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2019-01-01

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cc by-nc-nd (c) Journal of Gastrointestinal and Liver Diseases, 2019
Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/171636

The DICA Endoscopic Classification for Diverticular Disease of the Colon Shows a Significant Interobserver Agreement among Community Endoscopists: an International Study

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https://doi.org/10.15403/jgld-558

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Background & Aims: The Diverticular Inflammation and Complication Assessment (DICA) endoscopic classification of diverticulosis and diverticular disease (DD) is currently available. It scores severity of the disease as DICA 1, DICA 2 and DICA 3. Our aim was to assess the agreement on this classification in an international endoscopists community setting. Methods: A total of 96 doctors (82.9% endoscopists) independently scored a set of DD endoscopic videos. The percentages of overall agreement on DICA score and a free-marginal multirater kappa (kappa) coefficient were reported as statistical measures of interrater agreement. Results: Overall agreement in using DICA was 91.8% with a free-marginal kappa of 88% (95% CI 80-95). The overall agreement levels were: DICA 1, 85.2%; DICA 2, 96.5%; DICA 3, 99.5%. The free marginal. was: DICA 1 = 0.753, DICA 2 = 0.958, DICA 3 = 0.919. The agreement about the main endoscopic items was 83.4% (k 67%) for diverticular extension, 62.6% (k 65%) for number of diverticula for each district, 86.8% (k 82%) for presence of inflammation, and 98.5 (k 98%) for presence of complications. Conclusions: The overall interrater agreement in this study ranges from good to very good. DICA score is a simple and reproducible endoscopic scoring system for diverticulosis and DD.

Matèries

Malalties del còlon, Colonoscòpia

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Colonic diseases, Colonoscopy

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Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))

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TURSI, Antonio, BRANDIMARTE, Giovanni, MARIO, Francesco di, LANAS, Angel, SCARPIGNATO, Carmelo, BAFUTTO, Mauro, BARBARA, Giovanni, BASSOTTI, Gabrio, BINDA, Gian andrea, BIONDI, Alberto, BIONDO, Sebastián, CASSIERI, Claudio, CRUCITTI, Antonio, DUMITRASCU, Dan l., ELISEI, Walter, ESCALANTE, Ricardo, HERSZENYI, László, KRUIS, Wolfgang, KUPCINSKAS, Juozas, LAHAT, Adi, LECCA, Piera g., MACONI, Giovanni, MALFERTHEINER, Peter, MAZZARRI, Andrea, MEARIN, Fermín, MILOSAVLJEVIĊ, Tomica, NARDONE, Gerardo, CHAVEZ DE OLIVEIRA, Enio, PAPA, Alfredo, PAPAGRIGORIADIS, Savvas, PERA ROMÁN, Miguel, PERSIANI, Roberto, PICCHIO, Marcello, REGULA, Jaroslaw, ŠTIMAC, Davor, STOLLMAN, Neil, STRATE, Lisa l.. The DICA Endoscopic Classification for Diverticular Disease of the Colon Shows a Significant Interobserver Agreement among Community Endoscopists: an International Study. _Journal of Gastrointestinal and Liver Diseases_. 2019. Vol. 28, núm. 39-43. [consulta: 10 de gener de 2026]. [Disponible a: https://hdl.handle.net/2445/171636]

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