{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T14:36:02Z","timestamp":1772548562075,"version":"3.50.1"},"reference-count":17,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2013,12,17]],"date-time":"2013-12-17T00:00:00Z","timestamp":1387238400000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2013,12]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine the inter\u2010rater reliability of nasal endoscopic findings and the feasibility of diagnosis of allergic rhinitis based solely on symptoms and nasal endoscopy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Prospective observational study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>University Teaching hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>One hundred and eight patients were referred from the allergy clinic included in the study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Predictive value of symptoms and nasal endoscopic examination to diagnose allergic rhinitis and inter\u2010rater reliability of the examination were evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Logistic regression analysis of patient symptoms and nasal examination findings revealed no significant predictive power for any of the symptoms or examination findings. The Fleiss \u03ba coefficient of the three raters was calculated. Inter\u2010rater variability among the three physicians demonstrated that mucosal oedema (\u03ba\u00a0=\u00a00,48, <jats:italic>P\u00a0&lt;\u00a0<\/jats:italic>0.001), polypoid degeneration of the inferior turbinate tail (\u03ba\u00a0=\u00a00.48, <jats:italic>P\u00a0=\u00a0<\/jats:italic>0.01), nasal polyps (\u03ba\u00a0=\u00a00.96, <jats:italic>P\u00a0&lt;\u00a0<\/jats:italic>0.001) and nasal septal deviation (\u03ba\u00a0=\u00a00.65, <jats:italic>P\u00a0=\u00a0<\/jats:italic>0.01) showed significant inter\u2010rater agreement. A low \u03ba coefficient (0.29) was found, and the inter\u2010rater variability among physicians in interpreting the characteristics of nasal secretions was significant (<jats:italic>P\u00a0=\u00a0<\/jats:italic>0.04). The inter\u2010rater variability among the three physicians suggested that turbinate hypertrophy (\u03ba\u00a0=\u00a00.31) and turbinate colour (\u03ba\u00a0=\u00a00.38) showed no significant inter\u2010rater agreement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Patient symptoms and nasal endoscopy findings do not provide reliable diagnosis of allergic rhinitis. Turbinate colour and hypertrophy are believed to be related to allergic rhinitis; however, these were subject to marked inter\u2010rater variability in this study.<\/jats:p><\/jats:sec>","DOI":"10.1111\/coa.12171","type":"journal-article","created":{"date-parts":[[2013,8,28]],"date-time":"2013-08-28T04:31:07Z","timestamp":1377664267000},"page":"481-486","source":"Crossref","is-referenced-by-count":19,"title":["Diagnosis of allergic rhinitis: inter\u2010rater reliability and predictive value of nasal endoscopic examination: a prospective observational study"],"prefix":"10.1111","volume":"38","author":[{"given":"E.","family":"Eren","sequence":"first","affiliation":[{"name":"Division of Allergy and Immunology Department of Internal Medicine, Celal Bayar University School of Medicine Manisa Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Akta\u015f","sequence":"additional","affiliation":[{"name":"Department of Chest Disease Faculty of Medicine Celal Bayar University Manisa Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Arslano\u011flu","sequence":"additional","affiliation":[{"name":"Division of Allergy and Immunology Department of Internal Medicine, Celal Bayar University School of Medicine Manisa Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Kopar","sequence":"additional","affiliation":[{"name":"Division of Allergy and Immunology Department of Internal Medicine, Celal Bayar University School of Medicine Manisa Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Ci\u011fer","sequence":"additional","affiliation":[{"name":"Division of Allergy and Immunology Department of Internal Medicine, Celal Bayar University School of Medicine Manisa Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Y.","family":"\u00d6zkul","sequence":"additional","affiliation":[{"name":"Division of Allergy and Immunology Department of Internal Medicine, Celal Bayar University School of Medicine Manisa Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"\u00d6nal","sequence":"additional","affiliation":[{"name":"Division of Allergy and Immunology Department of Internal Medicine, Celal Bayar University School of Medicine Manisa Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"Kat\u0131lmi\u015f","sequence":"additional","affiliation":[{"name":"Division of Allergy and Immunology Department of Internal Medicine, Celal Bayar University School of Medicine Manisa Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,12,17]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.2500\/aap.2010.31.3380"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0091-6749(97)80040-1"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2010.06.047"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1398-9995.2003.00402.x"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1398-9995.2006.01214.x"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/028134398750003377"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2008.11.005"},{"key":"e_1_2_8_9_1","first-page":"466","volume-title":"Patterson's Allergic Diseases: Diagnosis and Management","author":"Ricketti A.J.","year":"2009"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.4193\/Rhino12.000"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/85.3.257"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1398-9995.2007.01620.x"},{"key":"e_1_2_8_13_1","first-page":"377","article-title":"Key nasal symptoms predicting a positive skin test in allergic rhinitis and patient characteristics according to ARIA classification","volume":"92","author":"Chaiyasate S.","year":"2009","journal-title":"J. Med. Assoc. Thai."},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-140-4-200402170-00010"},{"key":"e_1_2_8_15_1","first-page":"407","article-title":"Diagnosing allergic rhinitis: effectiveness of the physical examination in comparison to conventional skin testing","volume":"40","author":"Raza S.N.","year":"2011","journal-title":"J Otolaryngol Head Neck Surg."},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.22156"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1159\/000329870"},{"key":"e_1_2_8_18_1","first-page":"46","article-title":"Prevalence of cypress pollen sensitization and its clinical importance in Izmir, Turkey, with cypress allergy assessed by nasal provocation","volume":"18","author":"Sin A.Z.","year":"2008","journal-title":"J. Investig. Allergol. Clin. Immunol."}],"container-title":["Clinical Otolaryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fcoa.12171","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/coa.12171","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T16:50:11Z","timestamp":1695574211000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/coa.12171"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,12]]},"references-count":17,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2013,12]]}},"alternative-id":["10.1111\/coa.12171"],"URL":"https:\/\/doi.org\/10.1111\/coa.12171","archive":["Portico"],"relation":{},"ISSN":["1749-4478","1749-4486"],"issn-type":[{"value":"1749-4478","type":"print"},{"value":"1749-4486","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,12]]}}}