| Inter-observer reproducibility of probing to bone in the diagnosis of diabetic foot osteomyelitis. | |
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MedLine Citation:
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PMID: 21395675 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Aims Probing to bone was defined and validated by Grayson in 1995. Despite the proven validity of this test, one of the limitations of previous studies and one of the most important characteristics from any diagnosis test is its reproducibility. The objectives of our study were (i) to analyse the inter-observer reproducibility or diagnostic variability of the probing-to-bone test, depending on the training of the professional involved, and (ii) to assess whether the probing-to-bone test can be extrapolated to any professional specialty that deals with these patients. Methods This was a cross-sectional study, involving 75 patients with diabetic foot ulcer and clinical suspicion of osteomyelitis. A registration sheet was completed for all patients involved in the research study, gathering data relative to the results of the probing-to-bone test performed by three observers. Observer 1 was a healthcare professional without experience in the treatment of the diabetic foot; observer 2 was a medium-experienced professional whose experience ranges from 6 to 12 months in the treatment of the diabetic foot; observer 3 was a very experienced professional with several years of experience in the treatment of the diabetic foot. Data were gathered confidentially by a fourth researcher. Results The results showed a kappa index of 0.593 (95% CI 0.407-0.778) between observer 1 and observer 2, 0.397 (95% CI 0.188-0.604) between observer 1 and observer 3 and 0.53 (95% CI 0.335-0.725) between observer 2 and observer 3. Conclusions The probing-to-bone test demonstrated moderate to fair concordance with an experienced examiner, although the degree of concordance is not significant between groups. |
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Authors:
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E García Morales; J L Lázaro-Martínez; F J Aragón-Sánchez; A Cecilia-Matilla; J V Beneit-Montesinos; M A González Jurado |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-3-12 |
Journal Detail:
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Title: Diabetic medicine : a journal of the British Diabetic Association Volume: - ISSN: 1464-5491 ISO Abbreviation: - Publication Date: 2011 Mar |
Date Detail:
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Created Date: 2011-3-14 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8500858 Medline TA: Diabet Med Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Journal compilation © 2011 Diabetes UK. |
Affiliation:
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Diabetic Foot Unit, University Podiatric Clinic, College of Podiatry, Complutense University of Madrid, Madrid Diabetic Foot Unit, La Paloma Hospital, Las Palmas de Gran Canarias, Spain. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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