id	metarevistapublica_asoneumocito_revistacolombianadeneumologia_28_article_169
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spelling	Cardiopulmonary exercise testing assesses exercise tolerance and provides a comprehensive evaluation of the respiratory, cardiovascular, and muscular systems. It is useful in the differential diagnosis of specific cardiopulmonary alterations versus psychological disorders or malingering. However, different interpretations can arise.Objective: to assess the degree of interobserver concordance in the interpretation of cardiopulmonary exercise testing by using K. Wasserman's algorithm in a population of young patients wounded in combat.Materials and methods: a study of concordance in the interpretation of 33 cardiopulmonary exercise tests by three observers and two computerized programs. In the first place, the analysis was done between the results of each observation with the final diagnosis given by a consensus of the observers. Secondly, an interobserver analysis was done with the different diagnoses that can be reached by way of the kappa coefficient. A p&lt;0,05 value was considered to be statistically significant.Results: the best correlations between the observers and the final diagnosis were observed under the categories "normal" and "abnormal", kappa strength of agreement from weak to good (0,2725 - 0,6959 with p&lt;0,05). Kappa values diminished with more specific diagnoses. The best interobserver concordance was found when comparing specific diagnoses, with higher kappa coefficients for the diagnosis of pulmonary diseases.Conclusion: the diagnostic algorithm used for interpreting cardiopulmonary exercise testing has low overall concordance coefficients for this population. As a consequence, this population requires adequate focusing by way of a clinical history with validated diagnostic algorithms that can be complemented with specific computer programs. Bastidas, MD., Alirio Rodrigo Hicapie, MD., Gustavo Adolfo Pernett, MD., Frank Boris Fletcher, MD., Angélica Viviana Bastidas, Luis Guillermo exercise testing nonparametric statistics wounds and injuries test de ejercicio estadística no paramétrica heridas y lesiones 23 1 Artículo de revista Journal article 2017-04-12T21:14:36Z 2017-04-12T21:14:36Z 2017-04-12 application/pdf Asociación Colombiana de Neumología y Cirugía de Tórax Revista Colombiana de Neumología 0121-5426 2538-9513 https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/169 10.30789/rcneumologia.v23.n1.2011.169 https://doi.org/10.30789/rcneumologia.v23.n1.2011.169 spa https://creativecommons.org/licenses/by-nc-sa/4.0/ Revista Colombiana de Neumología - 2017 2 7 https://revistas.asoneumocito.org/index.php/rcneumologia/article/download/169/158 info:eu-repo/semantics/article http://purl.org/coar/resource_type/c_6501 http://purl.org/coar/resource_type/c_2df8fbb1 http://purl.org/redcol/resource_type/ART info:eu-repo/semantics/publishedVersion http://purl.org/coar/version/c_970fb48d4fbd8a85 info:eu-repo/semantics/openAccess http://purl.org/coar/access_right/c_abf2 Text Publication
institution	ASOCIACION COLOMBIANA DE NEUMOLOGIA Y CIRUGIA DE TORAX
thumbnail	https://nuevo.metarevistas.org/ASOCIACIONCOLOMBIANADENEUMOLOGIAYCIRUGIADETORAX/logo.png
country_str	Colombia
collection	Revista Colombiana de Neumología
description_eng	Cardiopulmonary exercise testing assesses exercise tolerance and provides a comprehensive evaluation of the respiratory, cardiovascular, and muscular systems. It is useful in the differential diagnosis of specific cardiopulmonary alterations versus psychological disorders or malingering. However, different interpretations can arise.Objective: to assess the degree of interobserver concordance in the interpretation of cardiopulmonary exercise testing by using K. Wasserman's algorithm in a population of young patients wounded in combat.Materials and methods: a study of concordance in the interpretation of 33 cardiopulmonary exercise tests by three observers and two computerized programs. In the first place, the analysis was done between the results of each observation with the final diagnosis given by a consensus of the observers. Secondly, an interobserver analysis was done with the different diagnoses that can be reached by way of the kappa coefficient. A p&lt;0,05 value was considered to be statistically significant.Results: the best correlations between the observers and the final diagnosis were observed under the categories "normal" and "abnormal", kappa strength of agreement from weak to good (0,2725 - 0,6959 with p&lt;0,05). Kappa values diminished with more specific diagnoses. The best interobserver concordance was found when comparing specific diagnoses, with higher kappa coefficients for the diagnosis of pulmonary diseases.Conclusion: the diagnostic algorithm used for interpreting cardiopulmonary exercise testing has low overall concordance coefficients for this population. As a consequence, this population requires adequate focusing by way of a clinical history with validated diagnostic algorithms that can be complemented with specific computer programs.
author	Bastidas, MD., Alirio Rodrigo Hicapie, MD., Gustavo Adolfo Pernett, MD., Frank Boris Fletcher, MD., Angélica Viviana Bastidas, Luis Guillermo
spellingShingle	Bastidas, MD., Alirio Rodrigo Hicapie, MD., Gustavo Adolfo Pernett, MD., Frank Boris Fletcher, MD., Angélica Viviana Bastidas, Luis Guillermo exercise testing nonparametric statistics wounds and injuries test de ejercicio estadística no paramétrica heridas y lesiones
author_facet	Bastidas, MD., Alirio Rodrigo Hicapie, MD., Gustavo Adolfo Pernett, MD., Frank Boris Fletcher, MD., Angélica Viviana Bastidas, Luis Guillermo
topic	exercise testing nonparametric statistics wounds and injuries test de ejercicio estadística no paramétrica heridas y lesiones
topic_facet	exercise testing nonparametric statistics wounds and injuries test de ejercicio estadística no paramétrica heridas y lesiones
topicspa_str_mv	test de ejercicio estadística no paramétrica heridas y lesiones
citationvolume	23
citationissue	1
publisher	Asociación Colombiana de Neumología y Cirugía de Tórax
ispartofjournal	Revista Colombiana de Neumología
source	https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/169
language	spa
format	Article
rights	https://creativecommons.org/licenses/by-nc-sa/4.0/ Revista Colombiana de Neumología - 2017 info:eu-repo/semantics/openAccess http://purl.org/coar/access_right/c_abf2
type_driver	info:eu-repo/semantics/article
type_coar	http://purl.org/coar/resource_type/c_6501
type_version	info:eu-repo/semantics/publishedVersion
type_coarversion	http://purl.org/coar/version/c_970fb48d4fbd8a85
type_content	Text
publishDate	2017-04-12
date_accessioned	2017-04-12T21:14:36Z
date_available	2017-04-12T21:14:36Z
url	https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/169
url_doi	https://doi.org/10.30789/rcneumologia.v23.n1.2011.169
issn	0121-5426
eissn	2538-9513
doi	10.30789/rcneumologia.v23.n1.2011.169
citationstartpage	2
citationendpage	7
url2_str_mv	https://revistas.asoneumocito.org/index.php/rcneumologia/article/download/169/158
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