Health workers' agreement in clinical description of filarial lymphedema.
Severity of lymphedema and presence of entry lesions are risk factors for acute bacterial dermatolym-phangioadenitis (ADLA) in those with filarial lymphedema. Recurrent ADLA causes acute morbidity and progression of lymphedema severity; however, there is little work assessing the ability of health w...
| Main Authors: | , , , , |
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| Format: | Journal article |
| Language: | English |
| Published: |
2006
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| _version_ | 1826275348853030912 |
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| author | Mcpherson, T Fay, M Singh, S Penzer, R Hay, R |
| author_facet | Mcpherson, T Fay, M Singh, S Penzer, R Hay, R |
| author_sort | Mcpherson, T |
| collection | OXFORD |
| description | Severity of lymphedema and presence of entry lesions are risk factors for acute bacterial dermatolym-phangioadenitis (ADLA) in those with filarial lymphedema. Recurrent ADLA causes acute morbidity and progression of lymphedema severity; however, there is little work assessing the ability of health workers to reliably stage disease severity and identify risk entry lesions. This knowledge is important in initiation of management and assessing interventions. We evaluated inter-rater reliability with two independent health workers rating both legs of 17 patients using a questionnaire and the Dreyer classification of lymphedema. The health workers could reliably stage lymphedema with high agreement (RMAC weighted kappa of 0.89) and identify nail, interdigital, and other skin lesions. However, there was less consistency in identifying the clinical nature of skin lesions. This indicates that the Dreyer classification can be a replicable way to stage lymphedema and a questionnaire can deliver high observer agreement on the presence of risk lesions. |
| first_indexed | 2024-03-06T22:57:22Z |
| format | Journal article |
| id | oxford-uuid:60e596cd-cdfc-4886-8fca-53e39e2cf3ca |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-06T22:57:22Z |
| publishDate | 2006 |
| record_format | dspace |
| spelling | oxford-uuid:60e596cd-cdfc-4886-8fca-53e39e2cf3ca2022-03-26T17:56:06ZHealth workers' agreement in clinical description of filarial lymphedema.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:60e596cd-cdfc-4886-8fca-53e39e2cf3caEnglishSymplectic Elements at Oxford2006Mcpherson, TFay, MSingh, SPenzer, RHay, RSeverity of lymphedema and presence of entry lesions are risk factors for acute bacterial dermatolym-phangioadenitis (ADLA) in those with filarial lymphedema. Recurrent ADLA causes acute morbidity and progression of lymphedema severity; however, there is little work assessing the ability of health workers to reliably stage disease severity and identify risk entry lesions. This knowledge is important in initiation of management and assessing interventions. We evaluated inter-rater reliability with two independent health workers rating both legs of 17 patients using a questionnaire and the Dreyer classification of lymphedema. The health workers could reliably stage lymphedema with high agreement (RMAC weighted kappa of 0.89) and identify nail, interdigital, and other skin lesions. However, there was less consistency in identifying the clinical nature of skin lesions. This indicates that the Dreyer classification can be a replicable way to stage lymphedema and a questionnaire can deliver high observer agreement on the presence of risk lesions. |
| spellingShingle | Mcpherson, T Fay, M Singh, S Penzer, R Hay, R Health workers' agreement in clinical description of filarial lymphedema. |
| title | Health workers' agreement in clinical description of filarial lymphedema. |
| title_full | Health workers' agreement in clinical description of filarial lymphedema. |
| title_fullStr | Health workers' agreement in clinical description of filarial lymphedema. |
| title_full_unstemmed | Health workers' agreement in clinical description of filarial lymphedema. |
| title_short | Health workers' agreement in clinical description of filarial lymphedema. |
| title_sort | health workers agreement in clinical description of filarial lymphedema |
| work_keys_str_mv | AT mcphersont healthworkersagreementinclinicaldescriptionoffilariallymphedema AT faym healthworkersagreementinclinicaldescriptionoffilariallymphedema AT singhs healthworkersagreementinclinicaldescriptionoffilariallymphedema AT penzerr healthworkersagreementinclinicaldescriptionoffilariallymphedema AT hayr healthworkersagreementinclinicaldescriptionoffilariallymphedema |