Doença do refluxo gastroesofágico em crianças: Quão confiável é o padrão-ouro?

E. Van Os; J. De Schryver; R. H.J. Houwen; W. E.Tjon A. Ten

doi:10.2223/JPED.1834

Doença do refluxo gastroesofágico em crianças: Quão confiável é o padrão-ouro?

Translated title of the contribution: Gastroesophageal reflux disease in children: How reliable is the gold standard?

E. Van Os, J. De Schryver, R. H.J. Houwen, W. E.Tjon A. Ten

Child Health

Research output: Contribution to journal › Article › Academic › peer-review

3 Citations (Scopus)

Abstract

Objective: To investigate the causes and degree of interobserver variability in esophageal pH monitoring for the diagnosis of gastroesophageal reflux. Methods: This retrospective study included all children (n=72) who underwent pH monitoring during 1 year at Maxima Medical Centre in Veldhoven, the Netherlands. Results: An interobserver variability of 18% was found. Variability was caused by differences in opinion about the duration of registration, doubts about probe position, artifacts and drift of baseline pH. Conclusions: Most of these problems can be eliminated by posttest calibration and assessment of the pH electrode position. However, a clear definition of monitoring artifacts is lacking. This study shows that mutual agreement in the interpretation of pH studies was fair (kappa coefficient of 0.70).

Translated title of the contribution	Gastroesophageal reflux disease in children: How reliable is the gold standard?
Original language	Portuguese
Pages (from-to)	84-86
Number of pages	3
Journal	Jornal de Pediatria
Volume	85
Issue number	1
DOIs	https://doi.org/10.2223/JPED.1834
Publication status	Published - 1 Jan 2009

Keywords

Children
Gastroesophageal reflux
Gold standard
pH monitoring

Access to Document

10.2223/JPED.1834

Cite this

@article{e67ad1e328254687976f2702d43e260a,

title = "Doen{\c c}a do refluxo gastroesof{\'a}gico em crian{\c c}as: Qu{\~a}o confi{\'a}vel {\'e} o padr{\~a}o-ouro?",

abstract = "Objective: To investigate the causes and degree of interobserver variability in esophageal pH monitoring for the diagnosis of gastroesophageal reflux. Methods: This retrospective study included all children (n=72) who underwent pH monitoring during 1 year at Maxima Medical Centre in Veldhoven, the Netherlands. Results: An interobserver variability of 18% was found. Variability was caused by differences in opinion about the duration of registration, doubts about probe position, artifacts and drift of baseline pH. Conclusions: Most of these problems can be eliminated by posttest calibration and assessment of the pH electrode position. However, a clear definition of monitoring artifacts is lacking. This study shows that mutual agreement in the interpretation of pH studies was fair (kappa coefficient of 0.70).",

keywords = "Children, Gastroesophageal reflux, Gold standard, pH monitoring",

author = "{Van Os}, E. and {De Schryver}, J. and Houwen, {R. H.J.} and Ten, {W. E.Tjon A.}",

year = "2009",

month = jan,

day = "1",

doi = "10.2223/JPED.1834",

language = "Portuguese",

volume = "85",

pages = "84--86",

number = "1",

}

TY - JOUR

T1 - Doença do refluxo gastroesofágico em crianças

T2 - Quão confiável é o padrão-ouro?

AU - Van Os, E.

AU - De Schryver, J.

AU - Houwen, R. H.J.

AU - Ten, W. E.Tjon A.

PY - 2009/1/1

Y1 - 2009/1/1

N2 - Objective: To investigate the causes and degree of interobserver variability in esophageal pH monitoring for the diagnosis of gastroesophageal reflux. Methods: This retrospective study included all children (n=72) who underwent pH monitoring during 1 year at Maxima Medical Centre in Veldhoven, the Netherlands. Results: An interobserver variability of 18% was found. Variability was caused by differences in opinion about the duration of registration, doubts about probe position, artifacts and drift of baseline pH. Conclusions: Most of these problems can be eliminated by posttest calibration and assessment of the pH electrode position. However, a clear definition of monitoring artifacts is lacking. This study shows that mutual agreement in the interpretation of pH studies was fair (kappa coefficient of 0.70).

AB - Objective: To investigate the causes and degree of interobserver variability in esophageal pH monitoring for the diagnosis of gastroesophageal reflux. Methods: This retrospective study included all children (n=72) who underwent pH monitoring during 1 year at Maxima Medical Centre in Veldhoven, the Netherlands. Results: An interobserver variability of 18% was found. Variability was caused by differences in opinion about the duration of registration, doubts about probe position, artifacts and drift of baseline pH. Conclusions: Most of these problems can be eliminated by posttest calibration and assessment of the pH electrode position. However, a clear definition of monitoring artifacts is lacking. This study shows that mutual agreement in the interpretation of pH studies was fair (kappa coefficient of 0.70).

KW - Children

KW - Gastroesophageal reflux

KW - Gold standard

KW - pH monitoring

UR - http://www.scopus.com/inward/record.url?scp=60149094692&partnerID=8YFLogxK

U2 - 10.2223/JPED.1834

DO - 10.2223/JPED.1834

M3 - Article

C2 - 19198732

AN - SCOPUS:60149094692

SN - 0021-7557

VL - 85

SP - 84

EP - 86

JO - Jornal de Pediatria

JF - Jornal de Pediatria

IS - 1

ER -

Doença do refluxo gastroesofágico em crianças: Quão confiável é o padrão-ouro?

Abstract

Keywords

Access to Document

Other files and links

Fingerprint

Cite this