{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T16:31:32Z","timestamp":1789662692180,"version":"4.0.1"},"reference-count":25,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,12,15]],"date-time":"2016-12-15T00:00:00Z","timestamp":1481760000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001602","name":"Science Foundation Ireland","doi-asserted-by":"publisher","award":["11\/PI\/1166"],"award-info":[{"award-number":["11\/PI\/1166"]}],"id":[{"id":"10.13039\/501100001602","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["beva.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Equine Veterinary Journal"],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Previous studies support good intra\u2010 and interobserver agreements for endoscopic evaluation of various upper respiratory tract (\n                      <jats:styled-content style=\"fixed-case\">URT<\/jats:styled-content>\n                      ) diseases in horses. However, these studies mainly assessed resting endoscopic examination videos and\/or focussed on a single\n                      <jats:styled-content style=\"fixed-case\">URT<\/jats:styled-content>\n                      abnormality.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>\n                      To estimate intra\u2010 and interobserver agreement for identification and grading of all\n                      <jats:styled-content style=\"fixed-case\">URT<\/jats:styled-content>\n                      abnormalities from resting and overground endoscopy (\n                      <jats:styled-content style=\"fixed-case\">OGE<\/jats:styled-content>\n                      ) videos of Thoroughbreds.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study design<\/jats:title>\n                    <jats:p>Blinded, fully crossed design.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Resting and\n                      <jats:styled-content style=\"fixed-case\">OGE URT<\/jats:styled-content>\n                      videos for n = 43 Thoroughbreds were retrospectively chosen based on identification of common\n                      <jats:styled-content style=\"fixed-case\">URT<\/jats:styled-content>\n                      disorders. The videos were randomly evaluated in duplicate by 4 raters blinded to all information including prior\n                      <jats:styled-content style=\"fixed-case\">URT<\/jats:styled-content>\n                      disorder(s) diagnosis. Abnormalities were graded using well\u2010described ordinal scales. Intra\u2010 and interobserver agreements were estimated using Cohen's weighted \u03ba and Krippendorff's \u03b1, respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Intraobserver agreement was perfect\/nearly perfect for arytenoid symmetry at exercise, epiglottic entrapment and epiglottic retroversion, substantial for arytenoid asymmetry at rest, palatal dysfunction (\n                      <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>\n                      ), medial deviation of the aryepiglottic folds (MDAF), pharyngeal mucus and epiglottic grade at exercise and moderate for vocal fold collapse (\n                      <jats:styled-content style=\"fixed-case\">VFC<\/jats:styled-content>\n                      ), ventromedial luxation of the apex of the corniculate process of the arytenoid (VLAC), nasopharyngeal collapse (\n                      <jats:styled-content style=\"fixed-case\">NPC<\/jats:styled-content>\n                      ) and epiglottic grade at rest. Interobserver agreement was substantial for arytenoid symmetry at exercise and\n                      <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>\n                      and moderate for arytenoid asymmetry at rest, MDAF, VLAC and epiglottic entrapment. It was only fair for\n                      <jats:styled-content style=\"fixed-case\">VFC<\/jats:styled-content>\n                      , epiglottic grade at exercise, epiglottic retroversion, pharyngeal mucus and\n                      <jats:styled-content style=\"fixed-case\">NPC<\/jats:styled-content>\n                      and poor for epiglottic grade at rest.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main limitations<\/jats:title>\n                    <jats:p>Sample size was insufficient to allow assessment of the effect of one abnormality on the grading of another abnormality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Observers were consistent in grading\n                      <jats:styled-content style=\"fixed-case\">URT<\/jats:styled-content>\n                      disorders. However, significant disparity in grading existed between observers for some conditions affecting reliability.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/evj.12653","type":"journal-article","created":{"date-parts":[[2016,11,16]],"date-time":"2016-11-16T11:45:05Z","timestamp":1479296705000},"page":"433-437","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Intra\u2010 and interobserver reliability estimates for identification and grading of upper respiratory tract abnormalities recorded in horses at rest and during overground endoscopy"],"prefix":"10.1111","volume":"49","author":[{"given":"C. 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