{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T19:52:35Z","timestamp":1792785155386,"version":"4.5.0"},"reference-count":14,"publisher":"Georg Thieme Verlag KG","issue":"CP","license":[{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Royal College of Surgeons in Ireland","id":[{"id":"https:\/\/ror.org\/01hxy9878","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endosc Int Open"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>A validated scoring system for reporting of colonic cleanliness at colon capsule endoscopy (CCE) is not routinely used to date and great inter-observer variability exists. To ensure appropriate and standardised bowel cleansing reporting, a validated scoring system is of great importance. This would improve the quality of colon capsule reporting and facilitate optimisation of bowel preparation protocols by supporting research reliability. A novel system named Colon Capsule CLEansing Assessment and Report (CC-Clear) has shown superior inter- and intra-observer agreement to the Leighton-Rex scale, an earlier scoring system from 2011. This was a retrospective, single-centre study assessing the intra- and inter-observer reliability of CC-Clear.<\/jats:p>\n                  <jats:p>Materials and Methods Studies were identified retrospectively from the capsule database of a tertiary referral centre. In all, 30 consecutive complete CCE were included. Three expert capsule readers reviewed and reported each examination twice.<\/jats:p>\n                  <jats:p>Results and Conclusion The inter-observer agreement was reported as Kendall\u2019s W and was 0.8, p &lt; 0.01. An intra-rater reliability analysis was performed between the first and second readings of the three readers. The weighted Cohen\u2019s Kappa showed that there was moderate agreement between the readings of Reader A with \u03ba = 0.52 and p &lt; 0.001. For Reader B, the weighted Cohen\u2019s Kappa showed moderate agreement between first and second readings, \u03ba = 0.5 and p &lt; 0.001. For Reader C, the weighted Cohen\u2019s Kappa revealed almost perfect agreement between reading with \u03ba = 0.8 and p &lt; 0.001. CC-Clear is a simple tool for the CCE reader to utilise and has been shown again here to have excellent inter- and intra-observer reliability.<\/jats:p>","DOI":"10.1055\/a-2961-4842","type":"journal-article","created":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T23:18:17Z","timestamp":1789600697000},"source":"Crossref","is-referenced-by-count":0,"special_numbering":"S","title":["Inter- and Intra-Observer Reliability for Colon Capsule CLEansing Assessment and Report"],"prefix":"10.1055","volume":"14","author":[{"given":"Eimear","family":"Gibbons","sequence":"additional","affiliation":[{"name":"Connolly Hospital Blanchardstown, Dublin, Ireland","place":["Blanchardstown"],"department":["Department of Gastroenterology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Syafiq","family":"Ismail","sequence":"additional","affiliation":[{"name":"Tallaght University Hospital, Dublin, Ireland","place":["Dublin"],"department":["Department of Gastroenterology and Clinical Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dana","family":"AlSharqi","sequence":"additional","affiliation":[{"name":"Beaumont Hospital, Leinster, Ireland","place":["Dublin"],"department":["Department of Gastroenterology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Keating","sequence":"additional","affiliation":[{"name":"Connolly Hospital Blanchardstown, Dublin, Ireland","place":["Blanchardstown"],"department":["Department of Gastroenterology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"Smyth","sequence":"additional","affiliation":[{"name":"Connolly Hospital Blanchardstown, Dublin, Ireland","place":["Blanchardstown"],"department":["Department of Gastroenterology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Farrell","sequence":"additional","affiliation":[{"name":"Connolly Hospital Blanchardstown, Dublin, Ireland","place":["Blanchardstown"],"department":["Department of Gastroenterology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barry","family":"Hall","sequence":"additional","affiliation":[{"name":"Connolly Hospital Blanchardstown, Dublin, Ireland","place":["Blanchardstown"],"department":["Department of Gastroenterology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Orlaith","family":"Kelly","sequence":"additional","affiliation":[{"name":"Connolly Hospital Blanchardstown, Dublin, Ireland","place":["Blanchardstown"],"department":["Department of Gastroenterology"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,9,30]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"2967","DOI":"10.1007\/s00330-020-07413-4","article-title":"Imaging alternatives to colonoscopy: CT colonography and colon capsule. 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A systematic review and meta-analysis","volume":"68","author":"B Rosa","year":"2023","journal-title":"Dig Dis Sci"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"1563","DOI":"10.1177\/2050640618798182","article-title":"Intra and inter-observer agreement on polyp detection in colon capsule endoscopy evaluations","volume":"6","author":"M M Buijs","year":"2018","journal-title":"United Eur Gastroenterol J"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"212","DOI":"10.1016\/j.gie.2020.05.062","article-title":"Colon capsule CLEansing assessment and report (CC-CLEAR): a new approach for evaluation of the quality of bowel preparation in capsule colonoscopy","volume":"93","author":"M R de Sousa","year":"2021","journal-title":"Gastrointest Endosc"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"625","DOI":"10.1080\/00365521.2022.2026463","article-title":"CC-CLEAR (colon capsule cleansing assessment and report): the novel scale to evaluate the clinical impact of bowel preparation in capsule colonoscopy - a multicentric validation study","volume":"57","author":"M R de Sousa","year":"2022","journal-title":"Scand J Gastroenterol"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"123","DOI":"10.1055\/s-0030-1255916","article-title":"A grading scale to evaluate colon cleansing for the PillCam COLON capsule: a reliability study","volume":"43","author":"J A Leighton","year":"2011","journal-title":"Endoscopy"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"620","DOI":"10.1016\/j.gie.2008.05.057","article-title":"The Boston bowel preparation scale: a valid and reliable instrument for colonoscopy-oriented research","volume":"69","author":"E J Lai","year":"2009","journal-title":"Gastrointest Endosc"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"E1658","DOI":"10.1055\/a-1529-5814","article-title":"Efficacy of bowel preparation regimens for colon capsule endoscopy: a systematic review and meta-analysis","volume":"9","author":"T Bjoersum-Meyer","year":"2021","journal-title":"Endosc Int Open"}],"container-title":["Endoscopy International Open"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2961-4842.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T23:12:57Z","timestamp":1790809977000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2961-4842"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,16]]},"references-count":14,"journal-issue":{"issue":"CP","published-online":{"date-parts":[[2026,1,13]]},"published-print":{"date-parts":[[2026]]}},"alternative-id":["a29614842"],"URL":"https:\/\/doi.org\/10.1055\/a-2961-4842","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2364-3722","2196-9736"],"issn-type":[{"value":"2364-3722","type":"print"},{"value":"2196-9736","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,9,16]]},"published":{"date-parts":[[2026,9,16]]}}}