Interexaminer agreement of Friedman tongue positions for staging of obstructive sleep apnea/hypopnea syndrome

Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
Michael FriedmanNinos J Joseph

Abstract

To determine if strong interexaminer agreement exists in identifying Friedman tongue positions (FTPs) for staging of obstructive sleep apnea/hypopnea syndrome (OSAHS). Twenty-six digital video clips of oropharyngeal examinations were prepared to demonstrate FTPs I through IV. Specific parameters for each FTP were provided to 126 examiners (otolaryngology residents, attendings, and fellows). The video clips were then presented to the examiners to determine the FTP. Kappa statistical analysis was used to evaluate the degree of intergrader agreement or disagreement. A generalized kappa statistic of 0.8 is considered the upper limits of substantial agreement. Thus, the overall kappa value (0.82) as well as all the subgroup kappa values for attendings (0.84), fellows (0.87), and residents (0.84) represented "very good" agreement. The strong interexaminer correlation of FTP demonstrated by this study indicates that FTP may be a useful adjunct in describing hypopharyngeal anatomy in patients with OSAHS.

References

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Citations

Mar 3, 2009·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Michael FriedmanHsueh-Wen Chang
Mar 23, 2010·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Michael FriedmanHsueh-Wen Chang
Aug 29, 2009·Current Opinion in Otolaryngology & Head and Neck Surgery·Jonathan A Perkins
Feb 26, 2014·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Chi-Chih LaiYung-Che Chen
Feb 28, 2013·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Hsin-Ching LinChristian Samuelson
Mar 5, 2015·International Journal of Pediatric Otorhinolaryngology·David G IngramNorman R Friedman
Jun 13, 2016·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Keith VolnerMacario Camacho
Nov 24, 2016·Acta Oto-laryngologica·Joar SundmanDanielle Friberg
Aug 27, 2015·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Norman R FriedmanEric J Kezirian
Jan 17, 2013·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Michael FriedmanThomas Pott
May 26, 2016·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Tarek Abdelzaher EmaraAhmad Elsayed Ebrahem
Jun 22, 2018·The Annals of Otology, Rhinology, and Laryngology·Chi-Chih LaiPa-Chun Wang
Apr 3, 2019·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Hsin-Ching LinChien-Hung Chin
Jan 22, 2020·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Roy XiaoAlan H Kominsky
Jan 30, 2020·Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine·Jason L Yu, Ilene Rosen
Mar 3, 2020·The Journal of Craniofacial Surgery·Berk GurpinarDerya Karadeniz
Apr 18, 2018·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Joar SundmanDanielle Friberg
Apr 8, 2020·International Journal of Otolaryngology·Lars M BergVegard Bugten
Nov 30, 2021·Sleep & Breathing = Schlaf & Atmung·Tolga ErsözlüNejat Altintas

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