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Multirater agreement of arthroscopic grading of knee articular cartilage.

Publication ,  Journal Article
Marx, RG; Connor, J; Lyman, S; Amendola, A; Andrish, JT; Kaeding, C; McCarty, EC; Parker, RD; Wright, RW; Spindler, KP ...
Published in: Am J Sports Med
November 2005

BACKGROUND: Acute and chronic cartilage injury of the knee has an important impact on prognosis. The validity of the classification of such injuries is critical for prospective multicenter studies. The agreement among multiple surgeons at different institutions for articular cartilage lesions has not been established. HYPOTHESIS: Arthroscopic classification of articular cartilage lesions is reliable and reproducible and can be used for multicenter studies involving multiple surgeons. STUDY DESIGN: Cohort study (diagnosis); Level of evidence, 1. METHODS: A total of 6 surgeons from 5 centers reviewed 31 videos of articular cartilage lesions. With grade 2 and grade 3 combined for the analysis, observed agreement ranged from 81% to 94%, and kappa ranged from 0.34 to 0.87. An additional 22 videos comprising grade 2 and grade 3 lesions were analyzed, and the observed agreement was 80%, with an overall kappa of 0.47. CONCLUSION: Arthroscopic grading of articular cartilage lesions is reproducible among surgeons at different centers. CLINICAL RELEVANCE: Articular cartilage lesions can be reliably classified among surgeons at different sites. Such reliability is important for multicenter clinical research studies involving arthroscopic knee surgery.

Duke Scholars

Published In

Am J Sports Med

DOI

ISSN

0363-5465

Publication Date

November 2005

Volume

33

Issue

11

Start / End Page

1654 / 1657

Location

United States

Related Subject Headings

  • Video Recording
  • Severity of Illness Index
  • Reproducibility of Results
  • Prospective Studies
  • Prognosis
  • Orthopedics
  • Observer Variation
  • Knee Injuries
  • Humans
  • Cohort Studies
 

Citation

APA
Chicago
ICMJE
MLA
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Marx, R. G., Connor, J., Lyman, S., Amendola, A., Andrish, J. T., Kaeding, C., … Multicenter Orthopaedic Outcomes Network. (2005). Multirater agreement of arthroscopic grading of knee articular cartilage. Am J Sports Med, 33(11), 1654–1657. https://doi.org/10.1177/0363546505275129
Marx, Robert G., Jason Connor, Stephen Lyman, Annunziato Amendola, Jack T. Andrish, Christopher Kaeding, Eric C. McCarty, et al. “Multirater agreement of arthroscopic grading of knee articular cartilage.Am J Sports Med 33, no. 11 (November 2005): 1654–57. https://doi.org/10.1177/0363546505275129.
Marx RG, Connor J, Lyman S, Amendola A, Andrish JT, Kaeding C, et al. Multirater agreement of arthroscopic grading of knee articular cartilage. Am J Sports Med. 2005 Nov;33(11):1654–7.
Marx, Robert G., et al. “Multirater agreement of arthroscopic grading of knee articular cartilage.Am J Sports Med, vol. 33, no. 11, Nov. 2005, pp. 1654–57. Pubmed, doi:10.1177/0363546505275129.
Marx RG, Connor J, Lyman S, Amendola A, Andrish JT, Kaeding C, McCarty EC, Parker RD, Wright RW, Spindler KP, Multicenter Orthopaedic Outcomes Network. Multirater agreement of arthroscopic grading of knee articular cartilage. Am J Sports Med. 2005 Nov;33(11):1654–1657.
Journal cover image

Published In

Am J Sports Med

DOI

ISSN

0363-5465

Publication Date

November 2005

Volume

33

Issue

11

Start / End Page

1654 / 1657

Location

United States

Related Subject Headings

  • Video Recording
  • Severity of Illness Index
  • Reproducibility of Results
  • Prospective Studies
  • Prognosis
  • Orthopedics
  • Observer Variation
  • Knee Injuries
  • Humans
  • Cohort Studies