Journal article
Interobserver Reliability of 2 Classification Systems for Open Hand Fractures
Hand (New York, N.Y.), v 16(1), pp 57-60
01 Jan 2021
PMID: 30947561
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Purpose: The aim of the study is to determine the reliability of the Tulipan-Ilyas (TI) classification among hand surgeons by utilizing several case studies and to test the null hypothesis that the TI system would have superior interobserver reliability than the Gustilo-Anderson (GA) system for classifying and guiding treatment for open fractures of the hand. Methods: Institutional review board exemption for this study was confirmed. All surgeons were unaware and blinded to the development and origin of the newly proposed TI classification system. Interobserver reliability was computed using the multi-rater kappa described by Fleiss. The kappa values were interpreted according to the guidelines of Landis and Koch. Interrater reliability was computed utilizing methods described by Shrout and Fleiss. Results: The overall kappa value for interobserver reliability was 0.339 (95% confidence interval [CI], 0.304-0.376) for the GA classification and 0.443 (95% CI, 0.423-0.463) for the TI classification, indicating fair and moderate agreement, respectively. According to the intraclass correlation coefficients, the interrater agreement for average measures for both classification systems was excellent, with intraclass correlation coefficient (ICC) values, including the lower CIs, all greater than 0.91. However, for the ICCs for single measures, generalizing only to one rater, the interrater agreement for the GA classification (0.595, 95% CI, 0.387-0.836) was only good, but for the TI classification system was excellent (0.958, 95% CI, 0.912-0.987). Conclusion: The authors recommend the TI classification instead of the GA classification system for use in open fractures of the hand because of its superior interobserver reliability and its hand-specific nature.
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Details
- Title
- Interobserver Reliability of 2 Classification Systems for Open Hand Fractures
- Creators
- William J. Warrender - Thomas Jefferson UniversityChristopher J. Lucasti - Thomas Jefferson UniversityAsif Ilyas - Thomas Jefferson University
- Publication Details
- Hand (New York, N.Y.), v 16(1), pp 57-60
- Publisher
- Sage
- Number of pages
- 4
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics
- Web of Science ID
- WOS:001124649800012
- Scopus ID
- 2-s2.0-85063990821
- Other Identifier
- 991021838599204721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Orthopedics
- Surgery