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Validating the use of report-derived Lund-MacKay scores.

Validating the use of report-derived Lund-MacKay scores.

Authors :
Thwin, May
Weitzel, Erik Kent
McMains, Kevin Christopher
Athanasiadis, Theodore
Psaltis, Alkis
Field, John
Wormald, Peter-John
Source :
American Journal of Rhinology & Allergy; Jan2009, Vol. 23 Issue 1, p33-35, 3p, 2 Charts, 1 Graph
Publication Year :
2009

Abstract

Background: The Lund-MacKay score (LMS) is the standard for communicating radiological extent of chronic rhinosinusitis in research. However, retrospective analyses are often hindered by a substantial lack of radiological data. Calculating LMS from radiologists' reports may overcome this but has not been formally validated. Methods: Twenty South Australian and 20 Texan patients with varying degrees of sinus disease were randomly chosen to undergo analysis. CT-derived LMSs were calculated directly by two expert rhinologists at each institution and compared with scores derived solely from accompanying radiology reports by two blinded reviewers. Results: The total LMS obtained via the expert rhinologists correlated very highly with that obtained from radiology reports (Spearman rank correlation, 0.75-0.88; p < 0.001). However, when individual sinuses were specifically analyzed, the correlation was highly variable. Conclusion: The results show that in both South Australian and Texan tertiary rhinology centers, radiologists' reports can be reliably used to calculate the total LMS. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
19458924
Volume :
23
Issue :
1
Database :
Supplemental Index
Journal :
American Journal of Rhinology & Allergy
Publication Type :
Academic Journal
Accession number :
37189660
Full Text :
https://doi.org/10.2500/ajra.2009.23.3255