Otolaryngologists Demonstrate Low Agreement on Pediatric Airway Inflammation Assessment.

ABSTRACT:

Objectives

Microlaryngoscopy and bronchoscopy (MLB) are essential tools for evaluating airway inflammation, but the reliability of endoscopic assessments for this purpose remains unclear. The aim of this study was to assess surgeons' interrater reliability during endoscopic assessment of airway inflammation. The endoscopic factors used to determine overall airway inflammation were also assessed.

Methods

We conducted a cross-sectional study involving 24 pediatric patients who underwent MLB and arytenoid biopsy. Surgeons rated airway inflammation based on endoscopic images, and interrater reliability was assessed using Fleiss' Kappa.

Results

Fleiss's Kappa demonstrated poor interrater reliability among all surgeons (0.111) and experienced surgeons (0.117). Surgeons vari

SUBMITTER: Raj SV 

PROVIDER: S-EPMC11980963 | biostudies-literature | 2025 May

REPOSITORIES: biostudies-literature