Rev Med UAS
Vol. 12: No. 1. Enero-Marzo 2022
ISSN 2007-8013

Concordancia interobservador en el diagnóstico tomográfico de dolor abdominal en estudio entre residentes de Imagenología y médicos imagenologos

Interobserver agreement between radiology residents and radiology attendants in the tomographic diagnosis of abdominal pain

Jean P. Negreros-Osuna*, Lucia Zatarain-Bayliss, Edgar Dehesa-Lopez, Felipe J. Peraza-Garay.

Hospital Pediátrico de Sinaloa “Dr. Rigoberto Aguilar Pico”, Culiacán, Sinaloa.
Teléfonos (667)713-90-04 extensión 291. Dirección: Blvd. Constitución S/N, Colonia Jorge Almada, CP 80200, Culiacán, Sinaloa, México.

*Autor de correspondencia: Jean Paul Negreros Osuna
Matías Lazcano 1425-5 Colonia Chapultepec, Culiacán Sinaloa C.P. 80040
Tel: (669) 215-7155, Correo electrónico: negrerosjp@gmail.com

DOI http://dx.doi.org/10.28960/revmeduas.2007-8013.v12.n1.005

Texto Completo PDF

Recibido 02 de marzo 2021, aceptado 03 de septiembre 2021

RESUMEN
Objetivo: Determinar la concordancia de los diagnósticos tomográficos de pacientes con dolor abdominal entre los residentes de imagen y los médicos adscritos al servicio de UNIMA del Hospital Civil de Culiacán. --- Material y Métodos: Estudio prospectivo, observacional y transversal, tomando como datos de estudio 100 tomografías realizadas a pacientes con dolor abdominal que acudieron a UNIMA, que cumplían con los criterios de calidad para realizar un diagnóstico imagenológico adecuado y utilizando el coeficiente Kappa para calcular la concordancia entre 4 residentes y 2 médicos adscritos. Resultados: Se obtuvo una concordancia de 88% (p<.0001 ), entre el residente 1 y médicos adscritos, el residente 2 obtuvo una concordancia de 90% (p<.0001 ), los residentes 3 y 4, obtuvieron un 91% y 89% (p<.0001 ), respectivamente. --- Conclusión: La concordancia obtenida entre los residentes y médicos adscritos fue de un 89.5% (p<.0001) en promedio; Es interpretada según el coeficiente Kappa como casi perfecta, dando seguridad en que los estándares de enseñanza en el servicio de UNIMA son altos en el escenario de dolor abdominal en estudio.
Palabras clave: Concordancia interobservador, tomografía, dolor abdominal, Coeficiente Kappa

ABSTRACT
Objective: To determine the concordance of the tomographic diagnoses of patients with abdominal pain between image residents and doctors assigned to the UNIMA service of the Hospital Civil de Culiacán. --- Material and Methods: Prospective, observational and cross-sectional study, taking as study data 100 tomographs performed on patients with abdominal pain who attended UNIMA, who met the quality criteria to make an adequate imaging diagnosis and using the Kappa coefficient to calculate the Concordance between 4 residents and 2 attendant doctors. --- Results: The agreement was calculated and obtained a concordance of 88% (p <.0001), between resident 1 and attendant doctors, resident 2 obtained a concordance of 90% (p <.0001), residents 3 and 4, obtained a 91 % and 89% (p <.0001), respectively. --- Conclusion: The concordance obtained between residents and attendant doctors was 89.5% (p <.0001) on average; It is interpreted according to the Kappa coefficient as almost perfect, giving certainty that the teaching standards in the UNIMA service are high in the abdominal pain scenario.
Keywords: Interobserver agreement, tomography, abdominal pain, Kappa coefficient

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