Clinical evaluation of anterior vaginal wall support defects: interexaminer and intraexaminer reliability
| Autor: | C. Hugney, Mark D. Walters, Matthew D. Barber, James L. Whiteside, Marie Fidela R. Paraiso |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Observer Variation
Orthodontics medicine.medical_specialty medicine.diagnostic_test business.industry Reproducibility of Results Obstetrics and Gynecology Physical examination Middle Aged Vaginal wall Surgery Cohen's kappa medicine.anatomical_structure Uterine Prolapse medicine Vagina Humans Female Prospective Studies Stage (cooking) business Prospective cohort study Reliability (statistics) Kappa Aged |
| Zdroj: | American Journal of Obstetrics and Gynecology. 191:100-104 |
| ISSN: | 0002-9378 |
| DOI: | 10.1016/j.ajog.2004.01.053 |
| Popis: | Objective The purpose of this study was to determine the interobserver and intraobserver reliability of the clinical examination of anterior vaginal wall support defects. Study design Sixty-three patients with at least stage II anterior vaginal wall prolapse were prospectively evaluated with a standardized examination to detect anterior vaginal wall support defects. Interobserver reliability was assessed with a duplicate examination performed by a blinded second examiner. Intraobserver reliability was assessed with a second examination performed at least 3 weeks later by 1 of the original 2 examiners. Examination reliability for the 4 types of defects (central, right lateral, left lateral, and superior) was evaluated with the kappa statistic. Results The inter- and intraexaminer reliability of the clinical examination for central, superior, and right and left paravaginal defects was poor; all kappas were less than 0.50. Overall interexaminer agreement was 42% with a kappa of 0.16 (95% CI, 0-0.32). Overall intraexaminer agreement was 46% with a kappa of 0.16 (95% CI, 0-0.45). Reliability was noted to improve with increasing stage of prolapse. Conclusion The clinical examination of anterior vaginal wall support defects displays poor interexaminer and intraexaminer agreement. |
| Databáze: | OpenAIRE |
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