seven of the studies satisfied four or more of the seven design and reporting criteria. Six studies met the inclusion criteria for the review. Inter-observer agreement varied with the radiographic feature examined. Kappa statistics ranged from around 0.80 for individual radiographic features to 0.27-0.38 for bacterial vs viral etiology. CONCLUSIONS: Little information was identified on observer agreement on radiographic features of lower respiratory tract infections in children. Agreement varied with the features assessed from "fair" to "very good". Aspects of the quality of the methods and reporting need attention in future studies, particularly the description of criteria for radiographic features. DA - 2001 DB - OpenUCT DO - 10.1186/1471-2342-1-1 DP - University of Cape Town J1 - BMC Medical Imaging LK - https://open.uct.ac.za PB - University of Cape Town PY - 2001 T1 - Observer variation in chest radiography of acute lower respiratory infections in children: a systematic review TI - Observer variation in chest radiography of acute lower respiratory infections in children: a systematic review UR - http://hdl.handle.net/11427/14215 ER - en_ZA


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