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The Interrater and Intrarater Reliability of the Humeral Head Ossification System and the Proximal Femur Maturity Index Assessments for Patients with Adolescent Idiopathic Scoliosis

BACKGROUND: Skeletal maturity can evaluate the growth and development potential of children and provide a guide for the management of adolescent idiopathic scoliosis (AIS). Recent studies have demonstrated the advantages of the Humeral Head Ossification System (HHOS) and the Proximal Femur Maturity...

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Autores principales: Wang, Huan, Lu, Qing-da, Liu, Chen-xin, Yang, Shuai, Qi, Bo-hai, Bai, Huan-an, Qu, Ji-ning, Yang, Ye, Jin, Xiao-hui, Yang, Ming, Su, Fei, Yang, Ya-ting, Jie, Qiang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10035882/
https://www.ncbi.nlm.nih.gov/pubmed/36969277
http://dx.doi.org/10.3389/fped.2023.1131618
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author Wang, Huan
Lu, Qing-da
Liu, Chen-xin
Yang, Shuai
Qi, Bo-hai
Bai, Huan-an
Qu, Ji-ning
Yang, Ye
Jin, Xiao-hui
Yang, Ming
Su, Fei
Yang, Ya-ting
Jie, Qiang
author_facet Wang, Huan
Lu, Qing-da
Liu, Chen-xin
Yang, Shuai
Qi, Bo-hai
Bai, Huan-an
Qu, Ji-ning
Yang, Ye
Jin, Xiao-hui
Yang, Ming
Su, Fei
Yang, Ya-ting
Jie, Qiang
author_sort Wang, Huan
collection PubMed
description BACKGROUND: Skeletal maturity can evaluate the growth and development potential of children and provide a guide for the management of adolescent idiopathic scoliosis (AIS). Recent studies have demonstrated the advantages of the Humeral Head Ossification System (HHOS) and the Proximal Femur Maturity Index (PFMI), based on standard scoliosis films, in the management of AIS patients. We further assessed the HHOS and the PFMI method's reliability in the interrater and intrarater. METHODS: The data from 38 patients, including the humeral head and proximal femur on standard scoliosis films, were distributed to the eight raters in the form of a PowerPoint presentation. On 38 independent standard spine radiographs, raters utilized the HHOS and PFMI to assign grades. The PPT sequence was randomly changed and then reevaluated 2 weeks later. For every system, the 95% confidence interval (95% CI) and intraclass correlation coefficient (ICC) were calculated to evaluate the interrater and intrarater reliability. RESULTS: The HHOS was extremely reliable, with an intraobserver ICC of 0.802. In the first round, the interobserver ICC reliability for the HHOS was 0.955 (0.929–0.974), while in the second round, it was 0.939 (0.905–0.964). The PFMI was extremely reliable, with an intraobserver ICC of 0.888. In the first round, the interobserver ICC reliability for the PFMI was 0.967 (0.948–0.981), while in the second round, it was 0.973 (0.957–0.984). CONCLUSIONS: The HHOS and PFMI classifications had excellent reliability. These two methods are beneficial to reduce additional exposure to radiation and expense for AIS. There are advantages and disadvantages to each classification. Clinicians should choose a personalized and reasonable method to assess skeletal maturity, which will assist in the management of adolescent scoliosis patients.
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spelling pubmed-100358822023-03-24 The Interrater and Intrarater Reliability of the Humeral Head Ossification System and the Proximal Femur Maturity Index Assessments for Patients with Adolescent Idiopathic Scoliosis Wang, Huan Lu, Qing-da Liu, Chen-xin Yang, Shuai Qi, Bo-hai Bai, Huan-an Qu, Ji-ning Yang, Ye Jin, Xiao-hui Yang, Ming Su, Fei Yang, Ya-ting Jie, Qiang Front Pediatr Pediatrics BACKGROUND: Skeletal maturity can evaluate the growth and development potential of children and provide a guide for the management of adolescent idiopathic scoliosis (AIS). Recent studies have demonstrated the advantages of the Humeral Head Ossification System (HHOS) and the Proximal Femur Maturity Index (PFMI), based on standard scoliosis films, in the management of AIS patients. We further assessed the HHOS and the PFMI method's reliability in the interrater and intrarater. METHODS: The data from 38 patients, including the humeral head and proximal femur on standard scoliosis films, were distributed to the eight raters in the form of a PowerPoint presentation. On 38 independent standard spine radiographs, raters utilized the HHOS and PFMI to assign grades. The PPT sequence was randomly changed and then reevaluated 2 weeks later. For every system, the 95% confidence interval (95% CI) and intraclass correlation coefficient (ICC) were calculated to evaluate the interrater and intrarater reliability. RESULTS: The HHOS was extremely reliable, with an intraobserver ICC of 0.802. In the first round, the interobserver ICC reliability for the HHOS was 0.955 (0.929–0.974), while in the second round, it was 0.939 (0.905–0.964). The PFMI was extremely reliable, with an intraobserver ICC of 0.888. In the first round, the interobserver ICC reliability for the PFMI was 0.967 (0.948–0.981), while in the second round, it was 0.973 (0.957–0.984). CONCLUSIONS: The HHOS and PFMI classifications had excellent reliability. These two methods are beneficial to reduce additional exposure to radiation and expense for AIS. There are advantages and disadvantages to each classification. Clinicians should choose a personalized and reasonable method to assess skeletal maturity, which will assist in the management of adolescent scoliosis patients. Frontiers Media S.A. 2023-03-09 /pmc/articles/PMC10035882/ /pubmed/36969277 http://dx.doi.org/10.3389/fped.2023.1131618 Text en © 2023 Wang, Lu, Liu, Yang, Qi, Bai, Qu, Yang, Jin, Yang, Su, Yang and Jie. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Pediatrics
Wang, Huan
Lu, Qing-da
Liu, Chen-xin
Yang, Shuai
Qi, Bo-hai
Bai, Huan-an
Qu, Ji-ning
Yang, Ye
Jin, Xiao-hui
Yang, Ming
Su, Fei
Yang, Ya-ting
Jie, Qiang
The Interrater and Intrarater Reliability of the Humeral Head Ossification System and the Proximal Femur Maturity Index Assessments for Patients with Adolescent Idiopathic Scoliosis
title The Interrater and Intrarater Reliability of the Humeral Head Ossification System and the Proximal Femur Maturity Index Assessments for Patients with Adolescent Idiopathic Scoliosis
title_full The Interrater and Intrarater Reliability of the Humeral Head Ossification System and the Proximal Femur Maturity Index Assessments for Patients with Adolescent Idiopathic Scoliosis
title_fullStr The Interrater and Intrarater Reliability of the Humeral Head Ossification System and the Proximal Femur Maturity Index Assessments for Patients with Adolescent Idiopathic Scoliosis
title_full_unstemmed The Interrater and Intrarater Reliability of the Humeral Head Ossification System and the Proximal Femur Maturity Index Assessments for Patients with Adolescent Idiopathic Scoliosis
title_short The Interrater and Intrarater Reliability of the Humeral Head Ossification System and the Proximal Femur Maturity Index Assessments for Patients with Adolescent Idiopathic Scoliosis
title_sort interrater and intrarater reliability of the humeral head ossification system and the proximal femur maturity index assessments for patients with adolescent idiopathic scoliosis
topic Pediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10035882/
https://www.ncbi.nlm.nih.gov/pubmed/36969277
http://dx.doi.org/10.3389/fped.2023.1131618
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