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首页> 外文期刊>Journal of orthopaedics and traumatology: official journal of the Italian Society of Orthopaedics and Traumatology >Impact of specialty and level of training on CT measurement of femoral version: an interobserver agreement analysis
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Impact of specialty and level of training on CT measurement of femoral version: an interobserver agreement analysis

机译：专科和培训水平对股骨CT测量的影响：一项观察员之间的协议分析

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class="Heading">Background class="Para">To determine the interobserver agreement on femoral version measurements between an orthopedic attending, orthopedic senior and junior residents, and an attending radiologist. class="Heading">Materials and methods class="Para">Postoperative computed tomography (CT) scanograms of 267 patients who underwent femoral intramedullary (IM) nailing with corresponding radiology attending reads for femoral version were collected and de-identified. Femoral version measurements performed by a trauma fellowship-trained attending orthopedic surgeon (ORTHO), a senior orthopedic resident (PGY4), a junior orthopedic resident (PGY1), and a musculoskeletal fellowship-trained attending radiologist (RADS) were compared via Pearson’s interclass correlation coefficient to assess interobserver level of agreement. class="Heading">Results class="Para">Version measurements provided by the two attending physicians exhibited the highest level of agreement (r?=?0.661, p??0.01). The orthopedic attending and the senior resident had the next highest level of agreement (r?=?0.543, p??0.01). The first-year orthopedic resident had the weakest agreement across the board: with the orthopedic attending, the radiology attending, and the senior resident. class="Heading">Conclusion class="Para">Regardless of specialty, experience and higher levels of training produce stronger agreement when measuring femoral version. Residents in training, especially those who are junior, produce weak agreement when compared to their senior colleagues. class="Heading">Level of evidence class="Para">Level III, diagnostic study.
机译：class =“ Heading”>背景 class =“ Para”>确定骨科主治医师，骨科高，中级居民和放射科主治医师之间关于股骨版本测量的观察员之间的协议。 class =“ Heading”>材料和方法 class =“ Para”>对267例行了股骨髓内（IM）钉固定并接受了放射学检查的股骨头患者的术后计算机体层摄影（CT）扫描照片是收集并取消标识。通过皮尔森的类间相关性比较了接受过创伤研究培训的骨科主治医师（ORTHO），资深骨科住院医师（PGY4），初级骨科住院医师（PGY1）和经肌肉骨骼研究培训的主治放射科医生（RADS）进行的股骨测量 class =“ Heading”>结果 class =“ Para”>两位主治医师提供的版本测量结果显示出最高的协议水平（ r ？=？0.661， p ？<？0.01）。骨科主治医师和高级住院医师的同意水平次高（ r ？=？0.543， p ？<？0.01 ）。第一年的骨科住院医师的整体协议最薄弱：骨科医师参加，放射科医师和高级住院医师。 class =“ Heading”>结论 class =“ Para“>无论专业如何，在测量股骨版本时，经验和较高水平的培训都可以产生更强的一致性。与高级同事相比，接受培训的居民（尤其是初级人员）的协议较弱。 class =“ Heading”>证据水平 class =“ Para”> III级，诊断研究。

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