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Figure: Case characteristics and retreatment recommendations
Note:—Acom indicates anterior communicating artery; Pcom, posterior communicating artery; A., arteria.
a Rated from complete occlusion, neck remnant, to residual aneurysm.
b Rated from better, same, to worse.
c Rated from completely uncertain (1) to completely certain (6).
d Rated from standard, difficult, to unbearable risk.
e Rated from coiling only, stent-assisted coiling, clipping, other, or no retreatment.
- Table 1:
Results from linear (generalized) mixed modelling investigating the association between case characteristics with confidence in assessment, general retreatment recommendation (any retreatment), and specific retreatment recommendations (coiling, stent and coiling, clipping, other endovascular treatment)
Confidencea β Any Retreatmentb Odds Ratio Coiling Onlyb Odds Ratio Stent and Coilingb Odds Ratio Clippingb Odds Ratio Other Endovascular Treatmentb Odds Ratio Case characteristics Locationc 0.1300 0.6258 0.9887 1.4288 0.0241 0.1635i Bleedingd 0.0432 0.7638 0.7022 0.9231 1.7582 0.7084 Aneurysm size (mm) 0.0004 0.9959 1.0006 0.9873i 1.0198 1.0072 Aneurysm neck width (mm) −0.0447 0.9088 0.7354i 1.3879i 0.4234i 0.8492 Patient agee NA 0.2522j 0.3529j 0.2171j 0.1879j 0.2796j Casewise averaged ratings across raters Proportion rating residual gradef 0.4683 86.2958j 79.9203j 141.9125j 118.8253 7.3950 Proportion rating worseningg 1.1790j 2.2709 1.2754 2.7537 0.2078 8.3006 Proportion rating difficult retreatmenth −0.2387 0.4200 0.0282i 0.3909 99.9733 1.6362 Mean confidence NA 2.7197j 2.4697 2.2326 5.1344 0.9219 Note:—NA indicates not analyzed.
↵a Rated from completely uncertain (1) to completely certain (6).
↵b Binary compared with no treatment; odds ratios of >1 indicate a higher probability of treatment, and odds ratios of <1 indicate a lower probability of treatment with an increase in the predictors.
↵c Posterior (1) versus anterior (0).
↵d Ruptured (1) versus asymptomatic (0).
↵e Elderly, older than 50 years, (1) versus younger, 50 years or younger (0).
↵f Proportion of ratings of residual versus complete/neck remnant aneurysm from 0 to 1.
↵g Proportion of ratings of worse-versus-the same/better condition from 0 to 1.
↵h Proportion of ratings of difficult/unbearably risky versus standard retreatment from 0 to 1.
↵i P < .050.
↵j P < .00.
- Table 2:
Results from linear (generalized) mixed modelling investigating the association between rater and case characteristics with confidence in assessment, general retreatment recommendation (any retreatment), and specific retreatment recommendations (coiling, stent and coiling, clipping, other endovascular treatment)
Confidencea β Any Retreatmentb Odds Ratio Coiling Onlyb Odds Ratio Stent and Coilingb Odds Ratio Clippingb Odds Ratio Other Endovascular Treatmentb Odds Ratio Rater characteristics Work experiencec 0.0466 0.7280 0.9897 0.8569 0.3882d 0.7475 Aneurysm treatment experiencec 0.0108 1.0929 1.1190 0.8571 1.2292 1.1915 Knowledgec 0.0411 1.4761 1.8102d 1.1198 1.5397 1.3269 Skillsc 0.0574 0.7945 0.7605 1.0904 0.6667 0.7735