肾移植中足底印迹评估的不一致性。

Discordance of the Evaluation of the Plantar Footprint in Kidney Transplant.

出版信息

J Am Podiatr Med Assoc. 2021 Mar 1;111(2). doi: 10.7547/18-160.

Abstract

BACKGROUND

The measures used for the diagnosis of biomechanical pathologic disorders are variable. The aim of this study was to determine the concordance between the Clarke angle and the Chippaux-Smirak and Staheli indices in evaluation of the footprints of kidney transplant patients.

METHODS

An observational prevalence study was performed in kidney transplant patients in the University Hospital Complex A Coruña from 1981 through 2014. After obtaining patient informed consent and ethics committee approval, sociodemographic (age and sex) and anthropometric (body mass index) variables and comorbidity (Charlson Comorbidity Index score) were assessed for each patient, and a podiatric medical examination was performed of the footprint through a pedigree (Chippaux-Smirak index, Staheli index, and Clarke angle). A descriptive analysis of all of the variables was performed; for agreement, the kappa index and the Bland-Altman method were used.

RESULTS

We found a predominance of male sex (65.6%) and a high level of overweight (43.3%) in the sample. The highest concordance between the indices studied is presented by the Chippaux-Smirak index, with a kappa index of 0.86 for the left foot and 0.76 for the right foot.

CONCLUSIONS

High agreement was attained among observers in measurements of the footprints of kidney transplant patients.

摘要

背景

用于诊断生物力学病理障碍的方法各有不同。本研究旨在确定 Clarke 角与 Chippaux-Smirak 和 Staheli 指数在评估肾移植患者足迹时的一致性。

方法

这是一项在 1981 年至 2014 年期间在阿科鲁尼亚大学医院联合体的肾移植患者中进行的观察性流行率研究。在获得患者知情同意和伦理委员会批准后，对每位患者的社会人口学（年龄和性别）和人体测量学（体重指数）变量以及合并症（Charlson 合并症指数评分）进行了评估，并通过谱系（Chippaux-Smirak 指数、Staheli 指数和 Clarke 角）对足迹进行了足部医学检查。对所有变量进行了描述性分析；为了评估一致性，使用了 kappa 指数和 Bland-Altman 方法。