{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:49:13Z","timestamp":1753876153196,"version":"3.41.2"},"reference-count":27,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2023,12,19]],"date-time":"2023-12-19T00:00:00Z","timestamp":1702944000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,4,2]]},"abstract":"<jats:title>Summary<\/jats:title>\n               <jats:p>There is little information on the degree of concordance between the results obtained using the Chicago 3.0 (CCv3.0) and Chicago 4.0 (CCv4.0) protocols to interpret high-resolution manometry (HRM) seeking to determine the value provided by the new swallowing maneuvers included in the last protocol. This is a study of diagnostic tests, evaluating concordance by consistency between the results obtained by the CCv3.0 and CCv4.0 protocols, in patients undergoing HRM. Concordance was assessed with the kappa test. Bland\u2013Altman scatter plots, and Lin\u2019s correlation-concordance coefficient (CCC) were used to assess the agreement between IRP measured with swallows in the supine and seated position or with solid swallows. One hundred thirty-two patients were included (65% women, age 53\u2009\u00b1\u200917\u00a0years). The most frequent HRM indication was dysphagia (46.1%). Type I was the most common type of gastroesophageal junction. The most frequent CCv4.0 diagnoses were normal esophageal motility (68.9%), achalasia (15.5%), and ineffective esophageal motility (IEM; 5.3%). The agreement between the results was substantial (Kappa 0.77\u2009\u00b1\u20090.05), with a total agreement of 87.9%. Diagnostic reclassification occurred in 12.1%, from IEM in CCv3.0 to normal esophageal motility in CCv4.0. Similarly, there was a high level of agreement between the IRP measured in the supine compared to the seated position (CCC0.92) and with solid swallows (CCC0.96). In conclusion, the CCv4.0 protocol presents a high concordance compared to CCv3.0. In the majority of manometric diagnoses there is no reclassification of patients with provocation tests. However, the more restrictive criteria of CCv4.0 achieve a better reclassification of patients with IEM.<\/jats:p>","DOI":"10.1093\/dote\/doad071","type":"journal-article","created":{"date-parts":[[2023,12,20]],"date-time":"2023-12-20T19:50:05Z","timestamp":1703101805000},"source":"Crossref","is-referenced-by-count":0,"title":["Are the Chicago 3.0 manometric diagnostics consistent with Chicago 4.0?"],"prefix":"10.1093","volume":"37","author":[{"given":"Ang\u00e9lica","family":"Tob\u00f3n","sequence":"first","affiliation":[{"name":"Gastroenterology and Endoscopy Unit, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana , Bogot\u00e1 , Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Albis C","family":"Hani","sequence":"additional","affiliation":[{"name":"Digestive Physiology Unit, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana , Bogot\u00e1 , Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cristiam D","family":"Pulgarin","sequence":"additional","affiliation":[{"name":"Gastroenterology and Endoscopy Unit, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana , Bogot\u00e1 , Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andres F","family":"Ardila","sequence":"additional","affiliation":[{"name":"Digestive Physiology Unit, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana , Bogot\u00e1 , Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5401-0018","authenticated-orcid":false,"given":"Oscar M","family":"Mu\u00f1oz","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana , Bogot\u00e1 , Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julian A","family":"Sierra","sequence":"additional","affiliation":[{"name":"Faculty of medicine, Pontificia Universidad Javeriana , Bogot\u00e1 , Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Cisternas","sequence":"additional","affiliation":[{"name":"Digestive Physiology Laboratory , Gastroenterology Unit, , Santiago , Chile"},{"name":"Cl\u00ednica Alemana de Santiago, Universidad del Desarrollo , Gastroenterology Unit, , Santiago , Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,12,19]]},"reference":[{"key":"2024040305381299900_ref1","doi-asserted-by":"crossref","first-page":"543","DOI":"10.1016\/S1542-3565(05)00153-9","article-title":"Prevalence and socio- economic impact of upper gastrointestinal disorders in the United States: results of the US upper gastrointestinal study","volume":"3","author":"Camilleri","year":"2005","journal-title":"Clin Gastroenterol Hepatol"},{"key":"2024040305381299900_ref2","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1053\/j.gastro.2018.08.063","article-title":"Burden and cost of gastrointestinal, liver, and pancreatic diseases in the United States: update 2018","volume":"156","author":"Peery","year":"2019","journal-title":"Gastroenterology"},{"issue":"9","key":"2024040305381299900_ref3","doi-asserted-by":"crossref","first-page":"1970","DOI":"10.1016\/j.cgh.2019.10.029","article-title":"Prevalence and characteristics of dysphagia based on a population-based survey","volume":"18","author":"Adkins","year":"2020","journal-title":"Clin Gastroenterol Hepatol"},{"issue":"1","key":"2024040305381299900_ref4","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.gtc.2012.11.001","article-title":"High-resolution manometry and esophageal pressure topography: filling the gaps of convention manometry","volume":"42","author":"Carlson","year":"2013","journal-title":"Gastroenterol Clin North Am"},{"issue":"4","key":"2024040305381299900_ref5","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1016\/j.giec.2014.07.001","article-title":"The Chicago classification of motility disorders: an update","volume":"24","author":"Roman","year":"2014","journal-title":"Gastrointest Endosc Clin N Am"},{"key":"2024040305381299900_ref6","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1111\/nmo.12477","article-title":"The Chicago classification of esophageal motility disorders, v3.0","volume":"27","author":"Kahrilas","year":"2015","journal-title":"Neurogastroenterol Motil"},{"key":"2024040305381299900_ref7","doi-asserted-by":"crossref","first-page":"796","DOI":"10.1111\/j.1365-2982.2009.01311.x","article-title":"High-resolution manometry in clinical practice: utilizing pressure topography to classify oesophageal motility abnormalities","volume":"21","author":"Pandolfino","year":"2009","journal-title":"Neurogastroenterol Motil"},{"issue":"1","key":"2024040305381299900_ref8","doi-asserted-by":"crossref","first-page":"e14058","DOI":"10.1111\/nmo.14058","article-title":"Esophageal motility disorders on high-resolution manometry: Chicago classification version 4.0\u00a9","volume":"33","author":"Yadlapati","year":"2021","journal-title":"Neurogastroenterol Motil"},{"issue":"1","key":"2024040305381299900_ref9","doi-asserted-by":"crossref","first-page":"e14467","DOI":"10.1111\/nmo.14467","article-title":"From Chicago classification v3.0 to v4.0: diagnostic changes and clinical implications","volume":"35","author":"Sallette","year":"2023","journal-title":"Neurogastroenterol Motil"},{"key":"2024040305381299900_ref10","first-page":"e14503","article-title":"Benefit of extending the protocol for high resolution manometry according to the version 4.0 of the Chicago criteria. A multicenter study","volume":"28","author":"Alcal\u00e1-Gonz\u00e1lez","year":"2022","journal-title":"Neurogastroenterol Motil"},{"issue":"3","key":"2024040305381299900_ref11","doi-asserted-by":"crossref","first-page":"247","DOI":"10.18597\/rcog.271","article-title":"M\u00e9todos estad\u00edsticos de evaluaci\u00f3n de la concordancia y la reproducibilidad de pruebas diagn\u00f3sticas","volume":"61","author":"\u00c9dgar","year":"2010","journal-title":"Rev Colomb Obstet Ginecol"},{"issue":"5","key":"2024040305381299900_ref12","doi-asserted-by":"crossref","first-page":"819","DOI":"10.1590\/S0124-00642009000500015","article-title":"Concordancia en la estimaci\u00f3n del consumo m\u00e1ximo de ox\u00edgeno entre una prueba de esfuerzo y el Polar s810\u00ae","volume":"11","author":"Edgar","year":"2009","journal-title":"Rev salud p\u00fablica"},{"issue":"9","key":"2024040305381299900_ref13","doi-asserted-by":"crossref","first-page":"673","DOI":"10.1016\/j.annepidem.2014.06.097","article-title":"Nomogram for sample size calculation on a straightforward basis for the kappa statistic","volume":"24","author":"Hong","year":"2014","journal-title":"Ann Epidemiol"},{"issue":"Supplement","key":"2024040305381299900_ref14","doi-asserted-by":"crossref","first-page":"S180","DOI":"10.14309\/00000434-201810001-00325","article-title":"Prevalence of esophageal motility disorders in an open access hybrid \u201cacademic - community setting\u201d patient population","volume":"113","author":"Alani","journal-title":"Am J Gastroenterol"},{"issue":"1","key":"2024040305381299900_ref15","doi-asserted-by":"crossref","first-page":"255","DOI":"10.2307\/2532051","article-title":"A concordance correlation coefficient to evaluate reproducibility","volume":"45","author":"Lawrence","year":"1989","journal-title":"Biometrics"},{"issue":"8476","key":"2024040305381299900_ref16","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1016\/S0140-6736(86)90837-8","article-title":"Statistical methods for assessing agreement between two methods of clinical measurement","volume":"1","author":"Bland","year":"1986","journal-title":"Lancet"},{"issue":"3","key":"2024040305381299900_ref17","doi-asserted-by":"crossref","first-page":"281","DOI":"10.5056\/jnm.2013.19.3.281","article-title":"Evaluation of esophageal motor function with high-resolution manometry","volume":"19","author":"Conklin","year":"2013","journal-title":"J Neurogastroenterol Motil"},{"issue":"3","key":"2024040305381299900_ref18","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1016\/j.gtc.2007.07.006","article-title":"Esophageal motor and sensory disorders: presentation, evaluation, and treatment","volume":"36","author":"Massey","year":"2007","journal-title":"Gastroenterol Clin North Am"},{"key":"2024040305381299900_ref19","doi-asserted-by":"crossref","first-page":"690","DOI":"10.1016\/j.cgh.2007.02.023","article-title":"Distinct clinical characteristics between patients with nonerosive reflux disease and those with reflux esophagitis","volume":"5","author":"Wu","year":"2007","journal-title":"Clin Gastroenterol Hepatol"},{"key":"2024040305381299900_ref20","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1111\/jgh.12367","article-title":"Relevance of ineffective Esophageal motility to secondary peristalsis in patients with gastroesophageal reflux disease","volume":"29","author":"Chen","year":"2014","journal-title":"J Gastroenterol Hepatol"},{"key":"2024040305381299900_ref21","doi-asserted-by":"crossref","first-page":"1926","DOI":"10.1007\/s10620-008-0580-8","article-title":"Esophageal motility in nonacid reflux compared with acid reflux","volume":"54","author":"Wang","year":"2009","journal-title":"Dig Dis Sci"},{"issue":"12","key":"2024040305381299900_ref22","doi-asserted-by":"crossref","first-page":"638915","DOI":"10.3389\/fphar.2021.638915","article-title":"Management of ineffective esophageal hypomotility","volume":"26","author":"Jandee","year":"2021","journal-title":"Front Pharmacol"},{"key":"2024040305381299900_ref23","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1111\/apt.17101","article-title":"Chicago classification v4.0 protocol improves specificity and accuracy of diagnosis of oesophagogastric junction outflow obstruction","volume":"56","author":"Visaggi","year":"2022","journal-title":"Aliment Pharmacol Ther"},{"key":"2024040305381299900_ref24","doi-asserted-by":"crossref","first-page":"e13584","DOI":"10.1111\/nmo.13584","article-title":"Ineffective esophageal motility: concepts, future directions, and conclusions from the Stanford 2018 symposium","volume":"31","author":"Gyawali","year":"2019","journal-title":"Neurogastroenterol Motil"},{"key":"2024040305381299900_ref25","doi-asserted-by":"crossref","first-page":"e1669","DOI":"10.1097\/MD.0000000000001669","article-title":"Multiple rapid swallow Maneuver enhances the clinical utility of high-resolution Manometry in patients showing ineffective esophageal motility","volume":"94","author":"Min","year":"2015","journal-title":"Medicine"},{"key":"2024040305381299900_ref26","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1177\/2050640614560453","article-title":"Beneficial effect of the 5-HT 1A receptor agonist buspirone on esophageal dysfunction associated with systemic sclerosis: a pilot study","volume":"3","author":"Karamanolis","year":"2015","journal-title":"United Eur Gastroenterol J"},{"issue":"6","key":"2024040305381299900_ref27","doi-asserted-by":"crossref","first-page":"936","DOI":"10.14309\/ajg.0000000000002227","article-title":"American Gastroenterological Association-American College of Gastroenterology clinical practice guideline: pharmacological management of chronic idiopathic constipation","volume":"118","author":"Chang","year":"2023","journal-title":"Am J Gastroenterol"}],"container-title":["Diseases of the Esophagus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/dote\/article-pdf\/37\/4\/doad071\/57138983\/doad071.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/dote\/article-pdf\/37\/4\/doad071\/57138983\/doad071.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,3]],"date-time":"2024-04-03T05:38:35Z","timestamp":1712122715000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/dote\/article\/doi\/10.1093\/dote\/doad071\/7479746"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,19]]},"references-count":27,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2023,12,19]]},"published-print":{"date-parts":[[2024,4,2]]}},"URL":"https:\/\/doi.org\/10.1093\/dote\/doad071","relation":{},"ISSN":["1120-8694","1442-2050"],"issn-type":[{"type":"print","value":"1120-8694"},{"type":"electronic","value":"1442-2050"}],"subject":[],"published-other":{"date-parts":[[2024,4]]},"published":{"date-parts":[[2023,12,19]]},"article-number":"doad071"}}