Validation of the Endoscopic Part of the Spigelman Classification for Evaluating Duodenal Adenomatosis in Familial Adenomatous Polyposis: A Prospective Study of Interrater and Intrarater Reliability

John Gásdal Karstensen; Steffen Bülow; Johan Burisch; Mark Bremholm Ellebæk; Marcin Ostapiuk; Hans Christian Pommergaard; Palle Nordblad Schmidt

doi:10.14309/ajg.0000000000001582

Validation of the Endoscopic Part of the Spigelman Classification for Evaluating Duodenal Adenomatosis in Familial Adenomatous Polyposis: A Prospective Study of Interrater and Intrarater Reliability

John Gásdal Karstensen, Steffen Bülow, Johan Burisch, Mark Bremholm Ellebæk, Marcin Ostapiuk, Hans Christian Pommergaard, Palle Nordblad Schmidt

Gastrounit, Surgical Division

6 Citations (Scopus)

Abstract

INTRODUCTION: In patients with familial adenomatous polyposis, the Spigelman classification is recommended for staging and risk stratification of duodenal adenomatosis. Although the classification has been used for decades, it has never been formally validated.

METHODS: We included consecutive FAP patients undergoing upper gastrointestinal endoscopic surveillance and evaluated the inter- and intrarater reliability of the Spigelman classification.

RESULTS: The interrater reliability of the endoscopic parameters and the Spigelman classification was good and excellent, respectively. The intrarater reliability of the endoscopic parameters and the Spigelman classification was moderate and good, respectively.

DISCUSSION: The results support continued use of the Spigelman classification as the primary end point for future studies and as key endoscopic performance measure.

Original language	English
Article number	0000000000001582
Journal	The American journal of gastroenterology
Volume	117
Issue number	2
Pages (from-to)	343-345
Number of pages	3
ISSN	0002-9270
DOIs	https://doi.org/10.14309/ajg.0000000000001582
Publication status	Published - Feb 2022

Keywords

Adenomatous Polyposis Coli/classification
Adult
Biopsy
Duodenal Neoplasms/classification
Duodenoscopy/methods
Duodenum/pathology
Female
Follow-Up Studies
Humans
Male
Neoplasm Staging/methods
Prospective Studies
ROC Curve
Reproducibility of Results

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10.14309/ajg.0000000000001582

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Karstensen, J. G., Bülow, S., Burisch, J., Ellebæk, M. B., Ostapiuk, M., Pommergaard, H. C., & Schmidt, P. N. (2022). Validation of the Endoscopic Part of the Spigelman Classification for Evaluating Duodenal Adenomatosis in Familial Adenomatous Polyposis: A Prospective Study of Interrater and Intrarater Reliability. The American journal of gastroenterology, 117(2), 343-345. Article 0000000000001582. https://doi.org/10.14309/ajg.0000000000001582

Validation of the Endoscopic Part of the Spigelman Classification for Evaluating Duodenal Adenomatosis in Familial Adenomatous Polyposis: A Prospective Study of Interrater and Intrarater Reliability. / Karstensen, John Gásdal; Bülow, Steffen; Burisch, Johan et al.
In: The American journal of gastroenterology, Vol. 117, No. 2, 0000000000001582, 02.2022, p. 343-345.

Research output: Contribution to journal › Journal article › Research › peer-review

Karstensen, JG, Bülow, S, Burisch, J, Ellebæk, MB, Ostapiuk, M, Pommergaard, HC & Schmidt, PN 2022, 'Validation of the Endoscopic Part of the Spigelman Classification for Evaluating Duodenal Adenomatosis in Familial Adenomatous Polyposis: A Prospective Study of Interrater and Intrarater Reliability', The American journal of gastroenterology, vol. 117, no. 2, 0000000000001582, pp. 343-345. https://doi.org/10.14309/ajg.0000000000001582

Karstensen JG, Bülow S, Burisch J, Ellebæk MB, Ostapiuk M, Pommergaard HC et al. Validation of the Endoscopic Part of the Spigelman Classification for Evaluating Duodenal Adenomatosis in Familial Adenomatous Polyposis: A Prospective Study of Interrater and Intrarater Reliability. The American journal of gastroenterology. 2022 Feb;117(2):343-345. 0000000000001582. doi: 10.14309/ajg.0000000000001582

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abstract = "INTRODUCTION: In patients with familial adenomatous polyposis, the Spigelman classification is recommended for staging and risk stratification of duodenal adenomatosis. Although the classification has been used for decades, it has never been formally validated.METHODS: We included consecutive FAP patients undergoing upper gastrointestinal endoscopic surveillance and evaluated the inter- and intrarater reliability of the Spigelman classification.RESULTS: The interrater reliability of the endoscopic parameters and the Spigelman classification was good and excellent, respectively. The intrarater reliability of the endoscopic parameters and the Spigelman classification was moderate and good, respectively.DISCUSSION: The results support continued use of the Spigelman classification as the primary end point for future studies and as key endoscopic performance measure.",

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author = "Karstensen, \{John G{\'a}sdal\} and Steffen B{\"u}low and Johan Burisch and Elleb{\ae}k, \{Mark Bremholm\} and Marcin Ostapiuk and Pommergaard, \{Hans Christian\} and Schmidt, \{Palle Nordblad\}",

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AU - Karstensen, John Gásdal

AU - Bülow, Steffen

AU - Burisch, Johan

AU - Ellebæk, Mark Bremholm

AU - Ostapiuk, Marcin

AU - Pommergaard, Hans Christian

AU - Schmidt, Palle Nordblad

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N2 - INTRODUCTION: In patients with familial adenomatous polyposis, the Spigelman classification is recommended for staging and risk stratification of duodenal adenomatosis. Although the classification has been used for decades, it has never been formally validated.METHODS: We included consecutive FAP patients undergoing upper gastrointestinal endoscopic surveillance and evaluated the inter- and intrarater reliability of the Spigelman classification.RESULTS: The interrater reliability of the endoscopic parameters and the Spigelman classification was good and excellent, respectively. The intrarater reliability of the endoscopic parameters and the Spigelman classification was moderate and good, respectively.DISCUSSION: The results support continued use of the Spigelman classification as the primary end point for future studies and as key endoscopic performance measure.

AB - INTRODUCTION: In patients with familial adenomatous polyposis, the Spigelman classification is recommended for staging and risk stratification of duodenal adenomatosis. Although the classification has been used for decades, it has never been formally validated.METHODS: We included consecutive FAP patients undergoing upper gastrointestinal endoscopic surveillance and evaluated the inter- and intrarater reliability of the Spigelman classification.RESULTS: The interrater reliability of the endoscopic parameters and the Spigelman classification was good and excellent, respectively. The intrarater reliability of the endoscopic parameters and the Spigelman classification was moderate and good, respectively.DISCUSSION: The results support continued use of the Spigelman classification as the primary end point for future studies and as key endoscopic performance measure.

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KW - Adult

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KW - Duodenal Neoplasms/classification

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KW - Duodenum/pathology

KW - Female

KW - Follow-Up Studies

KW - Humans

KW - Male

KW - Neoplasm Staging/methods

KW - Prospective Studies

KW - ROC Curve

KW - Reproducibility of Results

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DO - 10.14309/ajg.0000000000001582

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JO - The American journal of gastroenterology

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Validation of the Endoscopic Part of the Spigelman Classification for Evaluating Duodenal Adenomatosis in Familial Adenomatous Polyposis: A Prospective Study of Interrater and Intrarater Reliability

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