Radiographic arthrosis after elbow trauma : interobserver reliability Lindenhovius, Anneluuk, Karanicolas, Paul Jack, Bhandari, Mohit, Ring, David, COAST Collaborative and Page, Richard 2012, Radiographic arthrosis after elbow trauma : interobserver reliability, Journal of hand surgery, vol. 37, no. 4, pp. 755-759, doi: 10.1016/j.jhsa.2011.12.043. Attached Files Name Description MIMEType Size Downloads Title Radiographic arthrosis after elbow trauma : interobserver reliability Author(s) Lindenhovius, Anneluuk Karanicolas, Paul Jack Bhandari, Mohit Ring, David COAST Collaborative Page, Richard orcid.org/0000-0002-2225-7144 Contributor(s) Page, Richard orcid.org/0000-0002-2225-7144 Journal name Journal of hand surgery Volume number 37 Issue number 4 Start page 755 End page 759 Total pages 5 Publisher W. B. Saunders Place of publication Philadelphia, Pa. Publication date 2012-04 ISSN 0363-5023 Summary Purpose : This study measured observer variation in radiographic rating of elbow arthrosis. Methods : Thirty-seven independent orthopedic surgeons graded the extent of elbow arthrosis in 20 consecutive sets of plain radiographs, according to the Broberg and Morrey rating system (grade 0, normal joint; grade 1, slight joint-space narrowing with minimum osteophyte formation; grade 2, moderate joint-space narrowing with moderate osteophyte formation; and grade 3, severe degenerative change with gross destruction of the joint). The kappa multirater measure (κ) was used to estimate reliability between observers, with 0 indicating no agreement above chance, and 1 indicating perfect agreement. Results : There was fair agreement in arthrosis ratings between surgeons. Surgeons with more than 10 years of experience had greater agreement than did surgeons with less experience, and surgeons who treated more than 10 elbow fractures per year had better agreement than did those treating fewer fractures. In post hoc analyses, 2 simplified binary rating systems (eg, “none or mild” vs “moderate or severe” arthrosis) resulted in moderate agreement among observers. Conclusions : The 4 grades of the Broberg and Morrey classification system have only fair interobserver reliability that is influenced by subspecialty and experience. Binary rating systems might be more reliable. Language eng DOI 10.1016/j.jhsa.2011.12.043 Field of Research 119999 Medical and Health Sciences not elsewhere classified Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences HERDC Research category C1.1 Refereed article in a scholarly journal Copyright notice ©2012, W. B. Saunders Persistent URL http://hdl.handle.net/10536/DRO/DU:30047528 Document type: Journal Article Collection: School of Medicine Related Links Link Description Connect to published version (restricted access) Go to link with your DU access privileges     Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved. Versions Version Filter Type Thu, 30 Aug 2012, 09:39:19 EST Thu, 30 Aug 2012, 10:37:20 EST Thu, 13 Sep 2012, 15:15:44 EST Fri, 14 Sep 2012, 08:19:42 EST Fri, 19 Apr 2013, 13:58:35 EST Mon, 17 Jun 2013, 17:54:07 EST Filtered Full Citation counts:   Cited 5 times in TR Web of Science Cited 5 times in Scopus Search Google Scholar Access Statistics: 357 Abstract Views, 0 File Downloads  -  Detailed Statistics Created: Thu, 30 Aug 2012, 09:39:19 EST

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