Schneidmüller, Dorien; Röder, Christoph; Kraus, Ralf; Marzi, Ingo; Kaiser, Martin; Dietrich, Daniel J.; von Laer, Lutz (2011). Development and validation of a paediatric long-bone fracture classification. A prospective multicentre study in 13 European paediatric trauma centres. BMC musculoskeletal disorders, 12(1), p. 89. London: BioMed Central 10.1186/1471-2474-12-89
|
Text
1471-2474-12-89.pdf - Published Version Available under License Creative Commons: Attribution (CC-BY). Download (810kB) | Preview |
BACKGROUND:
The aim of this study was to develop a child-specific classification system for long bone fractures and to examine its reliability and validity on the basis of a prospective multicentre study.
METHODS:
Using the sequentially developed classification system, three samples of between 30 and 185 paediatric limb fractures from a pool of 2308 fractures documented in two multicenter studies were analysed in a blinded fashion by eight orthopaedic surgeons, on a total of 5 occasions. Intra- and interobserver reliability and accuracy were calculated.
RESULTS:
The reliability improved with successive simplification of the classification. The final version resulted in an overall interobserver agreement of κ = 0.71 with no significant difference between experienced and less experienced raters.
CONCLUSIONS:
In conclusion, the evaluation of the newly proposed classification system resulted in a reliable and routinely applicable system, for which training in its proper use may further improve the reliability. It can be recommended as a useful tool for clinical practice and offers the option for developing treatment recommendations and outcome predictions in the future.
Item Type: |
Journal Article (Original Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Pre-clinic Human Medicine > Institute for Evaluative Research into Orthopaedic Surgery |
UniBE Contributor: |
Röder, Christoph, Dietrich, Daniel J. |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
1471-2474 |
Publisher: |
BioMed Central |
Language: |
English |
Submitter: |
Factscience Import |
Date Deposited: |
04 Oct 2013 14:19 |
Last Modified: |
05 Dec 2022 14:05 |
Publisher DOI: |
10.1186/1471-2474-12-89 |
PubMed ID: |
21548939 |
Web of Science ID: |
000290813200001 |
BORIS DOI: |
10.7892/boris.5914 |
URI: |
https://boris.unibe.ch/id/eprint/5914 (FactScience: 210793) |
Actions (login required)
 |
Edit item |