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Multirater agreement of arthroscopic meniscal lesions.

Publication ,  Journal Article
Dunn, WR; Wolf, BR; Amendola, A; Andrish, JT; Kaeding, C; Marx, RG; McCarty, EC; Parker, RD; Wright, RW; Spindler, KP
Published in: Am J Sports Med
December 2004

BACKGROUND: Establishing the validity of classification schemes is a crucial preparatory step that should precede multicenter studies. There are no studies investigating the reproducibility of arthroscopic classification of meniscal pathology among multiple surgeons at different institutions. HYPOTHESIS: Arthroscopic classification of meniscal pathology is reliable and reproducible and suitable for multicenter studies that involve multiple surgeons. STUDY DESIGN: Multirater agreement study. METHODS: Seven surgeons reviewed a video of 18 meniscal tears and completed a meniscal classification questionnaire. Multirater agreement was calculated based on the proportion of agreement, the kappa coefficient, and the intraclass correlation coefficient. RESULTS: There was a 46% agreement on the central/peripheral location of tears (kappa = 0.30), an 80% agreement on the depth of tears (kappa = 0.46), a 72% agreement on the presence of a degenerative component (kappa = 0.44), a 71% agreement on whether lateral tears were central to the popliteal hiatus (kappa = 0.42), a 73% agreement on the type of tear (kappa = 0.63), an 87% agreement on the location of the tear (kappa = 0.61), and an 84% agreement on the treatment of tears (kappa = 0.66). There was considerable agreement among surgeons on length, with an intraclass correlation coefficient of 0.78, 95% confidence interval of 0.57 to 0.92, and P < .001. CONCLUSIONS: Arthroscopic grading of meniscal pathology is reliable and reproducible. CLINICAL RELEVANCE: Surgeons can reliably classify meniscal pathology and agree on treatment, which is important for multicenter trials.

Duke Scholars

Published In

Am J Sports Med

DOI

ISSN

0363-5465

Publication Date

December 2004

Volume

32

Issue

8

Start / End Page

1937 / 1940

Location

United States

Related Subject Headings

  • Video Recording
  • Tibial Meniscus Injuries
  • Surveys and Questionnaires
  • Reproducibility of Results
  • Orthopedics
  • Observer Variation
  • Menisci, Tibial
  • Knee Injuries
  • Humans
  • Arthroscopy
 

Citation

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Dunn, W. R., Wolf, B. R., Amendola, A., Andrish, J. T., Kaeding, C., Marx, R. G., … Spindler, K. P. (2004). Multirater agreement of arthroscopic meniscal lesions. Am J Sports Med, 32(8), 1937–1940. https://doi.org/10.1177/0363546504264586
Dunn, Warren R., Brian R. Wolf, Annunziato Amendola, Jack T. Andrish, Christopher Kaeding, Robert G. Marx, Eric C. McCarty, Richard D. Parker, Rick W. Wright, and Kurt P. Spindler. “Multirater agreement of arthroscopic meniscal lesions.Am J Sports Med 32, no. 8 (December 2004): 1937–40. https://doi.org/10.1177/0363546504264586.
Dunn WR, Wolf BR, Amendola A, Andrish JT, Kaeding C, Marx RG, et al. Multirater agreement of arthroscopic meniscal lesions. Am J Sports Med. 2004 Dec;32(8):1937–40.
Dunn, Warren R., et al. “Multirater agreement of arthroscopic meniscal lesions.Am J Sports Med, vol. 32, no. 8, Dec. 2004, pp. 1937–40. Pubmed, doi:10.1177/0363546504264586.
Dunn WR, Wolf BR, Amendola A, Andrish JT, Kaeding C, Marx RG, McCarty EC, Parker RD, Wright RW, Spindler KP. Multirater agreement of arthroscopic meniscal lesions. Am J Sports Med. 2004 Dec;32(8):1937–1940.
Journal cover image

Published In

Am J Sports Med

DOI

ISSN

0363-5465

Publication Date

December 2004

Volume

32

Issue

8

Start / End Page

1937 / 1940

Location

United States

Related Subject Headings

  • Video Recording
  • Tibial Meniscus Injuries
  • Surveys and Questionnaires
  • Reproducibility of Results
  • Orthopedics
  • Observer Variation
  • Menisci, Tibial
  • Knee Injuries
  • Humans
  • Arthroscopy