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Interobserver agreement in perineal ultrasound measurement of the anovaginal distance: a methodological study.

Abstract：

INTRODUCTION AND HYPOTHESIS:Objective outcome measures of the extent of laceration at delivery are needed. In this study we evaluated and describe here a method for learning perineal ultrasound measurement of the anovaginal distance (AVD). The learning period needed for examiners proficient in vaginal ultrasound examination and the interobserver agreement after reaching proficiency in AVD measurement were determined. The hypothesis was that the method is feasible to learn and reproducible for use in further research. METHODS:The method was taught by an examiner experienced in perineal ultrasonography. The distance between the mucosal margin of the internal anal sphincter was measured with a vaginal probe. The studied examiners measured the AVD until similar results (±5 mm) were achieved. The AVD in 40 women was then measured and documented by two examiners who were blinded to each other's results. Interobserver agreement was calculated using the kappa score. RESULTS:Examiners with previous experience in vaginal ultrasonography had learned the method after performing five sets of comeasurements. The AVD measurements after the learning period showed almost perfect agreement (κ = 0.87) between the examiners. CONCLUSIONS:The method for perineal ultrasound measurement of AVD was learned quickly with high interobserver agreement. The method is feasible to learn and reproducible for use in further research.

journal_name

Int Urogynecol J

journal_title

International urogynecology journal

authors

Pihl S,Uustal E,Hjertberg L,Blomberg M

doi

10.1007/s00192-017-3392-6

subject

Has Abstract

pub_date

2018-05-01 00:00:00

pages

697-701

issue

5

eissn

0937-3462

issn

1433-3023

pii

10.1007/s00192-017-3392-6

journal_volume

29

pub_type

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