Vis enkel innførsel

dc.contributor.authorStorheil, Benny
dc.contributor.authorKlouman, Elise
dc.contributor.authorHolmvik, Stian
dc.contributor.authorEmaus, Nina
dc.contributor.authorFleten, Nils
dc.date.accessioned2017-03-23T13:58:10Z
dc.date.available2017-03-23T13:58:10Z
dc.date.issued2016-07-12
dc.description.abstractObjective: Shoulder complaints are frequently encountered in general practice, but precise diagnosing is challenging. This study investigated agreement of shoulder complaints diagnoses between clinicians in a primary health care setting. Design: Cross-sectional study. Setting: Four primary health care clinicians used patients’ history and functional examination of the shoulder by selective tissue tension techniques (STTs), to diagnose shoulder complaints. Subjects: 62 patients, aged 18–75 years. Main outcome measure: Reliability of diagnoses was assessed by observed intertester agreement and Cohen’s kappa. A total of 372 diagnostic pairs were available for intertester comparisons. Results: Six diagnoses were assigned by all clinicians; supraspinatus-, infraspinatus-, subscapularis-tendinopathies; chronic subacromial bursitis; glenohumeral capsulitis, and acromioclavicular joint lesion. The observed agreement on these diagnoses ranged from 0.84 for glenohumeral capsulitis to 0.97 for acromioclavicular joint lesion. Kappa scores were 0.46 (95% CI 0.33, 0.58) for chronic subacromial bursitis; 0.53 (95% CI 0.34, 0.68), 0.59 (95% CI 0.47, 0.70), and 0.68 (95% CI 0.53, 0.82) for infraspinatus -, supraspinatus -, and subscapularis-tendinopathy, respectively. For glenohumeral capsulitis and acromioclavicular lesion kappa scores were 0.66 (95% CI 0.57, 0.73) and 0.78 (95% CI 0.61, 0.90). Kappa scores were higher for individual diagnoses than for individual tests, except for limitation in passive abduction (0.70, 95% CI 0.62, 0.78) and passive lateral rotation (0.66, 95% CI 0.57, 0.73). Conclusions: Although experienced clinicians showed substantial intertester agreement, precise diagnoses of shoulder complaints in primary health care remain a challenge. The present results call for further research on refined diagnoses of shoulder complaints.en_US
dc.description.sponsorshipThe project was funded by grants from UiT the Arctic University of Norway.en_US
dc.descriptionPublished version.Published by Informa UK Limited, trading as Taylor & Francis Group at http://dx.doi.org/10.1080/02813432.2016.1207139. License CC BY-NC-SA 4.0.en_US
dc.identifier.citationStorheil, Klouman E, Holmvik S, Emaus N, Fleten N. Intertester reliability of shoulder complaints diagnoses in primary health care. Scandinavian Journal of Primary Health Care. 2016;34(3):224-231en_US
dc.identifier.cristinIDFRIDAID 1381183
dc.identifier.doi10.1080/02813432.2016.1207139
dc.identifier.issn0281-3432
dc.identifier.issn1502-7724
dc.identifier.urihttps://hdl.handle.net/10037/10858
dc.language.isoengen_US
dc.publisherTaylor & Francisen_US
dc.relation.journalScandinavian Journal of Primary Health Care
dc.rights.accessRightsopenAccessen_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Community medicine, Social medicine: 801en_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin, sosialmedisin: 801en_US
dc.subjectCyriaxen_US
dc.subjectgeneral practiceen_US
dc.subjectNorwayen_US
dc.subjectorthopaedic medicineen_US
dc.subjectselective tissue tension techniquesen_US
dc.subjectshoulder complaintsen_US
dc.subjectshoulder diagnosisen_US
dc.subjectshoulder painen_US
dc.subjectSwedenen_US
dc.titleIntertester reliability of shoulder complaints diagnoses in primary health careen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


Tilhørende fil(er)

Thumbnail

Denne innførselen finnes i følgende samling(er)

Vis enkel innførsel