The effect of anchors on reliability of endoscopic tremor ratings.
The effect of anchors on reliability of endoscopic tremor ratings.
复制标题
锚对内窥镜震颤评级可靠性的影响。
DOI：
10.1002/lary.26034
复制
发表时间：
2017
期刊：
影响因子：
--
通讯作者：
Mihaila,Dragos
中科院分区：
文献类型：
--
作者：
Lowell,SorenY;Kelley,RichardT;Busekroos,Lauren;Voleti,Ramani;Hosbach-Cannon,CarlyJ;Colton,RaymondH;Mihaila,Dragos
Objectives/HypothesisThe purpose of this study was to determine effects of anchors and training on intrarater and inter-rater reliability for visual-perceptual，endoscopic tremor ratings.Study DesignProspective cohort study. MethodsNasoendoscopic recordings of 10 participants with a diagnosis of essential voice tremor were evaluated by five voice experts using the Vocal Tremor Scoring System.在实施锚刺激训练计划之前、之后立即和之后4周进行评级。即时和长期培训后的评级进行了同时使用的锚样品为each rating.ResultsIntrarater可靠性显示显着改善，从训练前到即时和长期培训后。平均相关系数（斯皮尔曼rho）从训练前的0.71分别增加到训练后即刻和长期的0.84和0.90。评分员间的可靠性不受训练与锚，平均相关系数范围从0.62在训练前的0.58和0.64在立即和长期post-training，respectively.ConclusionsConsistent，可重复的评级是至关重要的解释和比较内镜震颤数据。本研究的可靠性结果表明，使用锚样本作为参照物对口咽和喉部震颤的严重程度进行顺序判断有助于提高内部标准和一致性，但对于不同评定者之间的校准用处不大。证据等级4喉镜，2016年127：411-416，2017
Objectives/HypothesisThe purpose of this study was to determine the effects of anchors and training on intrarater and inter‐rater reliability for visual‐perceptual, endoscopic tremor ratings.Study DesignProspective cohort study.MethodsNasoendoscopy recordings of 10 participants with a diagnosis of essential voice tremor were evaluated by five voice specialists using the Vocal Tremor Scoring System. Ratings were performed before, immediately after, and 4 weeks after implementation of a training program with anchor stimuli. Immediate and long‐term post‐training ratings were performed with simultaneous use of anchor samples for each rating.ResultsIntrarater reliability showed significant improvement from pretraining to immediate and long‐term post‐training. Mean correlation coefficients (Spearman's rho) increased from 0.71 at pretraining to 0.84 and 0.90 at immediate and long‐term post‐training, respectively. Inter‐rater reliability was not affected by training with anchors, with mean correlation coefficients ranging from 0.62 at pretraining to 0.58 and 0.64 at immediate and long‐term post‐training, respectively.ConclusionsConsistent, reproducible ratings are critical for the interpretation and comparison of endoscopic tremor data. Reliability findings from this study indicate that the use of anchor samples as referents for making ordinal judgments about the severity of tremor in oropharyngeal and laryngeal regions was helpful for improving internal standards and consistency but less useful for calibrating across different raters.Level of Evidence4Laryngoscope, 2016 127:411–416, 2017