四种不同的分类方法的interrater和intrarater可靠性,用于评估在标准化X线图上的acromial形态
Thomas W Mayntzhusen1, Adam Witten1, Jens Gramkow1
1Sports Orthopedic Research Center - Copenhagen (SORC-C), Department of Orthopedic Surgery, Copenhagen University Hospital, Amager-Hvidovre, Denmark.
JSES international
|June 2, 2023
概括
评估了亚形形态分类对亚形冲刺综合征的可靠性. 哥本哈根形曲线显示出最佳可靠性,为潜在的治疗分层提供数值数据.
科学领域:
- 整形外科 整形外科 整形外科
- 放射学 放射学是一门学科.
- 肩部外科手术 肩部外科手术
背景情况:
- 亚体形态在亚体冲击综合征 (SIS) 的发展中至关重要.
- 现有的放射学方法 (比利亚尼,修改的爱斯坦,角) 缺乏经过验证的可靠性比较.
- 需要对形形态学的标准化评估.
研究的目的:
- 为了比较三种已建立的形形态学分类的interrater和intrarater可靠性.
- 为了评估新型分类的可靠性:哥本哈根形曲线 (CAC).
主要方法:
- 102个标准化超脊柱外出视图X射线图被三个经验丰富的临床医生评估.
- 分类是在两个盲目的会议中进行的,间隔一个月.
- 使用kappa (κ) 和类内相关系数 (ICC) 来量化interrater和intrarater的可靠性.
主要成果:
- 比格利亚尼分类显示出相当可靠到良好的可靠性 (κ 0.32-0.62).
- 经过修改的爱斯坦分类显示出相当可靠到良好的可靠性 (κ 0.24-0.69).
- 角分类给出了中等到良好的可靠性 (κ 0.53-0.72).
- 哥本哈根形曲线分类表现出中等到良好的可靠性 (ICC 0.66-0.78).
结论:
- 哥本哈根形曲线是唯一一种ICC>0.7的方法,表明其可靠性更高.
- 比格利亚尼分类在评估的方法中显示出最低的可靠性.
- CAC的数值输出可能会促进对SIS处理分层的未来研究.
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