Interrater reliability of diagnosing complex regional pain syndrome type I

Autor: Perez, Roberto S.G.M., Burm, P. E.T., Zuurmond, W. W.A., Giezeman, M. J.M.M., Van Dasselaar, N. T., Vranken, J., De Lange, J. J.
Přispěvatelé: APH - Methodology, APH - Personalized Medicine, CCA - Cancer Treatment and quality of life, AII - Inflammatory diseases, Anesthesiology, Human genetics
Jazyk: angličtina
Rok vydání: 2002
Zdroj: Acta Anaesthesiologica Scandinavica, 46(4), 447-450. Blackwell Munksgaard
Perez, R S G M, Burm, P E T, Zuurmond, W W A, Giezeman, M J M M, Van Dasselaar, N T, Vranken, J & De Lange, J J 2002, ' Interrater reliability of diagnosing complex regional pain syndrome type I ', Acta Anaesthesiologica Scandinavica, vol. 46, no. 4, pp. 447-450 . https://doi.org/10.1034/j.1399-6576.2002.460420.x
ISSN: 0001-5172
DOI: 10.1034/j.1399-6576.2002.460420.x
Popis: Background: Diagnosis of complex regional pain syndrome type I (CRPS I) is based on clinical observation of symptoms. As little information is available on the reliability of CRPS I diagnosis, we evaluated the agreement between therapists with regard to the presence and severity of CRPS I and its symptoms. Methods: The interrater reliability was evaluated in 37 presumed CRPS I patients by three observers; one consultant anesthesiologist and two resident anesthesiologists. Patients were assessed on the basis of Veldman's CRPS criteria. Results: The interrater reliability for diagnosing CRPS I was good for the majority of observer combinations. The percentage of agreement for the absence or presence of CRPS I was good (88%-100%). Cohen's Kappa's ranged from 0.60 to 0.86. The agreement for the mean symptom score ranged from 70.2% to 88.6%; Kappa's were lower and showed more variation. Interrater reliability for assessment of the severity of CRPS I and its symptoms was poor. Factors influencing the interrater reliability were symptom type, individual observers and sample population. Conclusion: Diagnosing CRPS I can be performed on the basis of clinical observation. Further assessment of severity of CRPS I and its symptoms should be performed with reliable and valid measurement instruments.
Databáze: OpenAIRE
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