연하 장애의 정확한 진단을 위한 굴곡형 내시경 검사 항목의 표준화를 위한 연구open accessStandardization of FEES Evaluation for the Accurate Diagnosis of Dysphagia
- Other Titles
- Standardization of FEES Evaluation for the Accurate Diagnosis of Dysphagia
- Authors
- Kim, Bo Young; Lee, Jin; Kim, Bo Hae; Park, Hanaro; Park, Sung Joon; Song, Chang Myeon; Chung, Eun-Jae; Kwon, Tack-Kyun; Jin, Young Ju
- Issue Date
- Jan-2022
- Publisher
- 대한연하장애학회
- Keywords
- Fiberoptic endoscopic evaluation of swallowing; Swallowing disorder; Fill out form
- Citation
- 대한연하장애학회지, v.12, no.1, pp.59 - 63
- Indexed
- KCI
- Journal Title
- 대한연하장애학회지
- Volume
- 12
- Number
- 1
- Start Page
- 59
- End Page
- 63
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/184757
- DOI
- 10.34160/jkds.2022.12.1.007
- ISSN
- 2233-5978
- Abstract
- Objective: Fiberoptic endoscopic evaluation of swallowing (FEES) is a standard diagnostic tool for swallowing disorders. However, it has not been used frequently in Korea because of the long test time, low cost, and the ab-sence of a standard evaluation system. The purpose of this study was to suggest a standard fill-out form for the FEES result.
Methods: From February 2019 to June 2020, a total of 98 FEES tests were performed by an otolaryngologist (JYJ) at the Wonkwang University Hospital. After the exclusion of 68 cases, 30 cases were analyzed twice by 4 raters with over 5 years of experience as otolaryngologists working in various hospitals. The results were measured for the rater’s test-retest reliability and inter-rater consistency.
Results: Cohen’s kappa values for measuring the intra-rater consistency of the four raters were 0.984, 0.887, 0.848, and 0.930, respectively, meaning very good alignment of 0.8 or more, respectively. The Fleiss Kappa value for measuring inter-rater consistency was 0.276, meaning ‘fair’ for values of 0.2 or more. To examine consistency, an intraclass correlation coefficient (ICC) analysis conducted by assuming the grading score to be a constant con-tinuous variable gave an ICC value of 0.729 (P<0.001), showing a very reliable tendency.
Conclusion: In this study, all the items of the fill-out form were rated using a three-step grading scale, so the de-gree of agreement was high when performed twice by the same rater, but the degree of agreement among raters was relatively low. Therefore, our fill-out form for FEES will be useful in evaluating the improvement of a patient over the course of clinical treatment.
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