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dc.contributor.authorKocazeybek, Emre
dc.contributor.authorMeric, Emre
dc.contributor.authorYildirim, Ahmet Mucteba
dc.contributor.authorSaglam, Yavuz
dc.contributor.authorSalduz, Ahmet
dc.contributor.authorChousein, Hasan Memet
dc.contributor.authorErsen, Ali
dc.date.accessioned2023-02-21T08:50:57Z
dc.date.available2023-02-21T08:50:57Z
dc.date.issued2022
dc.identifier.citationKocazeybek E., Meric E., Chousein H. M., Yildirim A. M., Saglam Y., Ersen A., Salduz A., "INTER- AND INTRA-OBSERVER RELIABILITY OF THE MIRELS? SCORING SYSTEM FOR THE DETERMINATION OF PATHOLOGICAL FRACTURE RISK IN METASTATIC BONE LESIONS AMONG ORTHOPEDIC SURGEONS WITH DIFFERENT LEVELS OF EXPERTISE", JOURNAL OF ISTANBUL FACULTY OF MEDICINE-ISTANBUL TIP FAKULTESI DERGISI, cilt.85, sa.4, ss.510-516, 2022
dc.identifier.issn1305-6441
dc.identifier.othervv_1032021
dc.identifier.otherav_22ed8e78-e26f-4d1e-8ad3-ca9278fd9c68
dc.identifier.urihttp://hdl.handle.net/20.500.12627/187016
dc.identifier.urihttps://doi.org/10.26650/iuitfd.1037033
dc.identifier.urihttps://avesis.istanbul.edu.tr/api/publication/22ed8e78-e26f-4d1e-8ad3-ca9278fd9c68/file
dc.description.abstractObjective: To assess inter-and intra-observer reliability of Mire-ls scoring for the determination of pathological fracture risk in metastatic bone lesions of 30 patients among six different levels of experienced orthopedic surgeons who were trained in the same university clinic.Material and Methods: Thirty patients were randomly selected from oncology unit consultations. Six observers were selected in accordance to their orthopedic experience. Mirels parameters except pain were evaluated by observers on two different times without the observers being aware of each other.Results: The Fleiss' Kappa values were detected as x=0.21, p<0.0001, and x=0.15, p<0.0001 by inter-observers at the first and second observational points, respectively. The Kappa val-ues were in perfect (x=0.95), fair (x=0.27) and fair (x=0.10) agree-ments for the region, size and type of the metastatic involvement by inter-observers at the first observational point. The same pa-rameters had similiar scores as x=0.83, x=0.13 and x=0.28 for region, size and type for the second observation. Fair (x=0.333), moderate (x=0.413), fair (x=0.225), slight (x=0.035), fair (x=0.369 and poor (x=0.030) evidence of agreements were detected in the comparison of the first and second observations for total scores in seniority order.Conclusions: Kappa analysis showed perfect agreement for region, but slight to fair for size and type. There was a significant difference in overall scores across experience levels for the most and least experienced observers. A new rating system with revised parameters may be required to predict impending fractures.
dc.language.isoeng
dc.subjectDeğerlendirme ve Teşhis
dc.subjectDahiliye
dc.subjectAile Sağlığı
dc.subjectTıp (çeşitli)
dc.subjectGenel Tıp
dc.subjectTIP, GENEL & DAHİLİ
dc.subjectPatofizyoloji
dc.subjectGenel Sağlık Meslekleri
dc.subjectTemel Tıp Bilimleri
dc.subjectSağlık Bilimleri
dc.subjectTıp
dc.subjectKlinik Tıp (MED)
dc.subjectKlinik Tıp
dc.subjectTemel Bilgi ve Beceriler
dc.titleINTER- AND INTRA-OBSERVER RELIABILITY OF THE MIRELS? SCORING SYSTEM FOR THE DETERMINATION OF PATHOLOGICAL FRACTURE RISK IN METASTATIC BONE LESIONS AMONG ORTHOPEDIC SURGEONS WITH DIFFERENT LEVELS OF EXPERTISE
dc.typeMakale
dc.relation.journalJOURNAL OF ISTANBUL FACULTY OF MEDICINE-ISTANBUL TIP FAKULTESI DERGISI
dc.contributor.departmentİstanbul Teknik Üniversitesi , ,
dc.identifier.volume85
dc.identifier.issue4
dc.identifier.startpage510
dc.identifier.endpage516
dc.contributor.firstauthorID3455079


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