Systemic sclerosis & Raynaud's

Evaluation of Nailfold Capillaroscopy Online Training Using the Fast Track Algorithm

J RheumatolPublished Reliability study

Authors' conclusion

In this first study evaluating NFC online training using the Fast Track algorithm, we showed very good inter- and intrarater agreement for the identification of scleroderma and nonscleroderma NFC pattern

Study context

Population
Participants of an online nailfold capillaroscopy (NFC) training workshop taught the EULAR Fast Track algorithm, evaluating 45 NFC images61 in reevaluation
Participants
98 participants
Outcome
Inter- and intrarater Cohen κ agreement for scleroderma vs nonscleroderma NFC pattern
Methodological detailsonline training workshop, inter- and intrarater agreement (Cohen κ), reevaluation 2 to 4 weeks later
  • Online training workshop
  • Inter- and intrarater agreement (Cohen κ)
  • Reevaluation 2 to 4 weeks later

Main finding

As reported in the abstract

Scleroderma vs nonscleroderma pattern, mean κ (95% CI)

Interrater κ, mean

0.86 (0.83-0.88) (95% CI)

Intrarater κ, mean

0.83 (0.79-0.87) (95% CI)

Further findings

Overall: scleroderma, nonscleroderma (normal) and nonscleroderma (nonspecific) patterns, κ

Interrater κ
0.71 (0.69-0.74) (95% CI)
Intrarater κ
0.71 (0.67-0.75) (95% CI)

Nonscleroderma (normal) vs nonscleroderma (nonspecific) pattern, κ

Interrater κ
0.59 (0.55-0.63) (95% CI)
Intrarater κ
0.59 (0.54-0.65) (95% CI)

Original publication

Evaluation of Nailfold Capillaroscopy Online Training Using the Fast Track Algorithm. J Rheumatol. Published 1 December 2022. doi:10.3899/jrheum.220794

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