caa a22 4500 477045502 CHVBK 20180405111329.0 cr unu---uuuuu 170330e19960501xx s 000 0 eng 10.1007/BF01894199 doi (NATIONALLICENCE)springer-10.1007/BF01894199 Interobserver variation in the assessment of pelvic organ prolapse [Elektronische Daten] [W. Kobak, K. Rosenberger, M. Walters] The aim of this study was to determine the interobserver agreement of two grading systems for pelvic organ prolapse: the vaginal profile and the International Continence Society (ICS) draft proposal. Forty-nine consecutive women referred for evaluation of urinary incontinence and/or pelvic organ prolapse were studied. Patients were first examined by a physician and a nurse clinician using the vaginal profile, followed by an examination according to the technique described in the ICS draft proposal for standardization of terminology (1994). κ statistic and Pearson's correlation coefficient were used to determine interobserver variability for the ICS system by overall stage, by stage-specific comparison, and by specific anatomic location. The vaginal profile was evaluated by obtaining a κ for overall degree of prolapse, stage-specific comparison and by anatomic area. The κ for the ICS stage was 0.79 (P<0.001), and the κ for the vaginal profile by area of greatest prolapse was 0.68 (P<0.001), indicating substantial interobserver agreement for both systems. The ICS system was noted to have substantial interobserver agreement by a stage-specific comparison. All anatomic locations of the ICS staging system were found to correlate significantly, and a high degree of interobserver precision was found. The vaginal profile also showed significant interobserver agreement by overall degree of prolapse, by specific degree of prolapse, and by anatomic area. It was concluded that both the proposed ICS staging system and the traditional vaginal profile show significant interobserver agreement both by overall stage, stage-specific analysis and specific location. The registered nurse examination correlated well with the physican examination, indicating that the most important factor in obtaining reproducible results may be definition and close attention to examination technique. International Urogynecology Journal, 1996 Interobserver agreement nationallicence International Continence Society nationallicence Pelvic organ prolapse nationallicence Vaginal profile nationallicence Kobak W. University of Southern California, 1240 N. Mission St., Room L1025, 90033, Los Angeles, CA, USA aut Rosenberger K. The Cleveland Clinic, Cleveland, Ohio, USA aut Walters M. The Cleveland Clinic, Cleveland, Ohio, USA aut International Urogynecology Journal Springer-Verlag 7/3(1996-05-01), 121-124 0937-3462 7:3<121 1996 7 192 https://doi.org/10.1007/BF01894199 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF01894199 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kobak W. University of Southern California, 1240 N. Mission St., Room L1025, 90033, Los Angeles, CA, USA aut NATIONALLICENCE 700 1- Rosenberger K. The Cleveland Clinic, Cleveland, Ohio, USA aut NATIONALLICENCE 700 1- Walters M. The Cleveland Clinic, Cleveland, Ohio, USA aut NATIONALLICENCE 773 0- International Urogynecology Journal Springer-Verlag 7/3(1996-05-01), 121-124 0937-3462 7:3<121 1996 7 192 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer