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Accuracy and reliability of MRI-reports to determine which shoulder is symptomatic for workers compensation patients with unilateral symptoms
- Source :
- Journal of orthopaedics, 21, 199-202. Elsevier BV, J Orthop, Journal of Orthopaedics, 21, 199-202, Journal of Orthopaedics, 21, pp. 199-202
- Publication Year :
- 2020
-
Abstract
- Contains fulltext : 220936.pdf (Publisher’s version ) (Closed access) Introduction: Shoulder abnormalities on imaging are increasingly common with advancing age.We tested the difference in the accuracy of diagnosing the injured shoulder between surgeons who reviewed MRI reports and who did and did not receive information about the patients. METHODS: Thirty people aged 40 or older that experienced new shoulder symptoms after an event at work had MRI of both shoulders. Members of the Science of Variation Group (SOVG) were invited to review the radiologist's reports and diagnose the symptomatic side. Ninety-seven surgeons participated. RESULTS: Surgeon observers provided with patient information were not more accurate in diagnosing the symptomatic shoulder (Odds Ratio: 0.90; 95% CI: 0.75 to 1.1; P = 0.29). There was slight agreement between surgeons (kappa = 0.10). The sensitivity and specificity for diagnosing the symptomatic side were 51% (CI: 48%-54%) and 67% (CI: 64%-70%) respectively. A binomial test showed that surgeons indicated the injured shoulder slightly more frequently than expected by random chance (59%; P
- Subjects :
- medicine.medical_specialty
Shoulders
Workers' compensation
Article
Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18]
03 medical and health sciences
0302 clinical medicine
Reliability study
Patient information
medicine
MRI reports
Orthopedics and Sports Medicine
Shoulder injury
030222 orthopedics
business.industry
030229 sport sciences
Odds ratio
Evidence-based medicine
Worker compensation claims
Reconstructive and regenerative medicine Radboud Institute for Health Sciences [Radboudumc 10]
Reconstructive and regenerative medicine Radboud Institute for Molecular Life Sciences [Radboudumc 10]
Physical therapy
Level ii
business
Subjects
Details
- Language :
- English
- ISSN :
- 0972978X
- Database :
- OpenAIRE
- Journal :
- Journal of orthopaedics, 21, 199-202. Elsevier BV, J Orthop, Journal of Orthopaedics, 21, 199-202, Journal of Orthopaedics, 21, pp. 199-202
- Accession number :
- edsair.doi.dedup.....1df20e8ae4434691c5dd1bc770ae8121