OBJECTIVE: The purpose of this study was to determine the interobserver and intraobserver reliability of the clinical examination of anterior vaginal wall support defects. STUDY DESIGN: Sixty-three patients with at least stage II anterior vaginal wall prolapse were prospectively evaluated with a standardized examination to detect anterior vaginal wall support defects. Interobserver reliability was assessed with a duplicate examination performed by a blinded second examiner. Intraobserver reliability was assessed with a second examination performed at least 3 weeks later by 1 of the original 2 examiners. Examination reliability for the 4 types of defects (central, right lateral, left lateral, and superior) was evaluated with the kappa statistic. RESULTS: The inter- and intraexaminer reliability of the clinical examination for central, superior, and right and left paravaginal defects was poor; all kappas were less than 0.50. Overall interexaminer agreement was 42% with a kappa of 0.16 (95% CI, 0-0.32). Overall intraexaminer agreement was 46% with a kappa of 0.16 (95% CI, 0-0.45). Reliability was noted to improve with increasing stage of prolapse. CONCLUSION: The clinical examination of anterior vaginal wall support defects displays poor interexaminer and intraexaminer agreement.
OBJECTIVE: The purpose of this study was to determine the interobserver and intraobserver reliability of the clinical examination of anterior vaginal wall support defects. STUDY DESIGN: Sixty-three patients with at least stage II anterior vaginal wall prolapse were prospectively evaluated with a standardized examination to detect anterior vaginal wall support defects. Interobserver reliability was assessed with a duplicate examination performed by a blinded second examiner. Intraobserver reliability was assessed with a second examination performed at least 3 weeks later by 1 of the original 2 examiners. Examination reliability for the 4 types of defects (central, right lateral, left lateral, and superior) was evaluated with the kappa statistic. RESULTS: The inter- and intraexaminer reliability of the clinical examination for central, superior, and right and left paravaginal defects was poor; all kappas were less than 0.50. Overall interexaminer agreement was 42% with a kappa of 0.16 (95% CI, 0-0.32). Overall intraexaminer agreement was 46% with a kappa of 0.16 (95% CI, 0-0.45). Reliability was noted to improve with increasing stage of prolapse. CONCLUSION: The clinical examination of anterior vaginal wall support defects displays poor interexaminer and intraexaminer agreement.
Authors: Louise T S Arenholt; Bodil Ginnerup Pedersen; Karin Glavind; Susanne Greisen; Karl M Bek; Marianne Glavind-Kristensen Journal: Int Urogynecol J Date: 2018-12-01 Impact factor: 2.894
Authors: Marion Ek; Daniel Altman; Jonas Gunnarsson; Christian Falconer; Gunilla Tegerstedt Journal: Int Urogynecol J Date: 2012-06-16 Impact factor: 2.894
Authors: Louise T S Arenholt; Bodil Ginnerup Pedersen; Karin Glavind; Marianne Glavind-Kristensen; John O L DeLancey Journal: Int Urogynecol J Date: 2016-09-17 Impact factor: 2.894
Authors: Ellen J M Lensen; Jackie A Stoutjesdijk; Mariella I J Withagen; Kirsten B Kluivers; Mark E Vierhout Journal: Int Urogynecol J Date: 2011-02-25 Impact factor: 2.894