Cargando…

Inter-observer reliability of clinical measurement of suprasternal notch-nipple distance and breast ptosis

CONTEXT: Suprasternal notch-nipple distance and breast ptosis are two measurements that are often used in everyday plastic surgical clinical practice. Nonetheless, the reliability of standard breast measurements has never been tested. AIM: The aim of the present study was to test the inter-observer...

Descripción completa

Detalles Bibliográficos
Autores principales: Hansson, Emma, Manjer, Jonas, Ringberg, Anita
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4075219/
https://www.ncbi.nlm.nih.gov/pubmed/24987206
http://dx.doi.org/10.4103/0970-0358.129625
_version_ 1782323306385375232
author Hansson, Emma
Manjer, Jonas
Ringberg, Anita
author_facet Hansson, Emma
Manjer, Jonas
Ringberg, Anita
author_sort Hansson, Emma
collection PubMed
description CONTEXT: Suprasternal notch-nipple distance and breast ptosis are two measurements that are often used in everyday plastic surgical clinical practice. Nonetheless, the reliability of standard breast measurements has never been tested. AIM: The aim of the present study was to test the inter-observer reliability of clinical measurement of ptosis and suprasternal notch-nipple distance. SETTINGS AND DESIGN: Six raters measured ptosis and suprasternal notch-nipple distance in 12 breasts on the same day. STATISTICAL ANALYSIS USED: Intra-class correlation (ICC) coefficients, the coefficient of variation (CV) and Bland–Altman plots. RESULTS AND CONCLUSIONS: The results show that there is certain variation between different raters. The ICC of average measures between raters is 0.92 for the ptosis and 0.94 for the suprasternal notch-nipple distance, that is, the agreement between different raters is high. According to the Bland — Altman plots, the overall assessment of the comparisons of measurements between the different raters shows that the direction of the mean differences is close to zero. This study shows that there is a good reliability for measurements of suprasternal notch-nipple distance and ptosis. Nonetheless, there is a slight inter-rater variability in the measurements. Even though standardised, measurement of breasts is not an exact science and care has to be taken when the measurements are performed. The surgeon should have this in mind when measurements are used in clinical practice to evaluate breasts and to choose the right surgical method, as well as when guidelines for indications for surgery are set up.
format Online
Article
Text
id pubmed-4075219
institution National Center for Biotechnology Information
language English
publishDate 2014
publisher Medknow Publications & Media Pvt Ltd
record_format MEDLINE/PubMed
spelling pubmed-40752192014-07-01 Inter-observer reliability of clinical measurement of suprasternal notch-nipple distance and breast ptosis Hansson, Emma Manjer, Jonas Ringberg, Anita Indian J Plast Surg Original Article CONTEXT: Suprasternal notch-nipple distance and breast ptosis are two measurements that are often used in everyday plastic surgical clinical practice. Nonetheless, the reliability of standard breast measurements has never been tested. AIM: The aim of the present study was to test the inter-observer reliability of clinical measurement of ptosis and suprasternal notch-nipple distance. SETTINGS AND DESIGN: Six raters measured ptosis and suprasternal notch-nipple distance in 12 breasts on the same day. STATISTICAL ANALYSIS USED: Intra-class correlation (ICC) coefficients, the coefficient of variation (CV) and Bland–Altman plots. RESULTS AND CONCLUSIONS: The results show that there is certain variation between different raters. The ICC of average measures between raters is 0.92 for the ptosis and 0.94 for the suprasternal notch-nipple distance, that is, the agreement between different raters is high. According to the Bland — Altman plots, the overall assessment of the comparisons of measurements between the different raters shows that the direction of the mean differences is close to zero. This study shows that there is a good reliability for measurements of suprasternal notch-nipple distance and ptosis. Nonetheless, there is a slight inter-rater variability in the measurements. Even though standardised, measurement of breasts is not an exact science and care has to be taken when the measurements are performed. The surgeon should have this in mind when measurements are used in clinical practice to evaluate breasts and to choose the right surgical method, as well as when guidelines for indications for surgery are set up. Medknow Publications & Media Pvt Ltd 2014 /pmc/articles/PMC4075219/ /pubmed/24987206 http://dx.doi.org/10.4103/0970-0358.129625 Text en Copyright: © Indian Journal of Plastic Surgery http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Hansson, Emma
Manjer, Jonas
Ringberg, Anita
Inter-observer reliability of clinical measurement of suprasternal notch-nipple distance and breast ptosis
title Inter-observer reliability of clinical measurement of suprasternal notch-nipple distance and breast ptosis
title_full Inter-observer reliability of clinical measurement of suprasternal notch-nipple distance and breast ptosis
title_fullStr Inter-observer reliability of clinical measurement of suprasternal notch-nipple distance and breast ptosis
title_full_unstemmed Inter-observer reliability of clinical measurement of suprasternal notch-nipple distance and breast ptosis
title_short Inter-observer reliability of clinical measurement of suprasternal notch-nipple distance and breast ptosis
title_sort inter-observer reliability of clinical measurement of suprasternal notch-nipple distance and breast ptosis
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4075219/
https://www.ncbi.nlm.nih.gov/pubmed/24987206
http://dx.doi.org/10.4103/0970-0358.129625
work_keys_str_mv AT hanssonemma interobserverreliabilityofclinicalmeasurementofsuprasternalnotchnippledistanceandbreastptosis
AT manjerjonas interobserverreliabilityofclinicalmeasurementofsuprasternalnotchnippledistanceandbreastptosis
AT ringberganita interobserverreliabilityofclinicalmeasurementofsuprasternalnotchnippledistanceandbreastptosis