Validation of the Modena bleeding score in endoscopic sinus surgery
Introduction: The Modena bleeding score is a categorical rating scale that allows the assessment of the surgical field in relation to bleeding during endoscopic surgery. It has recently been presented and validated in the field of endoscopic ear surgery by the present authors. The Modena bleeding sc...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-07-01
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| Series: | Brazilian Journal of Otorhinolaryngology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1808869420301531 |
| _version_ | 1811288010979803136 |
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| author | Matteo Alicandri-Ciufelli Luca Pingani Francesco Maccarrone Lukas Anschuetz Davide Mariano Gian Maria Galeazzi Livio Presutti Giulia Molinari |
| author_facet | Matteo Alicandri-Ciufelli Luca Pingani Francesco Maccarrone Lukas Anschuetz Davide Mariano Gian Maria Galeazzi Livio Presutti Giulia Molinari |
| author_sort | Matteo Alicandri-Ciufelli |
| collection | DOAJ |
| description | Introduction: The Modena bleeding score is a categorical rating scale that allows the assessment of the surgical field in relation to bleeding during endoscopic surgery. It has recently been presented and validated in the field of endoscopic ear surgery by the present authors. The Modena bleeding score provides five grades for rating the surgical field during endoscopic procedures (from grade 1 − no bleeding to grade 5 − bleeding that prevents every surgical procedure except those dedicated to bleeding control). Objective: The aim of this study was to validate the Modena bleeding score in the setting of endoscopic sinus surgery. Methods: Fifteen three-minute videos of endoscopic sinus surgery procedures (each containing three bleeding situations) were evaluated by 15 specialists, using the Modena bleeding score. Intra and inter-rater reliability were assessed, and the clinical validity of the Modena bleeding score was calculated using a referent standard. Results: The data analysis showed an intra-rater reliability ranging from 0.6336 to 0.861. The inter-rater reliability ranged from 0.676 to 0.844. The clinical validity was α = 0.70; confidence limits: 0.64 − 0.75, corresponding to substantial agreement. Conclusion: The Modena bleeding score is an effective method to score bleeding during endoscopic sinus surgery. Its application in future research could facilitate the performance and efficacy assessment of surgical techniques, materials or devices aimed to bleeding control during endoscopic sinus surgery. |
| first_indexed | 2024-04-13T03:28:34Z |
| format | Article |
| id | doaj.art-9f5bb7526238482d938157af06f0a94c |
| institution | Directory Open Access Journal |
| issn | 1808-8694 |
| language | English |
| last_indexed | 2024-04-13T03:28:34Z |
| publishDate | 2022-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brazilian Journal of Otorhinolaryngology |
| spelling | doaj.art-9f5bb7526238482d938157af06f0a94c2022-12-22T03:04:34ZengElsevierBrazilian Journal of Otorhinolaryngology1808-86942022-07-01884602606Validation of the Modena bleeding score in endoscopic sinus surgeryMatteo Alicandri-Ciufelli0Luca Pingani1Francesco Maccarrone2Lukas Anschuetz3Davide Mariano4Gian Maria Galeazzi5Livio Presutti6Giulia Molinari7University Hospital of Modena, Otolaryngology-Head and Neck Surgery Department, Modena, ItalyAzienda USL-IRCCS di Reggio Emilia, HR Department, Reggio Emilia, Italy; University of Modena and Reggio Emilia, Department of Biomedical, Metabolic and Neural Sciences, Modena, ItalyUniversity Hospital of Modena, Otolaryngology-Head and Neck Surgery Department, Modena, Italy; Corresponding author.Inselspital, University of Bern, Department of Otorhinolaryngology, Head and Neck Surgery, Bern, SwitzerlandUniversity Hospital of Modena, Otolaryngology-Head and Neck Surgery Department, Modena, ItalyUniversity of Modena and Reggio Emilia, Department of Biomedical, Metabolic and Neural Sciences, Modena, Italy; Azienda USL di Modena, Department of Mental Health and Pathological Addiction, Modena, ItalyUniversity Hospital of Modena, Otolaryngology-Head and Neck Surgery Department, Modena, ItalyUniversity Hospital of Modena, Otolaryngology-Head and Neck Surgery Department, Modena, ItalyIntroduction: The Modena bleeding score is a categorical rating scale that allows the assessment of the surgical field in relation to bleeding during endoscopic surgery. It has recently been presented and validated in the field of endoscopic ear surgery by the present authors. The Modena bleeding score provides five grades for rating the surgical field during endoscopic procedures (from grade 1 − no bleeding to grade 5 − bleeding that prevents every surgical procedure except those dedicated to bleeding control). Objective: The aim of this study was to validate the Modena bleeding score in the setting of endoscopic sinus surgery. Methods: Fifteen three-minute videos of endoscopic sinus surgery procedures (each containing three bleeding situations) were evaluated by 15 specialists, using the Modena bleeding score. Intra and inter-rater reliability were assessed, and the clinical validity of the Modena bleeding score was calculated using a referent standard. Results: The data analysis showed an intra-rater reliability ranging from 0.6336 to 0.861. The inter-rater reliability ranged from 0.676 to 0.844. The clinical validity was α = 0.70; confidence limits: 0.64 − 0.75, corresponding to substantial agreement. Conclusion: The Modena bleeding score is an effective method to score bleeding during endoscopic sinus surgery. Its application in future research could facilitate the performance and efficacy assessment of surgical techniques, materials or devices aimed to bleeding control during endoscopic sinus surgery.http://www.sciencedirect.com/science/article/pii/S1808869420301531BleedingEndoscopic surgeryModena bleeding scoreSinus surgerySurgical field rating |
| spellingShingle | Matteo Alicandri-Ciufelli Luca Pingani Francesco Maccarrone Lukas Anschuetz Davide Mariano Gian Maria Galeazzi Livio Presutti Giulia Molinari Validation of the Modena bleeding score in endoscopic sinus surgery Brazilian Journal of Otorhinolaryngology Bleeding Endoscopic surgery Modena bleeding score Sinus surgery Surgical field rating |
| title | Validation of the Modena bleeding score in endoscopic sinus surgery |
| title_full | Validation of the Modena bleeding score in endoscopic sinus surgery |
| title_fullStr | Validation of the Modena bleeding score in endoscopic sinus surgery |
| title_full_unstemmed | Validation of the Modena bleeding score in endoscopic sinus surgery |
| title_short | Validation of the Modena bleeding score in endoscopic sinus surgery |
| title_sort | validation of the modena bleeding score in endoscopic sinus surgery |
| topic | Bleeding Endoscopic surgery Modena bleeding score Sinus surgery Surgical field rating |
| url | http://www.sciencedirect.com/science/article/pii/S1808869420301531 |
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