1Department of Orthopedic Surgery, Rijnstate Hospital, Arnhem, the Netherlands 2Department of General Surgery, Isala Clinics, Zwolle, the Netherlands 3Department of Orthopedic Surgery, MC Slotervaart, Amsterdam, the Netherlands 4Flinders Medical Centre, Adelaide, South Australia, Australia 5Department of Orthopedic Surgery, Academic Medical Center Amsterdam, Amsterdam, the Netherlands 6Department of Surgery and Perioperative Care, Dell Medical School, The University of Texas at Austin, Austin, Texas 7Department of Orthopedic Surgery, Amphia Hospital, Breda, the Netherlands.
J Bone Joint Surg Am. 2017 Jul 5;99(13):e70. doi: 10.2106/JBJS.16.01433.
There are approximately 20,000 medical eponymous terms in use today. Familiar eponymous terms serve as shorthand during communication with colleagues. This study tested the reliability of the everyday use of common orthopaedic eponymous terms.
Using an online survey, 224 orthopaedic surgeons were quizzed on common eponymous terms. The correspondence of each eponymous term with its original description (termed appropriate use) was calculated with 95% confidence intervals. We measured the reliability of the use of eponymous terms using the kappa statistic and the proportion of agreement.
The percentage of appropriate use averaged 45% (ranging from 27% [for the Barton fracture eponymous term] to 75% [for the Sever's disease eponymous term]), with greater misuse among European surgeons. The reliability of the use of eponymous terms was low (kappa, 0.11; proportion of agreement, 68%). The support for using eponymous terms in daily practice was significantly lower among surgeons practicing in North America (63%) than among their colleagues in Europe and South America (80%; p < 0.001). Eponymous terms were used more often than anatomical descriptions or classifications.
Using eponymous terms is an inaccurate and unreliable method of communication. Descriptive terms are preferable to eponymous terms.
现今有大约 20000 个医学术语被使用。熟悉的医学术语在与同事交流时用作简写。本研究旨在测试日常使用常见骨科术语的可靠性。
通过在线调查，对 224 名骨科医生进行了常见术语的测试。通过 95%置信区间计算了每个术语与其原始描述的一致性（称为正确使用）。我们使用 Kappa 统计和一致性比例来衡量术语使用的可靠性。
正确使用的比例平均为 45%（范围从 27%[用于 Barton 骨折术语]到 75%[用于 Sever 病术语]），欧洲外科医生的误用率更高。术语使用的可靠性较低（Kappa 值为 0.11，一致性比例为 68%）。北美外科医生在日常实践中支持使用术语的比例明显低于欧洲和南美洲的同事（63%比 80%；p < 0.001）。术语的使用频率高于解剖描述或分类。
使用术语是一种不准确和不可靠的沟通方式。描述性术语优于术语。
