Slora Eric J, Bocian Alison B, Herman-Giddens Marcia E, Harris Donna L, Pedlow Steven E, Dowshen Steven A, Wasserman Richard C
American Academy of Pediatrics, Elk Grove Village, IL 60007, USA.
J Pediatr Endocrinol Metab. 2009 Apr;22(4):291-9. doi: 10.1515/jpem.2009.22.4.291.
Few studies have systematically assessed the reliability of pubertal markers; most are flawed by limited numbers of markers and ages studied.
To conduct a comprehensive examination of inter-rater reliability in the assessment of boys' sexual maturity.
Eight pairs of practitioners independently rated 79 consecutive boys aged 8-14 years.
Two raters in each of eight practices independently rated boys aged 8-14 years, presenting for physical examinations, on key pubertal markers: pubic hair and genitalia (both on 5-point Tanner scales), testicular size (via palpation and comparison with a four-bead Prader orchidometer), and axillary hair (via a three-point scale).
Intraclass correlations assessing degree of inter-rater reliability for pubertal markers ranged from 0.61 to 0.94 (all significant at p < 0.001). Rater Kappas for signs of pubertal initiation ranged from 0.49 to 0.79.
Practitioners are able to reliably stage key markers of male puberty and identify signs of pubertal initiation.
很少有研究系统地评估青春期标志的可靠性；大多数研究因所研究的标志和年龄数量有限而存在缺陷。
全面检验评估男孩性成熟度时评估者间的可靠性。
八对从业者独立对79名连续的8至14岁男孩进行评分。
八家诊所中的两名评估者各自独立对前来进行体格检查的8至14岁男孩的关键青春期标志进行评分：阴毛和生殖器（均采用5级坦纳量表）、睾丸大小（通过触诊并与四颗珠子的普拉德睾丸测量器比较）以及腋毛（采用3级量表）。
评估青春期标志评估者间可靠性程度的组内相关系数在0.61至0.94之间（所有p值均小于0.001，具有显著性）。青春期开始迹象的评估者卡帕值在0.49至0.79之间。
从业者能够可靠地对男性青春期的关键标志进行分期，并识别青春期开始的迹象。
