Prospective evaluation of intra-observer variability of the hydronephrosis index in sonographic examination of 44 patients with acute renal colic

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Prospective evaluation of intra-observer variability of the hydronephrosis index in sonographic examination of 44 patients with acute renal colic. / Rud, Oleg; Horstmann, Marcus; Aziz, Atiqullah; Fritsche, Hans-Martin; Brookman-May, Sabine; Gilfrich, Christian; Burger, Maximilian; May, Matthias.

In: WORLD J UROL, Vol. 32, No. 3, 01.06.2014, p. 691-695.

Research output: SCORING: Contribution to journalSCORING: Journal articleResearchpeer-review

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Rud, O, Horstmann, M, Aziz, A, Fritsche, H-M, Brookman-May, S, Gilfrich, C, Burger, M & May, M 2014, 'Prospective evaluation of intra-observer variability of the hydronephrosis index in sonographic examination of 44 patients with acute renal colic', WORLD J UROL, vol. 32, no. 3, pp. 691-695. https://doi.org/10.1007/s00345-013-1119-y

APA

Rud, O., Horstmann, M., Aziz, A., Fritsche, H-M., Brookman-May, S., Gilfrich, C., Burger, M., & May, M. (2014). Prospective evaluation of intra-observer variability of the hydronephrosis index in sonographic examination of 44 patients with acute renal colic. WORLD J UROL, 32(3), 691-695. https://doi.org/10.1007/s00345-013-1119-y

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@article{94d8a7e54bcf43dd9b7eead815c0d741,
title = "Prospective evaluation of intra-observer variability of the hydronephrosis index in sonographic examination of 44 patients with acute renal colic",
abstract = "PURPOSE: The aim of our prospective designed study was to confirm the intra-observer agreement of assessments of the hydronephrosis index (HI) with a sonographic technique that potentially provides additional information in patients with acute renal colic (ARC).METHODS: Sonographic measurement of HI and valuation of common clinical criteria were performed in 44 consecutive patients presenting with unilateral stone-related ARC. HI of colic side was recorded twice in predefined time intervals. Intra-observer agreement was evaluated with the Spearman's rank correlation/rho (ρ) for attributive-metric characteristics. Data of HI-measurement on the colic side were compared with data of the unaffected side using t test.RESULTS: Intra-observer agreement was significant for HI in the colic side (ρ = 0.918, p < 0.001) and in the unaffected side (ρ = 0.826, p < 0.001). The mean HI between colic and unaffected side differed significantly on the first evaluation (85.2 vs. 93.7, respectively; p < 0.001) and on the second evaluation (85.1 vs. 93.6, respectively; p < 0.001) as well.CONCLUSIONS: The HI method is a slightly feasible examination method in patients presenting with stone-related renal colic. Moreover, it offers a solid discrimination between obstruction and non-obstruction. Our prospective trial illustrates HI as a reproducible method with a high-grade intra-observer agreement. However, potential change of values under medical expulsive therapy and coherency with the functionality of the obstructed kidney may lead to bias and therefore remain to be analyzed. Further studies to specify exact thresholds for this method and to state our findings are required.",
keywords = "Diagnosis, Differential, Female, Follow-Up Studies, Humans, Hydronephrosis, Male, Middle Aged, Observer Variation, Prospective Studies, Renal Colic, Reproducibility of Results, Tomography, X-Ray Computed",
author = "Oleg Rud and Marcus Horstmann and Atiqullah Aziz and Hans-Martin Fritsche and Sabine Brookman-May and Christian Gilfrich and Maximilian Burger and Matthias May",
year = "2014",
month = jun,
day = "1",
doi = "10.1007/s00345-013-1119-y",
language = "English",
volume = "32",
pages = "691--695",
journal = "WORLD J UROL",
issn = "0724-4983",
publisher = "Springer",
number = "3",

}

RIS

TY - JOUR

T1 - Prospective evaluation of intra-observer variability of the hydronephrosis index in sonographic examination of 44 patients with acute renal colic

AU - Rud, Oleg

AU - Horstmann, Marcus

AU - Aziz, Atiqullah

AU - Fritsche, Hans-Martin

AU - Brookman-May, Sabine

AU - Gilfrich, Christian

AU - Burger, Maximilian

AU - May, Matthias

PY - 2014/6/1

Y1 - 2014/6/1

N2 - PURPOSE: The aim of our prospective designed study was to confirm the intra-observer agreement of assessments of the hydronephrosis index (HI) with a sonographic technique that potentially provides additional information in patients with acute renal colic (ARC).METHODS: Sonographic measurement of HI and valuation of common clinical criteria were performed in 44 consecutive patients presenting with unilateral stone-related ARC. HI of colic side was recorded twice in predefined time intervals. Intra-observer agreement was evaluated with the Spearman's rank correlation/rho (ρ) for attributive-metric characteristics. Data of HI-measurement on the colic side were compared with data of the unaffected side using t test.RESULTS: Intra-observer agreement was significant for HI in the colic side (ρ = 0.918, p < 0.001) and in the unaffected side (ρ = 0.826, p < 0.001). The mean HI between colic and unaffected side differed significantly on the first evaluation (85.2 vs. 93.7, respectively; p < 0.001) and on the second evaluation (85.1 vs. 93.6, respectively; p < 0.001) as well.CONCLUSIONS: The HI method is a slightly feasible examination method in patients presenting with stone-related renal colic. Moreover, it offers a solid discrimination between obstruction and non-obstruction. Our prospective trial illustrates HI as a reproducible method with a high-grade intra-observer agreement. However, potential change of values under medical expulsive therapy and coherency with the functionality of the obstructed kidney may lead to bias and therefore remain to be analyzed. Further studies to specify exact thresholds for this method and to state our findings are required.

AB - PURPOSE: The aim of our prospective designed study was to confirm the intra-observer agreement of assessments of the hydronephrosis index (HI) with a sonographic technique that potentially provides additional information in patients with acute renal colic (ARC).METHODS: Sonographic measurement of HI and valuation of common clinical criteria were performed in 44 consecutive patients presenting with unilateral stone-related ARC. HI of colic side was recorded twice in predefined time intervals. Intra-observer agreement was evaluated with the Spearman's rank correlation/rho (ρ) for attributive-metric characteristics. Data of HI-measurement on the colic side were compared with data of the unaffected side using t test.RESULTS: Intra-observer agreement was significant for HI in the colic side (ρ = 0.918, p < 0.001) and in the unaffected side (ρ = 0.826, p < 0.001). The mean HI between colic and unaffected side differed significantly on the first evaluation (85.2 vs. 93.7, respectively; p < 0.001) and on the second evaluation (85.1 vs. 93.6, respectively; p < 0.001) as well.CONCLUSIONS: The HI method is a slightly feasible examination method in patients presenting with stone-related renal colic. Moreover, it offers a solid discrimination between obstruction and non-obstruction. Our prospective trial illustrates HI as a reproducible method with a high-grade intra-observer agreement. However, potential change of values under medical expulsive therapy and coherency with the functionality of the obstructed kidney may lead to bias and therefore remain to be analyzed. Further studies to specify exact thresholds for this method and to state our findings are required.

KW - Diagnosis, Differential

KW - Female

KW - Follow-Up Studies

KW - Humans

KW - Hydronephrosis

KW - Male

KW - Middle Aged

KW - Observer Variation

KW - Prospective Studies

KW - Renal Colic

KW - Reproducibility of Results

KW - Tomography, X-Ray Computed

U2 - 10.1007/s00345-013-1119-y

DO - 10.1007/s00345-013-1119-y

M3 - SCORING: Journal article

C2 - 23793577

VL - 32

SP - 691

EP - 695

JO - WORLD J UROL

JF - WORLD J UROL

SN - 0724-4983

IS - 3

ER -