作者
Antonio Escobar, José Maria Quintana, Immaculada Arostegui, Jesús Azkárate, José Ignacio Güenaga, Juan Carlos Arenaza, Idoia Garai
发表日期
2003/1
期刊
International journal of technology assessment in health care
卷号
19
期号
1
页码范围
57-70
出版商
Cambridge University Press
简介
Objectives
To develop and test an appropriateness of indications tool for total knee replacement (TKR) in patients with osteoarthritis.
Methods
Criteria were developed using a modified Delphi panel judgment. Another panel rated the same indications, and the results were compared with the main panel. Test-retest of the main panel was performed. Regression models were used to assess the contribution of each algorithm variable. A classification tree was developed.
Results
The procedure was considered appropriate in 167 (26.8%) scenarios, and there was agreement on 112 (67.1%) of them. When the rates of the main panel were compared with those of a second panel, the result was a kappa statistic of 0.75. The test-retest kappa for the main panel was 0.78. Neither in the first case nor in the second was there an instance in which a scenario classified as appropriate shifted to inappropriate or vice versa. The …
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