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A comparative study of two kinds of small bowel cleaning score system for capsule endoscopy

Journal Volume 75 - 2012
Issue Fasc.3 - Original articles
Author(s) H.-b. Chen, Y. Huang, S.-y. Chen, D.-y. Deng, L.-h. Gao, J.-t. Xie, L.-n. Yang, C. Huang, S. He, X.-l. Li
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(1) Department of Gastroenterology, Sanming First Affiliated Hospital of Fujian Medical University, Sanming 365000, China ; (2) Department of Digestive Endoscopy, Fujian Provincial Tumor Hospital, FuZhou 350000, China ; (3) Department of Gastroenterology, the 2nd Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China ; (4) Department of Cardiology, Fu wai hospital of Chinese Academy of Medical Sciences of Peking Union Medical College, Peking 100037, China.

Aim : The study is aim to compare two kinds of cleaning score system for capsule endoscopy, with a view of these two cleaning score system can help to evaluate small bowel cleanliness. Methods : Three readers evaluated these two cleaning score system by assessing the inter-observer, intra-patient, and intra- observer agreement. Results : The assessment of the reliability and concordance, inter-observer agreement and intra-patient agreement of System1 and System2 was excellent with the intraclass correlation coeffi- cient (ICC) values of 0.873, 0.821, 0.863 and 0.772. The data regarding the assessment on intra-observer agreement and intra- patient agreement of System1 and System2 were available and the results were also excellent with ICC values of 0.887, 0.846, 0.870 and 0.809. The overall adequacy assessment of System1 and System2, there was no significant difference among the three read- ers of inter-observer agreement (X2 = 0.051, P = 0.822, X2 = 0.085, P=0.081, X2=0.048, P=0.827) and intra- patient agreement (X2=0.196, P=0.658, X2=0.208, P=0.648, X2=0.054, P= 0.817), neither was intra-observer agreement (X2=0.208, P= 0.648, X2 = 0.223, P = 0.637, X2 = 0.484, P = 0.487) and intra- patient agreement (X2 = 0.054, P = 0.817, X2 = 0.054, P = 0.817, X2 = 0519, P = 0.471). Conclusion : The two system both are simple, operable, and can be used in clinical practice. (Acta gastroenterol. belg., 2012, 75, 342- 348).

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PMID 23082706