Division of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway.
Department of Hand Surgery, Catholic Children's Hospital Wilhelmstift, Hamburg, Germany.
J Hand Surg Eur Vol. 2022 Nov;47(10):1016-1024. doi: 10.1177/17531934221107264. Epub 2022 Jun 23.
On two occasions, five surgeons classified a cohort of 150 consecutive patients with congenital upper limb anomalies according to the Oberg-Manske-Tonkin classification (2020 update). We estimated reliability for the main anomaly code by means of Cohen's kappa (Κ) for ten rater pairs for five common and easily distinguishable anomalies (Group 1), and for all the other anomalies (Group 2). Inter-rater reliability for all patients (= 150) was substantial, almost perfect for Group 1 (= 64), but only moderate for Group 2 (= 86). Intra-rater reliability was higher for all groups. We suggest simplifications to the Oberg-Manske-Tonkin classification and highlight specific requirements for instructions to increase its reliability. I.
两次，五位外科医生根据 Oberg-Manske-Tonkin 分类（2020 年更新版）对 150 例连续先天性上肢畸形患者进行了分类。我们对十个评分者对五组常见且易于区分的异常（第 1 组）和所有其他异常（第 2 组）的主要异常编码进行了可靠性估计，使用 Cohen 的 Kappa（Κ）。所有患者（= 150）的组间可靠性为中等，第 1 组（= 64）接近完美，第 2 组（= 86）为中等。所有组的组内可靠性均较高。我们建议对 Oberg-Manske-Tonkin 分类进行简化，并强调增加其可靠性的具体说明要求。
