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The DICA Endoscopic Classification for Diverticular Disease of the Colon Shows a Significant Interobserver Agreement among Community Endoscopists: an International Study.

Publicado en:Journal Of Gastrointestinal And Liver Diseases. 28 (suppl. 4): 39-44 - 2019-12-01 28(suppl. 4), DOI: 10.15403/jgld-558

Autores: Tursi A; Brandimarte G; Di Mario F; Lanas A; Scarpignato C; Bafutto M; Barbara G; Bassotti G; Binda GA; Biondi A; Biondo S; Cassieri C; Crucitti A; Dumitrascu DL; Elisei W; Escalante R; Herszènyi L; Kruis W; Kupcinskas J; Lahat A; Lecca PG; Maconi G; Malfertheiner P; Mazzari A; Mearìn F; Milosavljeviċ T; Nardone G; Chavez De Oliveira E; Papa A; Papagrigoriadis S; Pera M; Persiani R; Picchio M; Regula J; Štimac D; Stollman N; Strate LL; Walker MM

Afiliaciones

- Autor o Coautor
2nd Department of Medicine, Semmelweis University, H-1088 Budapest, Hungary. herszenyi.laszlo@gmail.com. - Autor o Coautor
2nd Medical Department, Iuliu Hatieganu University of Medicine and Pharmacy Cluj-Napoca, Romania. ddumitrascu@umfcluj.ro. - Autor o Coautor
Av, 470 - Hosp. Ort. de Goiania (St Aeroporto), Goiânia, Goiás (GO), Brazil. eco1.br@gmail.com. - Autor o Coautor
Clinical Centre of Serbia, University of Belgrade, Serbia. tommilos@hotmail.com. - Autor o Coautor
Consultório, R, 46 - 25 Clin de Gastroentero (St Coimbra) Goiânia, Goiás (GO), Brazil. maurobafutto@yahoo.com.br. - Autor o Coautor
Department of Clinical and Experimental Medicine, Gastroenterology and Hepatology Section, "Santa Maria della Misericordia" Hospital, University of Perugia, San Sisto (PG), Italy. gabassot@tin.it. - Autor o Coautor
Department of Clinical and Experimental Medicine, University "Federico II", Naples, Italy. nardone@unina.it. - Autor o Coautor
Department of Clinical Medicine, Section of Gastroenterology, "S. Orsola" Hospital, University of Bologna, Bologna, Italy. giovanni.barbara@unibo.it. - Autor o Coautor
Department of Colorectal Surgery, King's College Hospital, London, United Kingdom. lapasurgeon@gmail.com. - Autor o Coautor
Department of Gastroenterology, Chaim Sheba Medical Center, Tel Hashomer, Ramat Gan 52651, Israel. zokadi@gmail.com. - Autor o Coautor
Department of Gastroenterology, Hepatology and Clinical Oncology, Medical Postgraduate Education Centre; Department of Gastrointestinal Oncology, Maria Sklodowska-Curie Clinical Oncology Institute, Warsaw, Poland. jregula@coi.waw.pl. - Autor o Coautor
Department of Gastroenterology, Hepatology and Infectious Diseases, Otto-von-Guericke University Hospital, Magdeburg, Germany. peter.malfertheiner@med.ovgu.de. - Autor o Coautor
Department of Gastroenterology, Lithuanian University of Health Sciences, Kaunas, Lithuania. juozas.kupcinskas@lsmuni.lt. - Autor o Coautor
Department of General and Digestive Surgery, Colorectal Unit, Bellvitge University Hospital and IDIBELL, University of Barcelona, Barcelona, Spain. sbn.biondo@gmail.com. - Autor o Coautor
Department of Medicine and Surgery, Gastroenterology Unit, University of Parma, Parma, Italy. francesco.dimario@unipr.it. - Autor o Coautor
Department of Surgery, "Galliera" Hospital, Genoa, Italy. gianbinda1@me.com. - Autor o Coautor
Department of Surgical Sciences, First General Surgery Unit, Catholic University - "A. Gemelli" University Hospital, Rome, Italy. alberto.biondi@policlinicogemelli.it. - Autor o Coautor
Department of Surgical Sciences, First General Surgery Unit, Catholic University - "A. Gemelli" University Hospital, Rome, Italy. roberto.persiani@unicatt.it. - Autor o Coautor
Division of Gastroenterology, Alta Bates Summit Medical Center, East Bay Center for Digestive Health, 300 Frank H Ogawa Plaza, Oakland, CA, USA. neil@stollman.com. - Autor o Coautor
Division of Gastroenterology, ASL Roma 6, Albano Laziale (Roma), Italy. walter_elisei@hotmail.com. - Autor o Coautor
Division of Gastroenterology, Department of Medicine, Harborview Medical Center, University of Washington Medical School, Seattle, Washington, USA. lisas@medicine.washington.edu. - Autor o Coautor
Division of General Surgery, "Cristo Re" Hospital, Rome, Italy. and.mazzari@gmail.com. - Autor o Coautor
Division of General Surgery, "Cristo Re" Hospital, Rome, Italy. antonio.crucitti@unicatt.it. - Autor o Coautor
Division of General Surgery, "P. Colombo" Hospital, ASL Roma 6, Velletri (Roma), Italy. marcello.picchio.63@alice.it. - Autor o Coautor
Division of Internal Medicine and Gastroenterology, "Cristo Re" Hospital, Rome, Italy. claudio.cassieri@libero.it. - Autor o Coautor
Division of Internal Medicine and Gastroenterology, "Cristo Re" Hospital, Rome, Italy. giovannibrandimarte56@gmail.com. - Autor o Coautor
Division of Internal Medicine and Gastroenterology, "Cristo Re" Hospital, Rome, Italy. giusilecca76@yahoo.it. - Autor o Coautor
Division of Internal Medicine and Gastroenterology, C.I. "Columbus", Catholic University - "A. Gemelli" University Hospital, Rome, Italy. alfredo.papa@unicatt.it. - Autor o Coautor
Division of Internal Medicine, University Hospital, Rijeka, Croatia. davor.stimac@ri.t-com.hr. - Autor o Coautor
Faculty of Medical Sciences, United Campus of Malta, San Ġiljan, Malta. scarpi@tin.it. - Autor o Coautor
Gastroenterology Service, ASL BAT, Andria (BT), Italy. antotursi@tiscali.it. - Autor o Coautor
Gastrointestinal Unit, Department of Clinical Sciences, "L.Sacco" University Hospital, Milan, Italy. giovanni.maconi@unimi.it. - Autor o Coautor
Innere Medizin, Evangelische Krankenhaus Kalk, Cologne, Germany. wolfgang.kruis@googlemail.com. - Autor o Coautor
Sección de Cirugía Gastrointestinal, Hospital Universitari del Mar, Barcelona, Spain. mpera@hospitaldelmar.cat. - Autor o Coautor
Service of Digestive Diseases, University Clinic Hospital Lozano Blesa, University of Zaragoza, IIS Aragón, Zaragoza, Spain. angel.lanas@gmail.com. - Autor o Coautor
Servicio Aparato Digestivo, Centro Médico Teknon, Barcelona, Spain. mearin@dr.teknon.es. - Autor o Coautor
Universidad Central de Venezuela, Loira Medical Center, Caracas, Venezuela. r_escalanteg@hotmail.com. - Autor o Coautor
University of Newcastle, Faculty of Health and Medicine, School of Medicine and Public Health, Australian Gastrointestinal Research Alliance, Callaghan NSW 2308, Australia. marjorie.walker@newcastle.edu.au. - Autor o Coautor
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Resumen

Background and aimsThe Diverticular Inflammation and Complication Assessment (DICA) endoscopic classification of diverticulosis and diverticular disease (DD) is currently available. It scores severity of the disease as DICA 1, DICA 2 and DICA 3. Our aim was to assess the agreement on this classification in an international endoscopists community setting.MethodsA total of 96 doctors (82.9% endoscopists) independently scored a set of DD endoscopic videos. The percentages of overall agreement on DICA score and a free-marginal multirater kappa (κ) coefficient were reported as statistical measures of interrater agreement.ResultsOverall agreement in using DICA was 91.8% with a free-marginal kappa of 88% (95% CI 80-95). The overall agreement levels were: DICA 1, 85.2%; DICA 2, 96.5%; DICA 3, 99.5%. The free marginal κ was: DICA 1 = 0.753, DICA 2 = 0.958, DICA 3 = 0.919. The agreement about the main endoscopic items was 83.4% (k 67%) for diverticular extension, 62.6% (k 65%) for number of diverticula for each district, 86.8% (k 82%) for presence of inflammation, and 98.5 (k 98%) for presence of complications.ConclusionsThe overall interrater agreement in this study ranges from good to very good. DICA score is a simple and reproducible endoscopic scoring system for diverticulosis and DD.

Palabras clave
Colonic diseasesColonoscopyCommunity health servicesDiverticular diseasesDiverticulosis, colonicHumansObserver variationReproducibility of resultsSeverity of illness indexVideo recording

Indicios de calidad

Impacto bibliométrico. Análisis de la aportación y canal de difusión

El trabajo ha sido publicado en la revista Journal Of Gastrointestinal And Liver Diseases debido a la progresión y el buen impacto que ha alcanzado en los últimos años, según la agencia Scopus (SJR), se ha convertido en una referencia en su campo. En el año de publicación del trabajo, 2019, se encontraba en la posición , consiguiendo con ello situarse como revista Q2 (Segundo Cuartil), en la categoría Medicine (Miscellaneous). Destacable, igualmente, el hecho de que la Revista está posicionada en el Cuartil Q4 para la agencia WoS (JCR) en la categoría Gastroenterology & Hepatology.

Desde una perspectiva relativa, y atendiendo al indicador del impacto normalizado calculado a partir del Field Citation Ratio (FCR) de la fuente Dimensions, arroja un valor de: 1.46, lo que indica que, de manera comparada con trabajos en la misma disciplina y en el mismo año de publicación, lo ubica como trabajo citado por encima de la media. (fuente consultada: Dimensions May 2025)

De manera concreta y atendiendo a las diferentes agencias de indexación, el trabajo ha acumulado, hasta la fecha 2025-05-17, el siguiente número de citas:

  • Europe PMC: 3
  • OpenCitations: 2
Impacto y visibilidad social

Desde la dimensión de Influencia o adopción social, y tomando como base las métricas asociadas a las menciones e interacciones proporcionadas por agencias especializadas en el cálculo de las denominadas “Métricas Alternativas o Sociales”, podemos destacar a fecha 2025-05-17:

  • La utilización de esta aportación en marcadores, bifurcaciones de código, añadidos a listas de favoritos para una lectura recurrente, así como visualizaciones generales, indica que alguien está usando la publicación como base de su trabajo actual. Esto puede ser un indicador destacado de futuras citas más formales y académicas. Tal afirmación es avalada por el resultado del indicador “Capture” que arroja un total de: 31 (PlumX).
Análisis de liderazgo de los autores institucionales

Este trabajo se ha realizado con colaboración internacional, concretamente con investigadores de: Australia; Brazil; Croatia; France; Germany; Hungary; Israel; Italy; Lithuania; Malt; Oman; Poland; Serbia; United Kingdom; United States of America; Venezuela.