Concordance of expert and parental opinion about hypospadias surgical outcome is severity-dependent
Introduction. Hypospadias is a male congenital condition where the opening of the urethral meatus is not located in the typical anatomical position. It has been a challenge for empirical studies to ascertain the level of concordance of opinion among parents and urologists with regard to surgical ou...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2016-01-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | http://journal.frontiersin.org/Journal/10.3389/fped.2016.00002/full |
| _version_ | 1818694607422095360 |
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| author | Marcos Raymond Perez-Brayfield Juan Carlos Jorge Luis A Aviles Joanne eDiaz Vanessa eOrtiz Wilfredo eMorales-Cosme |
| author_facet | Marcos Raymond Perez-Brayfield Juan Carlos Jorge Luis A Aviles Joanne eDiaz Vanessa eOrtiz Wilfredo eMorales-Cosme |
| author_sort | Marcos Raymond Perez-Brayfield |
| collection | DOAJ |
| description | Introduction. Hypospadias is a male congenital condition where the opening of the urethral meatus is not located in the typical anatomical position. It has been a challenge for empirical studies to ascertain the level of concordance of opinion among parents and urologists with regard to surgical outcomes according to hypospadias severity. Materials and Methods. Parents of children who had undergone hypospadias repair were recruited for this study (n=104). A set of questionnaires that included some items with Likert scale were created to evaluate postsurgical satisfaction by parents and urologists. SAHLSA-50, a validated instrument for adult Spanish-speaking adults, was used to assess health literacy. Cohen’s Kappa (k) coefficient was used to assess inter-observer agreement and Chi Square Goodness of Fit Test was used to determine probability of satisfaction. Findings. Concordance on the level of satisfaction with surgical outcomes for Type cases I was slight (k=0.20; CI 95% 0-0.60), for Type II cases was moderate (k= 0.54; CI 95% 0.13-0.94), and for Type III cases was substantial (k=0.62; CI 95% 0-0.56). However, the probability of satisfaction did not change according to severity (Chi Square Goodness of Fit Test; parents, p=0.84; pediatric urologists, p=0.92). These results cannot be explained by parental health literacy according to SAHLSA-50 test scores. Conclusions. The level of concordance of opinion among parents and urologists with regard to their level of satisfaction with surgical outcomes is related to hypospadias severity, whereby the greatest level of concordance of opinion was achieved among most severe cases. This study underscores the need for longer follow-up to properly assess satisfaction with hypospadias repair, especially for the less severe forms of the condition. |
| first_indexed | 2024-12-17T13:32:16Z |
| format | Article |
| id | doaj.art-d9921431ce404a57a0fee009fdfba193 |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-12-17T13:32:16Z |
| publishDate | 2016-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-d9921431ce404a57a0fee009fdfba1932022-12-21T21:46:33ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602016-01-01410.3389/fped.2016.00002178245Concordance of expert and parental opinion about hypospadias surgical outcome is severity-dependentMarcos Raymond Perez-Brayfield0Juan Carlos Jorge1Luis A Aviles2Joanne eDiaz3Vanessa eOrtiz4Wilfredo eMorales-Cosme5University of Puerto RicoUniversity of Puerto RicoUniversity of Puerto RicoUniversity of Puerto RicoUniversity of Puerto RicoUniversity of Puerto RicoIntroduction. Hypospadias is a male congenital condition where the opening of the urethral meatus is not located in the typical anatomical position. It has been a challenge for empirical studies to ascertain the level of concordance of opinion among parents and urologists with regard to surgical outcomes according to hypospadias severity. Materials and Methods. Parents of children who had undergone hypospadias repair were recruited for this study (n=104). A set of questionnaires that included some items with Likert scale were created to evaluate postsurgical satisfaction by parents and urologists. SAHLSA-50, a validated instrument for adult Spanish-speaking adults, was used to assess health literacy. Cohen’s Kappa (k) coefficient was used to assess inter-observer agreement and Chi Square Goodness of Fit Test was used to determine probability of satisfaction. Findings. Concordance on the level of satisfaction with surgical outcomes for Type cases I was slight (k=0.20; CI 95% 0-0.60), for Type II cases was moderate (k= 0.54; CI 95% 0.13-0.94), and for Type III cases was substantial (k=0.62; CI 95% 0-0.56). However, the probability of satisfaction did not change according to severity (Chi Square Goodness of Fit Test; parents, p=0.84; pediatric urologists, p=0.92). These results cannot be explained by parental health literacy according to SAHLSA-50 test scores. Conclusions. The level of concordance of opinion among parents and urologists with regard to their level of satisfaction with surgical outcomes is related to hypospadias severity, whereby the greatest level of concordance of opinion was achieved among most severe cases. This study underscores the need for longer follow-up to properly assess satisfaction with hypospadias repair, especially for the less severe forms of the condition.http://journal.frontiersin.org/Journal/10.3389/fped.2016.00002/fullHypospadiassurgical outcomesKappa coefficientgenital surgeryhypospadias severitysurgery satisfaction |
| spellingShingle | Marcos Raymond Perez-Brayfield Juan Carlos Jorge Luis A Aviles Joanne eDiaz Vanessa eOrtiz Wilfredo eMorales-Cosme Concordance of expert and parental opinion about hypospadias surgical outcome is severity-dependent Frontiers in Pediatrics Hypospadias surgical outcomes Kappa coefficient genital surgery hypospadias severity surgery satisfaction |
| title | Concordance of expert and parental opinion about hypospadias surgical outcome is severity-dependent |
| title_full | Concordance of expert and parental opinion about hypospadias surgical outcome is severity-dependent |
| title_fullStr | Concordance of expert and parental opinion about hypospadias surgical outcome is severity-dependent |
| title_full_unstemmed | Concordance of expert and parental opinion about hypospadias surgical outcome is severity-dependent |
| title_short | Concordance of expert and parental opinion about hypospadias surgical outcome is severity-dependent |
| title_sort | concordance of expert and parental opinion about hypospadias surgical outcome is severity dependent |
| topic | Hypospadias surgical outcomes Kappa coefficient genital surgery hypospadias severity surgery satisfaction |
| url | http://journal.frontiersin.org/Journal/10.3389/fped.2016.00002/full |
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