Inter-examiner agreement of the systematic physical examination in patients with obstructive sleep disorders

Inter-examiner agreement of the systematic physical examination in patients with obstructive sleep disorders

Author Sguillar, Danilo Anunciatto Autor UNIFESP Google Scholar
Vidigal, Tatiana de Aguiar Autor UNIFESP Google Scholar
Mangussi, Joao Paulo Autor UNIFESP Google Scholar
Bittencourt, Lia Rita Azeredo Autor UNIFESP Google Scholar
Gregorio, Luiz Carlos Autor UNIFESP Google Scholar
Tufik, Sergio Autor UNIFESP Google Scholar
Haddad, Fernanda Louise Martinho Autor UNIFESP Google Scholar
Abstract The goal of this study was to investigate the agreement between examiners who were or were not trained in the physical examination of the upper airway (UA) and the craniofacial skeleton of individuals with obstructive sleep disorders (OSD). A systematic assessment of the UA and craniofacial skeleton was performed on 55 individuals with OSD. The participants were consecutively assessed by three otorhinolaryngologists who specialized in sleep medicine for at least 1 year (trained examiners) and two doctors who were attending a residency program in otorhinolaryngology (untrained examiners). When analyzing all of the parameters assessed, the concordance was better in the trained group (k = 0.694, which is considered "good") compared to the untrained group (k = 0.475, "fair") (p < 0.001). The inter-examiner agreement was also better in the trained compared to the untrained group, as follows: craniofacial (k = 0.643 vs. 0.349), nasal (k = 0.657 vs. 0.614), and pharyngeal (k = 0.729 vs. 0.276) abnormalities (p < 0.05). The overall concordance of the physical examination of the UA and craniofacial skeleton was "good" among the trained specialists and "fair" among examiners without appropriate training, despite its subjectivity.
Keywords Physical examination
Upper airway
Obstructive sleep apnea
Snoring
Reproducibility
xmlui.dri2xhtml.METS-1.0.item-coverage Heidelberg
Language English
Date 2016
Published in Sleep And Breathing. Heidelberg, v. 20, n. 4, p. 1263-1268, 2016.
ISSN 1520-9512 (Sherpa/Romeo, impact factor)
Publisher Springer Heidelberg
Extent 1263-1268
Origin http://dx.doi.org/10.1007/s11325-016-1356-6
Access rights Closed access
Type Article
Web of Science ID WOS:000390065300018
URI https://repositorio.unifesp.br/handle/11600/56647

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