Endoscopic scoring for diagnosis of chronic pancreatitis

The most recent issue of the Gastointestinal Endoscopy compares standard endoscopic ultrasound scoring with Rosemont classification scoring for diagnosis of chronic pancreatitis. 

Endoscopic ultrasound has less than optimal interobserver agreement for the diagnosis of chronic pancreatitis.

The newly developed Rosemont consensus scoring system includes weighted criteria and stricter definitions for individual features.

Dr Tyler Stevens and colleagues compared the interobserver agreement of standard and Rosemont scoring.

The team interpreted 50 endoscopic ultrasound videos by 14 experts.

Use of the Rosemont classification did not increase interobserver agreement

Gastointestinal Endoscopy

Each expert interpreted the videos on 2 occasions.

First, the videos were read by using standard scoring.

Second, after viewing a presentation of the Rosemont classification, the same experts re-read the videos by using Rosemont scoring.

The researchers reported that the interobserver agreement was 'substantial' for Rosemont scoring and 'moderate' for standard scoring.

However, the research team observed that the difference was not statistically significant.

Dr Stevens' team concluded, “Use of the Rosemont classification did not significantly increase interobserver agreement for endoscopic ultrasound diagnosis of chronic pancreatitis compared with standard scoring.”