Poor interexaminer agreement on Friedman tongue position
CONCLUSION: The Friedman tongue position demonstrated only a slight inter-examiner agreement among 15 medical doctors, indicating that the method is difficult to perform and could be an uncertain method to select patients for uvulopalatopharyngoplasty.
OBJECTIVE: The Friedman staging system is a clinical tool for selecting patients with obstructive sleep apnea who are appropriate for uvulopalatopharyngoplasty. The objective of this study was to evaluate the staging system by determining the inter-examiner agreement of one of its key components, the Friedman tongue position.
METHODS: Eleven residents and four specialists in Otorhinolaryngology were recruited from a course in surgical management of obstructive sleep apnea. They examined each other's tongue positions, resulting in a total of 210 evaluations. Cohen's kappa analysis was performed to assess the inter-examiner agreement. The range of kappa is usually between 0-1, where 0 is complete disagreement and 1 is complete agreement.
RESULTS: The median kappa was 0.36 (1st and 3rd quartile, 0.23 and 0.42), corresponding to only a slight agreement.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2017 |
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| Erschienen: |
2017 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:137 |
|---|---|
| Enthalten in: |
Acta oto-laryngologica - 137(2017), 5 vom: 01. Mai, Seite 554-556 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Sundman, Joar [VerfasserIn] |
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| Links: |
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| Themen: |
Cohen kappa |
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| Anmerkungen: |
Date Completed 23.06.2017 Date Revised 23.06.2017 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1080/00016489.2016.1255776 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM266488544 |
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| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a CONCLUSION: The Friedman tongue position demonstrated only a slight inter-examiner agreement among 15 medical doctors, indicating that the method is difficult to perform and could be an uncertain method to select patients for uvulopalatopharyngoplasty | ||
| 520 | |a OBJECTIVE: The Friedman staging system is a clinical tool for selecting patients with obstructive sleep apnea who are appropriate for uvulopalatopharyngoplasty. The objective of this study was to evaluate the staging system by determining the inter-examiner agreement of one of its key components, the Friedman tongue position | ||
| 520 | |a METHODS: Eleven residents and four specialists in Otorhinolaryngology were recruited from a course in surgical management of obstructive sleep apnea. They examined each other's tongue positions, resulting in a total of 210 evaluations. Cohen's kappa analysis was performed to assess the inter-examiner agreement. The range of kappa is usually between 0-1, where 0 is complete disagreement and 1 is complete agreement | ||
| 520 | |a RESULTS: The median kappa was 0.36 (1st and 3rd quartile, 0.23 and 0.42), corresponding to only a slight agreement | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Cohen kappa | |
| 650 | 4 | |a Uvulopalatopharyngoplasty | |
| 650 | 4 | |a inter-rater reliability | |
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| 650 | 4 | |a patient selection | |
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| 700 | 1 | |a Friberg, Danielle |e verfasserin |4 aut | |
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