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Titolo:
HOSE: an objective scoring system for evaluating the results of hypospadias surgery
Autore:
Holland, AJA; Smith, GHH; Ross, FI; Cass, DT;
Indirizzi:
Childrens Hosp Westmead, Acad Dept Surg, Div Surg, Westmead, NSW 2145, Australia Childrens Hosp Westmead Westmead NSW Australia 2145 , NSW 2145, Australia Childrens Hosp Westmead, Dept Paediat Urol, Westmead, NSW 2145, Australia Childrens Hosp Westmead Westmead NSW Australia 2145 , NSW 2145, Australia Royal Alexandra Hosp Children, Sydney, NSW, Australia Royal Alexandra HospChildren Sydney NSW Australia ydney, NSW, Australia
Titolo Testata:
BJU INTERNATIONAL
fascicolo: 3, volume: 88, anno: 2001,
pagine: 255 - 258
SICI:
1464-4096(200108)88:3<255:HAOSSF>2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Soggetto:
MEATAL ADVANCEMENT; DISTAL HYPOSPADIAS; REPAIR; LOCATION; SCALE; NEED; MEN;
Keywords:
hypospadias; surgery; outcome; scoring system;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
20
Recensione:
Indirizzi per estratti:
Indirizzo: Holland, AJA Childrens Hosp Westmead, Acad Dept Surg, Div Surg, Locked Bag4001, Westmead, NSW 2145, Australia Childrens Hosp Westmead Locked Bag 4001 Westmead NSW Australia 2145
Citazione:
A.J.A. Holland et al., "HOSE: an objective scoring system for evaluating the results of hypospadias surgery", BJU INT, 88(3), 2001, pp. 255-258

Abstract

Objective To determine the accuracy and utility of a scoring system designed to allow an objective appraisal of the outcome of hypospadias repair, based on evaluating meatal location, meatal shape, urinary stream, straightness of erection, and the presence and complexity of any complicating urethral fistula. Patients and methods Twenty patients (median age 23 months) were randomly selected and reviewed at a median of 8.9 months after their hypospadias repair. Two paediatric surgeons, a nurse and one of the child's parents independently assessed each patient using the 'hypospadias objective scoring evaluation' (HOSE) system. The results were collated and the level of interobserver variation assessed using the weighted kappa test. Results The mean weighted kappa was 0.66, indicating good agreement among observers. The level of agreement was highest between surgeon and nurse at 0.70, but remained good between surgeon and parent, at 0.65. Conclusions Interobserver variation using the HOSE system was minimal, supporting its use as an objective outcome measure after hypospadias surgery, and facilitating an impartial evaluation of operations used in correcting hypospadias.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 27/01/20 alle ore 01:30:58