Drug‐Induced Sleep Endoscopy (DISE) Scoring Systems: Ideal DISE Scoring System and Comparability Properties

Nzekwu, Cherry; Dijemeni, Esuabom

doi:10.1177/0194599817753603

Cited by 5 publications

(3 citation statements)

References 5 publications

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“…[15] Furthermore the possibility of developing an ideal DISE scoring system is becoming less likely since new DISE classification tools are being introduced every year. [16] In the present study, we used VOTE classification to assess our DISE findings and aimed to evaluate inter-rater and intra-rater consistency of DISE. In our study, inter-rater consistency in the velum level was poor to good with anteroposterior configuration having the highest consistency.…”

Section: Discussionmentioning

confidence: 99%

Intra-rater and Inter-rater consistency of drug induced sleep endoscopy

Kılavuz¹,

Bayram²

2019

ENT Updates

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Objective: Drug induced sleep endoscopy (DISE) is a valuable tool which is used in the diagnosis of obstructive sleep apnea (OUA). The aim of this study is to evaluate inter-rater and intra-rater consistency of DISE. Methods: 36 OSA patients with Apnea-hypopne index>5 included in this study. DISE was performed and recorded digitally for all patients, by the first author (OA1). VOTE scores were noted to procedure report in patients' charts. Video records of DISE were blindly evaluated six months after the last procedure, by observer 1 for the second time (OA2) and by observer 2 (OB) for the first time. DISE was evaluated by using VOTE classification. OA1 and OA2 scores were compared to determine intra-rater reliability and OA2 and OB scores were compared to determine inter-rater reliability. Results: Inter-rater consistency of DISE was poor to good. Highest consistency rate was found in velum at anteroposterior configuration, while the lowest was found in the same level at lateral configuration. Intra-rater consistency of DISE was moderate to excellent. Highest consistency rate was found in epiglottis at lateral configuration, while the lowest was found in oropharynx level. Conclusion: OSA is condition with possible serious complications. DISE is a tool that could change the course of treatment in OSA. The validity of DISE is quite acceptable although a golden standard classification tool could enable us to "speak the exact same language" and will surely increase the diagnostic success of DISE.

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Section: Discussionmentioning

confidence: 99%

Intra-rater and Inter-rater consistency of drug induced sleep endoscopy

Kılavuz¹,

Bayram²

2019

ENT Updates

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“…There are several published scoring systems, however, none are used universally. The lack of consensus prevents objective outcome analysis between clinicians, institutions, and studies [ 8 ]. This limitation in comparability is important to consider as it may impede large-scale analysis such as systematic reviews and meta-analyses of refractory OSA patients.…”

Section: Introductionmentioning

confidence: 99%

Pediatric Drug-Induced Sleep Endoscopy: Technique and Scoring System

Williamson

Ibrahim

Coutras

et al. 2020

Cureus

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Drug-induced sleep endoscopy (DISE) is an invaluable tool for identifying sites of obstruction for patients with obstructive sleep apnea (OSA). During DISE, the patient is in a state of drug-induced sleep, and a flexible laryngoscope is passed through the nose into the upper airway. Sites of obstruction are visualized and scored to guide surgical management. Currently, there is no universally accepted method of DISE analysis and scoring. This limitation in comparability impedes large-scale analysis between clinicians, institutions, and studies. In this report, we propose a standardized method of scoring and performing DISE in children with OSA. Our DISE scoring system is internally developed, consistent through the study, and addresses all levels of potential upper airway obstruction.

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“…Thank you for the letter in response to “Systematic Review of Drug‐Induced Sleep Endoscopy Scoring Systems.” 1 Nzekwu and Dijemeni 2 outline several good discussion points regarding the practicality of creating an ideal scoring system and comparing results across centers.…”

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confidence: 99%