Post-Ureteroscopic Lesion Scale to determine ureteral wall damage, not so easy to employ
Objective: To analyze the level of agreement of the Post-Ureteroscopic Lesion Scale (PULS) and the consequences on its application in clinical practice with more reliable statistical data than the one used in the original work. Methods: 14 URS and 14 micro-URS were performed in 14 female porcine mod...
| Autores: | , , , , , , , |
|---|---|
| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2024 |
| País: | España |
| Institución: | Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL) |
| Repositorio: | r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante |
| OAI Identifier: | oai:isabial.fundanetsuite.com:p10476 |
| Acceso en línea: | https://isabial.portalinvestigacion.com/publicaciones10476 https://www.sciencedirect.com/science/article/pii/S0210480623001304?via%3Dihub |
| Access Level: | acceso abierto |
| Palabra clave: | Ureteral lesion Scale Concordance Ureteroscopy Micro-ureteroscopy Post-Ureteroscopic Lesion Scale |
| Sumario: | Objective: To analyze the level of agreement of the Post-Ureteroscopic Lesion Scale (PULS) and the consequences on its application in clinical practice with more reliable statistical data than the one used in the original work. Methods: 14 URS and 14 micro-URS were performed in 14 female porcine model. All the procedures were video recorded and an anatomopathological analysis was performed in each ureter. Sixteen urologists (9 endourologists and 7 general urologists) and 4 residents evaluated the ureteral lesions according to the PULS, with degrees 0, 1 and >= 2. The agreement was calculated with percentages, Kendall's W coefficient and the indicators Fleiss' Kappa and Krippendorff's Alpha, while the inter -rater agreement was calculated with Spearman's correlation and Cohen's Kappa. Results: The percent of agreement was 11.1%. The coefficients were likewise classified as low or very low, with the greatest agreement found among the inexperienced. Also, 50% of the raters did not agree with the rest. Conclusions: The low inter -rater agreement, the specificity of the PULS and the clinicalpathological correlation suggests that this scale is not simple, and probably has a long learning curve. (c) 2023 The Authors. Published by Elsevier Espa & ntilde;a, S.L.U. on behalf of AEU. This is an open access article under the CC BY -NC -ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
|---|