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Development and validation of the Sorting non-trauMatIc adoLescent knEe pain (SMILE) tool - a development and initial
Clara Guldhammer1, Sinead Holden2,3, Marina Elmelund Sørensen2
1Center for General Practice at Aalborg University, Fyrkildevej 7, 9220, Aalborg, Denmark. cguldhammer@dcm.aau.dk.
Pediatric Rheumatology Online Journal
|July 7, 2021
Summary
A new diagnostic tool significantly improves the accuracy of diagnosing non-traumatic adolescent knee pain in clinical practice. This flowchart aids doctors in identifying common knee conditions in young patients.
Area of Science:
- Pediatric Orthopedics
- Diagnostic Tools
- Adolescent Medicine
Background:
- Adolescent knee pain is common, yet diagnostic support tools for clinicians are lacking.
- Accurate diagnosis of non-traumatic knee pain in adolescents presents a clinical challenge.
Purpose of the Study:
- To develop a novel diagnostic support tool for non-traumatic adolescent knee pain.
- To evaluate the tool's effectiveness in improving diagnostic accuracy and reliability.
Main Methods:
- Systematic literature review and expert consultation to create a diagnostic flowchart.
- Blinded evaluation of the tool with 27 adolescent participants diagnosed by medical professionals.
- Comparison of diagnoses with a gold standard and assessment of inter-rater reliability using Kappa statistic.
Main Results:
- The diagnostic tool enhanced agreement with the gold standard from 22.7% to 77.3%.
- Inter-rater reliability improved from poor (k=-0.04) to moderate (k=0.56).
Conclusions:
- A simple, quick diagnostic tool can assist physicians in diagnosing non-traumatic knee pain in adolescents.
- The developed tool shows potential for practical clinical application in pediatric knee pain management.
