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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Center-by-center results of a multicenter prospective trial to determine the inter-observer correlation of the simplified POP-Q in describing pelvic organ prolapse
International Urogynecology Journal, Volume 23, No. 5, Year 2012
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Description
Introduction and hypothesis: This study was conducted to determine the differences in the inter-observer agreement of the simplified Pelvic Organ Prolapse Quantification (POP-Q) system from center to center in a large international multicenter study. Methods: This is a secondary analysis of the results of a large prospective single blind multicenter trial studying the inter-observer agreement of a simplified POP-Q exam. Twelve centers from four continents with a total of 500 subjects were included in this study. The number of subjects recruited per center ranged from 20 to 80. Each patient was independently examined by two investigators, with examination order randomly assigned and investigators blinded to each other's result. The weighted kappa statistic was used to evaluate the inter-observer agreement. Results: Good and significant associations were observed on the anterior, posterior, and apical segments. Six out of 11 sites did not provide adequate number of subjects with prior hysterectomy for weighted kappa statistics or achieve significance regarding vaginal cuff measurement. Conclusions: The simplified POP-Q demonstrated good inter-examiner agreement across multiple centers. © The International Urogynecological Association 2012.
Authors & Co-Authors
Lemos, Nucélio Luiz De Barros Moreira
Brazil, Sao Paulo
Faculdade de Ciencias Medicas da Santa Casa de Sao Paulo
Korte, Jeffrey E.
United States, Charleston
Medical University of South Carolina
Iskander, M.
United Kingdom, Southport
Southport and Ormskirk Hospital Nhs Trust
Freeman, Robert M.
United Kingdom, Plymouth
Derriford Hospital
Arunkalaivanan, A.
United Kingdom, Birmingham
Birmingham City Hospital
Rizk, Diaa E.E.
Egypt, Cairo
Faculty of Medicine - Ain Shams University
Halaška, Michael J.
Czech Republic, Prague
Charles University
Medina, C.
United States, Miami
University of Miami Leonard M. Miller School of Medicine
Conceição, J. C.
Brazil, Rio de Janeiro
Universidade Federal do Rio de Janeiro
Parekh, M.
United States, Danville
Geisinger Medical Center
Martan, A.
Czech Republic, Prague
Charles University
Sorinola, Olanrewaju O.
United Kingdom, Warwick
Warwick Hospital
Wlazlak, E.
Poland, Lodz
Medical University of Lodz
Ghoniem, Gamal M.
United States, Cleveland
Cleveland Clinic Foundation
Swift, Steven E.
United States, Charleston
Medical University of South Carolina
Statistics
Citations: 15
Authors: 15
Affiliations: 13
Identifiers
Doi:
10.1007/s00192-011-1593-y
ISSN:
09373462
e-ISSN:
14333023
Research Areas
Disability
Health System And Policy
Study Design
Cohort Study