R J Close1, C J Sachs, P L Dyne. 1. University of California, Los Angeles (UCLA) Emergency Medicine Center, 924 Westwood Blvd, Ste 300, Los Angeles, CA 90024, USA. rclose@pol.net
Abstract
OBJECTIVE: To test the reliability of bimanual pelvic examinations performed in emergency departments by emergency medicine physicians. DESIGN: Prospective observational study; 2 examiners each recorded various pelvic examination findings on 186 patients. SETTING: A private university hospital and a public county hospital staffed by attending emergency medicine physicians who share an emergency medicine residency program. SUBJECTS: Senior resident (3rd or 4th year) and attending emergency physicians. MAIN OUTCOME MEASURES: Percentage of agreement and percentage of positive agreement for cervical motion tenderness, uterine tenderness, adnexal tenderness, adnexal mass, and uterine size (within 2 cm). RESULTS: The agreement ranged between 71% and 84%, but the percentage of positive agreement was much lower, ranging from 17% to 33%. Agreement for uterine size, within 2 cm, was 60%. CONCLUSION: The findings of bimanual pelvic examinations performed by emergency physicians in an emergency department have poor interexaminer reliability.
OBJECTIVE: To test the reliability of bimanual pelvic examinations performed in emergency departments by emergency medicine physicians. DESIGN: Prospective observational study; 2 examiners each recorded various pelvic examination findings on 186 patients. SETTING: A private university hospital and a public county hospital staffed by attending emergency medicine physicians who share an emergency medicine residency program. SUBJECTS: Senior resident (3rd or 4th year) and attending emergency physicians. MAIN OUTCOME MEASURES: Percentage of agreement and percentage of positive agreement for cervical motion tenderness, uterine tenderness, adnexal tenderness, adnexal mass, and uterine size (within 2 cm). RESULTS: The agreement ranged between 71% and 84%, but the percentage of positive agreement was much lower, ranging from 17% to 33%. Agreement for uterine size, within 2 cm, was 60%. CONCLUSION: The findings of bimanual pelvic examinations performed by emergency physicians in an emergency department have poor interexaminer reliability.
Authors: Bridget F Grant; Rise B Goldstein; Sharon M Smith; Jeesun Jung; Haitao Zhang; Sanchen P Chou; Roger P Pickering; Wenjun J Ruan; Boji Huang; Tulshi D Saha; Christina Aivadyan; Eliana Greenstein; Deborah S Hasin Journal: Drug Alcohol Depend Date: 2014-12-08 Impact factor: 4.492
Authors: Keren Lehavot; Simon B Goldberg; Jessica A Chen; Jodie G Katon; Joseph E Glass; John C Fortney; Tracy L Simpson; Paula P Schnurr Journal: Soc Psychiatry Psychiatr Epidemiol Date: 2018-06-23 Impact factor: 4.328