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Titolo:
INTEROBSERVER RELIABILITY OF THE ARTHROSCOPIC QUANTIFICATION OF CHONDROPATHY OF THE KNEE
Autore:
AYRAL X; GUEGUEN A; IKE RW; BONVARLET JP; FRIZZIERO L; KALUNIAN K; MORELAND LW; MYERS S; OROURKE KS; ROOS H; ALTMAN R; DOUGADOS M;
Indirizzi:
UNIV PARIS 05,SERV RHUMATOL B,HOP COCHIN,DEPT RHUMATOL,27 RUE DU FAUBOURG ST JACQUES F-75014 PARIS FRANCE UNIV PARIS 05,SERV RHUMATOL B,HOP COCHIN,DEPT RHUMATOL F-75014 PARIS FRANCE HOP ST MAURICE,INSERM U 88 F-94410 ST MAURICE FRANCE UNIV MICHIGAN,DIV RHEUMATOL,TAUBMAN CTR ANN ARBOR MI 48109 OSPED MAGGIORE BOLOGNA,RHEUMATOL UNIT I-40133 BOLOGNA ITALY UNIV CALIF LOS ANGELES LOS ANGELES CA 90024 UNIV ALABAMA,DIV CLIN IMMUNOL & RHEUMATOL BIRMINGHAM AL 35294 INDIANA UNIV,DEPT MED INDIANAPOLIS IN 46202 WAKE FOREST UNIV,BOWMAN GRAY SCH MED,RHEUMATOL SECT WINSTON SALEM NC 27157 UNIV VERMONT,DEPT ORTHOPED & REHAB BURLINGTON VT 05405 MIAMI VET AFFAIRS MED CTR MIAMI FL 33101 UNIV MIAMI MIAMI FL 33101
Titolo Testata:
Osteoarthritis and cartilage
fascicolo: 3, volume: 6, anno: 1998,
pagine: 160 - 166
SICI:
1063-4584(1998)6:3<160:IROTAQ>2.0.ZU;2-1
Fonte:
ISI
Lingua:
ENG
Soggetto:
ARTICULAR-CARTILAGE LESIONS; OSTEOARTHRITIS; ARTHRITIS; SYSTEM;
Keywords:
OSTEOARTHRITIS; KNEE; ARTHROSCOPY; OUTCOME MEASURE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
23
Recensione:
Indirizzi per estratti:
Citazione:
X. Ayral et al., "INTEROBSERVER RELIABILITY OF THE ARTHROSCOPIC QUANTIFICATION OF CHONDROPATHY OF THE KNEE", Osteoarthritis and cartilage, 6(3), 1998, pp. 160-166

Abstract

Background: Several scoring systems have been proposed in order to quantify the degree of cartilage damage observed by arthroscopy of the knee in patients with osteoarthritis. Objective: To evaluate the inter-observer reliability of five different scoring systems of arthroscopicevaluation for chondropathy in osteoarthritis of the knee and to evaluate the utility of a training session between different observations on these scoring systems. Methods: Videotapes of knee arthroscopies onfive patients with osteoarthritis demonstrating different levels of severity of cartilage damage of the medial tibiofemoral compartment were analyzed by nine observers prior to (pre-training evaluation) and 2 months after a 6 h training session (post-training evaluation) by the following scaring systems: (1) cartilage deterioration by a 100 mm visual analogue scale (VAS), (2) overall assessment of degeneration in the entire medial, compartment (cartilage, meniscus, osteophyte) using a100 mm VAS, (3) French Society of Arthroscopy (SFA) Scoring System, (4) SFA Grading System, (5) American College of Rheumatalogy (ACR) Scoring System. Results: At the pre-training evaluation, the SFA grading system produced the highest coefficient of reliability (r = 0.94), the other systems recording levels of less than or equal to 0.80. At the post-training evaluation, the coefficient of reliability was r > 0.80 for four of the five scoring systems, with lack of improvement in the ACR Scoring System. Conclusion: There was an improved and acceptable inter-observer reliability for at least 2 months follow-up in four of five evaluated scoring systems of arthroscopically graded osteoarthritisof the knee following a training session. A scoring system using a 100 mm VAS may produce the best inter-observer reliability. These results show that scoring chondropathy is possible and demonstrate the importance of training in the analysis of articular cartilage breakdown.

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Documento generato il 22/09/20 alle ore 14:24:16