@article{article_676820, title={Interobserver reliability in the ultrasonic evaluation with graf method of developmental dysplasia of the hip: the importance of education for ultrasonography classification}, journal={Journal of Health Sciences and Medicine}, volume={3}, pages={11–124}, year={2020}, DOI={10.32322/jhsm.676820}, author={Yıldız, Kadri and Bekis Bozkurt, Hayrunnisa and Çetin, Türkhun and Yıldız, Vahit}, keywords={gelişimsel kalça displazisi,ultrason,Graf,gözlemcilerarası güvenirlilik,gözlemci içi güvenirlilik}, abstract={Aim: Developmental dysplasia of the hip is a hip deformity that can be diagnosed early by numerous ultrasonic measurements. The purpose of this study was to evaluate the interobserver reliability of ultrasonic measurements using the Graf Ultrasound (USG) method.
Methods: Ultrasonic measurements that were used by Graf Ultrasound (USG) method were obtained at presentation for 62 randomized and consecutive patients. Bilateral hip USG measurements were made for each patient. Each USG outcome was evaluated on multiple occasions by an orthopedic surgery specialist, a pediatric specialist, and a 25-year experienced radiologist.
The statistical measurements were made by SPSS 20.0 (Windows, IL, USA). Intraclass Correlation Coefficient was determined. 95% Confidence Interval and F Test with True Value 0 was detected. P values were accepted as statistically significantly less than 0,05.
Results: At the evaluation before education for Graf USG classification, the results were established. In the interobserver reliabilities, Intraclass Classification Correlations (ICC) values were 0,939 for USG classification evaluation with Graf Method for right hips. ICC values were 0,907 for USG classification evaluation with Graf Method for left hips. At the evaluation after education for Graf USG classification, the results were established. ICC values were 0,975 for USG classification evaluation with Graf Method for right hips. ICC values were 0,970 for USG classification evaluation with Graf Method for left hips. All p values were significant. While before education for Graf USG classification ICC was 0,838 in right hips, 0,765 in left hips; after education, it was 0,928 in right hips, 0,915 in left hips.
Conclusion: Diagnosis of DDH deformity with USG is a complex and difficult condition that needs a serious education period. Graf USG method was found to have high interobserver reliability. And also, we detected that education for Graf USG classification increased intra-observer reliability, especially among pediatrists.}, number={2}, publisher={MediHealth Academy Yayıncılık}