Inter-observer agreement on levels of evidence in radiology articles

C. García-Villar , J.M. Plasencia-Martínez , M.T. Gutiérrez-Amares , J.M. García-Santos
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Abstract

Levels of evidence (LE) are established through a hierarchical classification of studies according to their design. At present, there are many heterogeneous LE classifications, and this hampers their applicability. Our study aims to identify which LE classification has the best interobserver concordance for radiology articles. For this purpose, an interobserver agreement analysis were performed on 105 original articles applying two NE scales (Oxford Center of Evidence Based Medicine (OCEBM) y National Health and Medical Research Council (NHMRC)). The inter-rater agreement of the LE assigned after reading the abstracts was good when using the OCEBM scale (K = 0.679), and somewhat lower with the NHMRC (K = 0.577 -moderate-). All differences were statistically significant (P < .000). So, in conclusion, of the two scales analysed (OCEBM and NHMRC), the OCEBM led to the strongest level of inter-rater agreement.

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关于放射学文章证据水平的观察员间协议
证据水平(LE)是根据其设计通过研究的分层分类建立的。目前,存在许多异构的LE分类,这阻碍了它们的适用性。我们的研究旨在确定哪种LE分类在放射学文章中具有最佳的观察者间一致性。为此,采用两种NE量表(牛津循证医学中心(OCEBM)和国家卫生与医学研究委员会(NHMRC))对105篇原创文章进行了观察者间一致性分析。使用OCEBM量表(K = 0.679)时,阅读摘要后分配的LE的评分间一致性较好,使用NHMRC量表(K = 0.577 -moderate-)时,评分间一致性略低。差异均有统计学意义(P < .000)。因此,总而言之,在所分析的两个量表(OCEBM和NHMRC)中,OCEBM导致了最强烈的等级间一致性。
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