Very good inter-rater reliability of Engel and ILAE epilepsy surgery outcome classifications in a series of 76 patients

被引：78

作者：

Durnford, Andrew J. ^{[2
]}

Rodgers, William ^{[3
]}

Kirkham, Fenella J. ^{[1
,2
]}

Mullee, Mark A. ^{[4
]}

Whitney, Andrea ^{[2
]}

Prevette, Martin ^{[5
]}

Kintone, Lucy ^{[5
]}

Harris, Matthew ^{[1
]}

Gray, William P. ^{[1
]}

机构：

[1] Univ Southampton, Southampton Gen Hosp, Div Clin Neurosci, Southampton SO16 6YD, Hants, England

[2] Southampton Univ Hosp NHS Trust, Southampton, Hants, England

[3] Royal Bournemouth Hosp, Dept Surg, Bournemouth, Dorset, England

[4] Sch Med, Southampton, Hants, England

[5] Southampton Univ Hosp NHS Trust, Wessex Neurosci Unit, Dept Neurosurg, Southampton, Hants, England

来源：

SEIZURE-EUROPEAN JOURNAL OF EPILEPSY | 2011年 / 20卷 / 10期

基金：

英国医学研究理事会;

关键词：

Inter-rater; Outcome; Epilepsy surgery; ILAE; Engel; TEMPORAL-LOBE EPILEPSY; SEIZURE;

D O I：

10.1016/j.seizure.2011.08.004

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The inter-rater reliability, expressed as kappa score, k, of the Engel and International League Against Epilepsy (ILAE) classifications of epilepsy surgery seizure outcome has not previously been evaluated. In a consecutive series of 76 patients (40 male; 25 children), 75 undergoing resective and 1 disconnective surgery at a mean age of 27.5 years (13 months-62 years), one observer classified 88% (n = 67) and a second observer classified 87% (n = 66) of patients as either Engel I or II (free from or rare disabling seizures) after a median follow up of 36 months (range 12-92 months); comparably, both observers classified 84% (n = 64) as ILAE 1-3. Correlation for Engel versus ILAE for observer 1 was 0.933 (p < .0005) and for observer 2 was 0.931 (p < .0005). Both ILAE (k 0.81, 95% confidence intervals 0.69, 0.91) and Engel (k 0.77, 95% CI 0.65, 0.87) classifications have very acceptable inter-rater reliability as well as significant correlation. (C) 2011 Published by Elsevier Ltd on behalf of British Epilepsy Association.

引用

页码：809 / 812

页数：4

共 11 条

[11] Proposal for a new classification of outcome with respect to epileptic seizures following epilepsy surgery [J].

Wieser, HG ;

Blume, WT ;

Fish, G ;

Goldensohn, E ;

Hufnagel, A ;

King, D ;

Sperling, MR ;

Lüders, H .

EPILEPSIA, 2001, 42 (02) :282-286

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