Interobserver reliability of the Kellgren-Lawrence classification of degenerative knee osteoarthritis among resident physicians from the University of the Philippines - Philippine General Hospital.
- Author:
Alfredo P. PACHECO
1
;
Gregorio Marcelo S. AZORES
1
Author Information
- Publication Type:Journal Article
- Keywords: Kellgren-Lawrence
- MeSH: Osteoarthritis; Arthritis; Knee
- From: Acta Medica Philippina 2022;56(5):106-110
- CountryPhilippines
- Language:English
-
Abstract:
Objectives: To determine the interobserver reliability of the Kellgren-Lawrence classification among selected residents from departments forming the University of the Philippines - Philippine General Hospital (UP-PGH) Osteoarthritis Multidisciplinary Clinic (OAMDC).
Methods: From each department, 3 resident physicians (n = 9) were randomly chosen and tasked to categorize 20 knee anteroposterior and lateral radiographs into KLC grades. Inter-observer reliability was assessed using Fleiss's kappa coefficient (?).
Results: Results show that there was 31.90% (? = 0.3190 ± 0.0228, p-value < 0.05) agreement beyond chance in KLC grading of the radiograph series among all participating residents. Sub-group analyses of interobserver reliability in terms of departmental affiliation noted a range of agreement beyond chance in KLC grading, from 10.52% (? = 0.1052 ± 0.0779, p-value < 0.05) to 56.38% (? = 0.5638 ± 0.0844, p-value < 0.05).
Conclusion: The findings reveal significant variability of agreement beyond chance in KLC grading, both within and among residents of UP-PGH OAMDC-participating clinical departments, which may reflect differences in training or competency and/or the documented limitations of the KLC system. Further investigation to improve diagnostic and severity assessment accuracy and uniformity in the institution is therefore warranted.
- Full text:1390-Article Text-23545-2-10-20220330.pdf