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Interobserver reliability of Masei index validation by a multicenter collaborative group of rheumatologists

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Abstract

MASEI is the main validated ultrasound score for the evaluation of enthesis. The lack of studies facing the agreement to achieve for the interpretation of the MAdrid Sonographic Enthesis Index (MASEI) among researchers from different centers in multicenter studies is of concern. The aim of this multicenter was to evaluate the interobserver reliability of MASEI. An experienced ultrasonographer-rheumatologist performed ultrasound scans of the areas included in MASEI index in three patients with Ankylosing Spondylitis and Psoriatic Arthritis. Videos were captured. The videos were then evaluated by 24 rheumatologists of the ultrasound working group of the Catalan Society of Rheumatology (EcoCAT). A face-to-face training meeting was held. Ten days after the workshop, the study participants evaluated the videos. A reliability assessment was performed. The ICC for the MASEI scores after the workshop was of 0.97 (95% CI 89–99). Reliability did not vary statistically with examiner experience. Globally, no problems of reliability by structures were seen, and all the ICCs were above 0.90 and improved slightly after the educational program. However, the correlation observed between examiners at plantar aponeursis and triceps tendon was weak. The small variability observed in the results of the index validation in our study, suggests that the MASEI index is reproducible by different observers when those are well trained and show awesome results of the enthesis when examined by ultrasound.

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Authors and Affiliations

  1. Hospital de La Santa Creu I Sant Pau, Barcelona, Spain

    Patricia Moya Alvarado, Berta Magallares López & Hèctor Corominas Macías

  2. Hospital Vall D’Hebron, Barcelona, Spain

    Juan José de Agustín de Oro

  3. Hospital Germans Trias I Pujol, Badalona, Spain

    María Aparicio Espinar, Susana Holgado Pérez, Melania Martinez Morillo & Lourdes Mateo Soria

  4. Hospital de Palamós, Palamós, Spain

    Eulàlia Armengol Pérez

  5. Hospital General de Granollers, Granollers, Spain

    Noemí Busquets Pérez & Andrea Cuervo Aguilera

  6. Instituto de Salud Musculoesquelética, Madrid, Spain

    Loreto Carmona

  7. Hospital Parc Taulí, Sabadell, Barcelona, Spain

    Enrique Casado Burgos & Mireia Moreno Martínez-Losa

  8. Hospital Universitari Dr. Josep Trueta, Girona, Spain

    Teresa Clavaguera Poch

  9. Hospital La Paz, Madrid, Spain

    Eugenio De Miguel Mendieta

  10. Hospital de Sant Joan Despí Moisès Broggi, Sant Joan Despí, Spain

    Paula Estrada Alarcón & Delia Reina Sanz

  11. Hospital de Mollet, Mollet, Spain

    Elisabet García Casares

  12. Hospital de Bellvitge, Hospitalet de Llobregat, Spain

    Carmen Moragues Pastor

  13. Hospital Clínic de Barcelona, Barcelona, Spain

    Andrés Ponce Fernández & Julio Ramírez García

  14. Hospital Mútua de Terrassa, Terrassa, Spain

    Manel Pujol Busquets

  15. Hospital de Sant Joan de Déu de Manresa, Manresa, Spain

    Meritxell Sallés Lizarzaburu

  16. Parc Sanitari Sant Joan de Déu de Sant Boi, Sant Boi, Spain

    Pilar Santo Panero & Elena Sirvent Alierta

  17. Hospital de Figueres, Figueres, Spain

    Marta Valls Roc

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  1. Patricia Moya Alvarado
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Correspondence to Patricia Moya Alvarado.

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Moya Alvarado, P., de Agustín de Oro, J.J., Aparicio Espinar, M. et al. Interobserver reliability of Masei index validation by a multicenter collaborative group of rheumatologists. Rheumatol Int 42, 441–448 (2022). https://doi.org/10.1007/s00296-020-04733-y

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