{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T11:21:20Z","timestamp":1787829680055,"version":"build-2784847793"},"reference-count":5,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T00:00:00Z","timestamp":1784505600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T00:00:00Z","timestamp":1784505600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To explore agreement between emergency physicians in classifying chest x\u2010rays (CXR) of patients with primary spontaneous pneumothorax (PSP) as showing the presence\/absence of so\u2010called radiological tension features.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Observational study. Five emergency physicians blinded to patient characteristics, radiologist report, patient outcome and other reviewers' classification assessed each of 80 PSP CXR and classified them as showing radiological tension features or not. Analysis using Krippendorff's Alpha (K\u2010Alpha).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Inter\u2010rater agreement was 0.524 (95% CI: 0.400\u20130.623)\u2014consistent with poor agreement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Interpretation for radiological tension features had poor inter\u2010rater reliability, which seriously changes their appropriateness as drivers for interventional management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1742-6723.70311","type":"journal-article","created":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T00:36:02Z","timestamp":1784594162000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Exploring Inter\u2010Rater Agreement in Classification of Radiological Features of Tension in Adults With Primary Spontaneous Pneumothorax"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4655-5023","authenticated-orcid":false,"given":"Anne\u2010Maree","family":"Kelly","sequence":"first","affiliation":[{"name":"Joseph Epstein Centre for Emergency Medicine Research Western Health  St Albans Australia"},{"name":"Department of Critical Care, Melbourne Medical School The University of Melbourne  Parkville Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-7012-6517","authenticated-orcid":false,"given":"Matthew","family":"Birdsey","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Western Health  St Albans Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajesh","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Western Health  St Albans Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-3820-8735","authenticated-orcid":false,"given":"Luigi","family":"Marino","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Western Health  St Albans Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lidia","family":"Samcewicz\u2010Parham","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Western Health  St Albans Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0962-7718","authenticated-orcid":false,"given":"Sivashanth","family":"Gnanasekaran","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Western Health  St Albans Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma","family":"Duffett","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Western Health  St Albans Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,20]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/imj.16243"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/imj.70054"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resmer.2026.101247"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.165.5.7572489"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mex.2023.102545"}],"container-title":["Emergency Medicine Australasia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1742-6723.70311","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1742-6723.70311","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1742-6723.70311","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T10:48:36Z","timestamp":1787827716000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1742-6723.70311"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,20]]},"references-count":5,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1111\/1742-6723.70311"],"URL":"https:\/\/doi.org\/10.1111\/1742-6723.70311","archive":["Portico"],"relation":{},"ISSN":["1742-6731","1742-6723"],"issn-type":[{"value":"1742-6731","type":"print"},{"value":"1742-6723","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,20]]},"assertion":[{"value":"2026-03-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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