Accuracy of the interpretation of chest radiographs for the diagnosis of paediatric pneumonia

Elemraid, Mohamed A., Muller, Michelle, Spencer, David A., Rushton, Stephen P., Gorton, Russell, Thomas, Matthew F., Eastham, Katherine M., Hampton, Fiona, Gennery, Andrew R. and Clark, Julia E. (2014) Accuracy of the interpretation of chest radiographs for the diagnosis of paediatric pneumonia. PLoS ONE, 9 8: . doi:10.1371/journal.pone.0106051


Author Elemraid, Mohamed A.
Muller, Michelle
Spencer, David A.
Rushton, Stephen P.
Gorton, Russell
Thomas, Matthew F.
Eastham, Katherine M.
Hampton, Fiona
Gennery, Andrew R.
Clark, Julia E.
Title Accuracy of the interpretation of chest radiographs for the diagnosis of paediatric pneumonia
Journal name PLoS ONE   Check publisher's open access policy
ISSN 1932-6203
Publication date 2014-08-22
Sub-type Article (original research)
DOI 10.1371/journal.pone.0106051
Open Access Status DOI
Volume 9
Issue 8
Total pages 5
Place of publication San Francisco, United States
Publisher Public Library of Science
Language eng
Abstract Introduction: World Health Organization (WHO) radiological classification remains an important entry criterion in epidemiological studies of pneumonia in children. We report inter-observer variability in the interpretation of 169 chest radiographs in children suspected of having pneumonia. Methods: An 18-month prospective aetiological study of pneumonia was undertaken in Northern England. Chest radiographs were performed on eligible children aged ≤16 years with clinical features of pneumonia. The initial radiology report was compared with a subsequent assessment by a consultant cardiothoracic radiologist. Chest radiographic changes were categorised according to the WHO classification. Results: There was significant disagreement (22%) between the first and second reports (kappa = 0.70, P<0.001), notably in those aged <5 years (26%, kappa = 0.66, P<0.001). The most frequent sources of disagreement were the reporting of patchy and perihilar changes. Conclusion: This substantial inter-observer variability highlights the need for experts from different countries to create a consensus to review the radiological definition of pneumonia in children.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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