지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.6
- 수록면
- 98 - 105 (8page)
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초록· 키워드
오류제보하기
Background: Our aim is to determine the interobserver reliability for surgeons to detect Hill-Sachs lesions on magnetic resonance imaging (MRI), the certainty of judgement, and the effects of surgeon characteristics on agreement.
Methods: Twenty-nine patients with Hill-Sachs lesions or other lesions with a similar appearance on MRIs were presented to 20 surgeons without any patient characteristics. The surgeons answered questions on the presence of Hill-Sachs lesions and the certainty of diagnosis. Interobserver agreement was assessed using the Fleiss’ kappa (κ) and percentage of agreement. Agreement between surgeons was compared using a technique similar to the pairwise t-test for means, based on large-sample linear approximation of Fleiss’ kappa, with Bonferroni correction.
Results: The agreement between surgeons in detecting Hill-Sachs lesions on MRI was fair (69% agreement; κ, 0.304; p<0.001). In 84% of the cases, surgeons were certain or highly certain about the presence of a Hill-Sachs lesion.
Conclusions: Although surgeons reported high levels of certainty for their ability to detect Hill-Sachs lesions, there was only a fair amount of agreement between surgeons in detecting Hill-Sachs lesions on MRI. This indicates that clear criteria for defining Hill-Sachs lesions are lacking, which hampers accurate diagnosis and can compromise treatment.
Methods: Twenty-nine patients with Hill-Sachs lesions or other lesions with a similar appearance on MRIs were presented to 20 surgeons without any patient characteristics. The surgeons answered questions on the presence of Hill-Sachs lesions and the certainty of diagnosis. Interobserver agreement was assessed using the Fleiss’ kappa (κ) and percentage of agreement. Agreement between surgeons was compared using a technique similar to the pairwise t-test for means, based on large-sample linear approximation of Fleiss’ kappa, with Bonferroni correction.
Results: The agreement between surgeons in detecting Hill-Sachs lesions on MRI was fair (69% agreement; κ, 0.304; p<0.001). In 84% of the cases, surgeons were certain or highly certain about the presence of a Hill-Sachs lesion.
Conclusions: Although surgeons reported high levels of certainty for their ability to detect Hill-Sachs lesions, there was only a fair amount of agreement between surgeons in detecting Hill-Sachs lesions on MRI. This indicates that clear criteria for defining Hill-Sachs lesions are lacking, which hampers accurate diagnosis and can compromise treatment.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (30)
참고문헌 신청
Di Giacomo G / 2018 / The role of bone in glenohumeral stability / EFORT Open Rev 3:632~640
Reddy MP / 2014 / Hill-Sachs lesions are best treated with a surface replacement : affirms / Semin Arthroplasty 25:226~230
Di Giacomo G / 2020 / Glenoid track instability management score : radiographic modification of the instability severity index score / Arthroscopy 36:56~67
Cicak N / 1998 / Hill-Sachs lesion in recurrent shoulder dislocation : sonographic detection / J Ultrasound Med 17:557~560
Workman TL / 1992 / Hill-Sachs lesion: comparison of detection with MR imaging, radiography, and arthroscopy / Radiology 185:847~852
Reddy MP / 2014 / Hill-Sachs lesions are best treated with a surface replacement : affirms / Semin Arthroplasty 25:226~230
Di Giacomo G / 2020 / Glenoid track instability management score : radiographic modification of the instability severity index score / Arthroscopy 36:56~67
Cicak N / 1998 / Hill-Sachs lesion in recurrent shoulder dislocation : sonographic detection / J Ultrasound Med 17:557~560
Workman TL / 1992 / Hill-Sachs lesion: comparison of detection with MR imaging, radiography, and arthroscopy / Radiology 185:847~852
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UCI(KEPA) : I410-ECN-0101-2021-514-001741263