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• W2896804914 abstract "The aim of this study is to estimate the inter- and intra-observer agreement of the Weiss and Milch classification systems in radiological studies of fractures of the lateral humeral condyle in pediatric patients.An agreement study was performed with non-probability sampling of consecutive cases with a sample size of a hundred radiological studies, which were evaluated by three experienced orthopedic surgeons and three resident physicians; following a thorough comparison of both inter- and intra-observer agreements over a six-week period based on the Fleiss' kappa, which was used to determine the inter- and intra-observer agreement rates of both classifications.The overall reliability of the entire group of evaluators for the Milch classification in the inter-observer evaluation was κ = 0.13, 95% CI, 0.08-0.18, and the intra-observer evaluation was κ = 0.08, 95% CI, 0.06-0.11. For the Weiss classification, the overall evaluation had an inter-observer agreement of κ = 0.53, 95% CI, 0.50-0.57, and an intra-observer agreement of κ = 0.22, 95% CI, 0.20 -0.24.In the present study, the Weiss classification system demonstrated greater agreement than the Milch classification; however, the latter may require complementary studies, such as an arthrography to enhance classification accuracy. Level of Evidence II, Diagnostic Studies - Investigating Diagnostic Examination.Este estudo visa estimar a concordância intra e interobservador da classificação de Weiss e Milch, em estudos radiológicos de pacientes pediátricos com fratura da parte lateral do côndilo do úmero.Estudo de concordância realizado com amostragem não probabilística de casos consecutivos com amostra de cem estudos radiológicos que foram avaliados por três observadores especialistas e por três médicos residentes; depois de uma comparação completa da concordância inter e intraobservador durante seis semanas, com base no kappa de Fleiss, que foi usado para determinar a concordância inter e intraobservador das duas classificações.A confiabilidade global de todo o grupo de avaliadores da classificação de Milch na avaliação interobservador foi κ = 0,13, IC 95% 0,08-0,18 e intraobservador foi κ = 0,08, IC 95% 0,06-0,11. A avaliação geral da classificação de Weiss obteve concordância interobservador de κ = 0,53, IC 95% 0,50-0,57 e intraobservador de κ = 0,22, IC 95% 0,20-0,24.No presente estudo, o sistema de classificação de Weiss mostrou concordância maior do que a classificação Milch; contudo, esta última pode exigir estudos complementares, como artrografia, para ampliar a acurácia da classificação. Nível de Evidência II, Estudos Diagnósticos - Investigação de um Exame para Diagnóstico." @default.
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• W2896804914 date "2018-08-01" @default.
• W2896804914 modified "2023-10-15" @default.
• W2896804914 title "INTER- AND INTRA-OBSERVER AGREEMENT IN THE MILCH AND WEISS SYSTEMS" @default.
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• W2896804914 doi "https://doi.org/10.1590/1413-785220182604191367" @default.
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