OBJECTIVE: To develop and test a robust clinical staging system for podoconiosis, a geochemical disease in individuals exposed to red clay soil. METHODS: We adapted the Dreyer system for staging filarial lymphoedema and tested it in four re-iterative field tests conducted in an area of high-podoconiosis prevalence in Southern Ethiopia. The system has five stages according to proximal spread of disease and presence of dermal nodules, ridges and bands. We measured the 1-week repeatability and the inter-observer agreement of the final staging system. RESULTS: The five-stage system is readily understood by community workers with little health training. Kappa for 1-week repeatability was 0.88 (95% CI 0.80-0.96), for agreement between health professionals was 0.71 (95% CI 0.60-0.82), while that between health professionals and community podoconiosis agents without formal health training averaged 0.64 (95% CI 0.52-0.78). CONCLUSIONS: This simple staging system with good inter-observer agreement and repeatability can assist in the management and further study of podoconiosis.
OBJECTIVE: To develop and test a robust clinical staging system for podoconiosis, a geochemical disease in individuals exposed to red clay soil. METHODS: We adapted the Dreyer system for staging filarial lymphoedema and tested it in four re-iterative field tests conducted in an area of high-podoconiosis prevalence in Southern Ethiopia. The system has five stages according to proximal spread of disease and presence of dermal nodules, ridges and bands. We measured the 1-week repeatability and the inter-observer agreement of the final staging system. RESULTS: The five-stage system is readily understood by community workers with little health training. Kappa for 1-week repeatability was 0.88 (95% CI 0.80-0.96), for agreement between health professionals was 0.71 (95% CI 0.60-0.82), while that between health professionals and community podoconiosis agents without formal health training averaged 0.64 (95% CI 0.52-0.78). CONCLUSIONS: This simple staging system with good inter-observer agreement and repeatability can assist in the management and further study of podoconiosis.
Authors: Kebede Deribe; Jorge Cano; Melanie J Newport; Rachel L Pullan; Abdisalan M Noor; Fikre Enquselassie; Christopher J L Murray; Simon I Hay; Simon J Brooker; Gail Davey Journal: Lancet Glob Health Date: 2017-05 Impact factor: 26.763
Authors: Sarah Martindale; Hayley E Mableson; Biruk Kebede; Fikre H Kiros; Abraham Tamiru; Belete Mengistu; Anna Krueger; Charles D Mackenzie; Louise A Kelly-Hope Journal: Mhealth Date: 2018-10-26
Authors: Samuel Wanji; Jonas A Kengne-Ouafo; Kebede Deribe; Ayok M Tembei; Abdel Jelil Njouendou; Dizzel Bita Tayong; David D Sofeu-Feugaing; Fabrice R Datchoua-Poutcheu; Jorge Cano; Emanuele Giorgi; Yolande F Longang-Tchounkeu; Peter A Enyong; Melanie J Newport; Gail Davey Journal: Int Health Date: 2018-07-01 Impact factor: 2.473