Labrecque M, Latulippe L G, Mercier P
Unité de recherche clinique en médecine familiale, Centre hospitalier de l'Université Laval.
Union Med Can. 1990 May-Jun;119(3):109-11.
The interobserver agreement in diagnosing the presence or the disappearance of plantar wart was assessed among ten Family Physicians from the Family Medicine Unit (FMU) of the Centre hospitalier de l'Université Laval (CHUL). Physicians were trained to recognize predetermined clinical criteria for the presence (microthrombi, interruption of skin folds and hyperkeratosis) and disappearance (return of skin folds) of plantar warts. Sixty (60) untreated plantar lesions in 43 patients were examined independently by two to five available physicians. Twenty-two (22) patients who came for one to six follow-up visits generated 77 post treatment assessments of plantar warts. The observed agreement was 82% for diagnosis (49/60) and for cure (63/77). The agreement corrected for chance as measured by the Kappa coefficient was 0.60 for diagnosis and 0.61 for cure. A good degree of agreement on diagnosis and disappearance of plantar wart was achieved among the FMU physicians.
在拉瓦尔大学中心医院（CHUL）家庭医学科（FMU）的十位家庭医生中，评估了诊断跖疣存在或消失时的观察者间一致性。医生们接受了培训，以识别跖疣存在（微血栓、皮肤褶皱中断和角化过度）和消失（皮肤褶皱恢复）的预定临床标准。43名患者的60处未经治疗的足底病变由两到五名在职医生独立检查。前来进行一到六次随访的22名患者产生了77次跖疣治疗后评估。观察到的诊断一致性为82%（49/60），治愈一致性为82%（63/77）。通过卡帕系数衡量的校正机遇后的一致性，诊断为0.60，治愈为0.61。FMU医生在跖疣的诊断和消失方面达成了良好程度的一致性。
