Interobserver reliability of pirani clubfoot severity scoring between an orthopedic surgeon, a resident doctor, and a nonmedical counsellor at a clubfoot clinic
| Autor: | Pulak Sharma, Sanjiv Gaur, Rahul Verma |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
reliability and validity
medicine.medical_specialty Clubfoot Interobserver reliability mesh: reliability and validity interobserver reliability 03 medical and health sciences 0302 clinical medicine Cohen's kappa lcsh:Orthopedic surgery Deformity Medicine Orthopedics and Sports Medicine mesh: congenital 030222 orthopedics business.industry Gold standard counsellor congenital 030229 sport sciences medicine.disease Pirani score humanities Ponseti method lcsh:RD701-811 Pirani score MeSH terms: Ankle joint mesh: clubfoot mesh: Ankle joint Orthopedic surgery Physical therapy Original Article Observational study medicine.symptom business |
| Zdroj: | Indian Journal of Orthopaedics, Vol 52, Iss 6, Pp 645-650 (2018) Indian Journal of Orthopaedics |
| ISSN: | 1998-3727 0019-5413 |
| Popis: | Background: Ponseti method is the gold standard treatment for idiopathic congenital clubfoot. Pirani clubfoot severity score is a vital tool in assessing treatment of clubfoot. This study determines whether, after a short training in the Pirani scoring, a nonmedical personnel can be as accurate as a doctor in assessing the degree of deformity in clubfoot. Materials and Methods: This was a prospective observational study from January to September 2016. Pirani scoring of all children ≤6 months was done by the counsellor, an orthopedic resident, and a consultant separately. All the three members of the team were blinded of the other's score. The Pirani scoring of the consultant was taken as the most correct. The data were analyzed for interobserver reliability using the kappa statistic and point-by-point interobserver agreements. Results: One hundred and fifteen clubfeet in 75 children (48 males and 27 females) with an average age of 96 days were included in the study. Differences between the means of scores for each severity component of the deformity including the sum of midfoot scores, hindfoot scores, and total foot scores were |
| Databáze: | OpenAIRE |
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