Development and testing of a de novo clinical staging system for podoconiosis (endemic non-filarial elephantiasis)
Identifieur interne : 006F97 ( Main/Exploration ); précédent : 006F96; suivant : 006F98Development and testing of a de novo clinical staging system for podoconiosis (endemic non-filarial elephantiasis)
Auteurs : Fasil Tekola [Royaume-Uni] ; Zewdu Ayele [Éthiopie] ; DEREJE HAILE MARIAM [Éthiopie] ; Claire Fuller [Royaume-Uni] ; Gail Davey [Éthiopie]Source :
- TM & IH. Tropical medicine & international health [ 1360-2276 ] ; 2008.
Descripteurs français
- KwdFr :
- MESH :
- anatomopathologie : Maladies du pied, Éléphantiasis.
- Pascal (Inist)
- Wicri :
- geographic : Éthiopie.
- topic : Classification.
English descriptors
- KwdEn :
- Adolescent, Adult, Aluminum Silicates, Classification, Elephantiasis, Elephantiasis (pathology), Ethiopia, Female, Foot Diseases (pathology), Humans, Lymphedema, Male, Middle Aged, Observer Variation, Podoconiosis, Reproducibility of Results, Risk Factors, Sensitivity and Specificity, Soil, Tropical medicine.
- MESH :
- chemical : Aluminum Silicates, Soil.
- geographic : Ethiopia.
- pathology : Elephantiasis, Foot Diseases.
- Adolescent, Adult, Female, Humans, Male, Middle Aged, Observer Variation, Reproducibility of Results, Risk Factors, Sensitivity and Specificity.
Abstract
OBJECTIVE To develop and test a robust clinical staging system for podoconiosis, a geochemical disease in individuals exposed to red clay soil. METHODS We adapted the Dreyer system for staging filarial lymphoedema and tested it in four re-iterative field tests conducted in an area of high-podoconiosis prevalence in Southern Ethiopia. The system has five stages according to proximal spread of disease and presence of dermal nodules, ridges and bands. We measured the 1-week repeatability and the inter-observer agreement of the final staging system. RESULTS The five-stage system is readily understood by community workers with little health training. Kappa for 1-week repeatability was 0.88 (95% CI 0.80-0.96), for agreement between health professionals was 0.71 (95% CI 0.60-0.82), while that between health professionals and community podoconiosis agents without formal health training averaged 0.64 (95% CI 0.52-0.78). CONCLUSIONS This simple staging system with good inter-observer agreement and repeatability can assist in the management and further study of podoconiosis.
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Ayele</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Dermatovenereology, ALERT & Tikur Anbessa Hospitals</s1><s2>Addis Ababa</s2><s3>ETH</s3><sZ>2 aut.</sZ></inist:fA14><country>Éthiopie</country><wicri:noRegion>Addis Ababa</wicri:noRegion></affiliation></author><author><name sortKey="Dereje Haile Mariam" sort="Dereje Haile Mariam" uniqKey="Dereje Haile Mariam" last="Dereje Haile Mariam">DEREJE HAILE MARIAM</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Otona Hospital</s1><s2>Wolaita Sodo</s2><s3>ETH</s3><sZ>3 aut.</sZ></inist:fA14><country>Éthiopie</country><wicri:noRegion>Otona Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Fuller, Claire" sort="Fuller, Claire" uniqKey="Fuller C" first="Claire" last="Fuller">Claire Fuller</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>East Kent Hospitals NHS Trust</s1><s2>Canterbury</s2><s3>GBR</s3><sZ>4 aut.</sZ></inist:fA14><country>Royaume-Uni</country><wicri:noRegion>East Kent Hospitals NHS Trust</wicri:noRegion></affiliation></author><author><name sortKey="Davey, Gail" sort="Davey, Gail" uniqKey="Davey G" first="Gail" last="Davey">Gail Davey</name><affiliation wicri:level="1"><inist:fA14 i1="05"><s1>School of Public Health, Addis Ababa University</s1><s3>ETH</s3><sZ>5 aut.</sZ></inist:fA14><country>Éthiopie</country><wicri:noRegion>School of Public Health, Addis Ababa University</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">TM & IH. Tropical medicine & international health</title><title level="j" type="abbreviated">TM IH, Trop. med. int. health</title><idno type="ISSN">1360-2276</idno><imprint><date when="2008">2008</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">TM & IH. Tropical medicine & international health</title><title level="j" type="abbreviated">TM IH, Trop. med. int. health</title><idno type="ISSN">1360-2276</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aluminum Silicates</term><term>Classification</term><term>Elephantiasis</term><term>Elephantiasis (pathology)</term><term>Ethiopia</term><term>Female</term><term>Foot Diseases (pathology)</term><term>Humans</term><term>Lymphedema</term><term>Male</term><term>Middle Aged</term><term>Observer Variation</term><term>Podoconiosis</term><term>Reproducibility of Results</term><term>Risk Factors</term><term>Sensitivity and Specificity</term><term>Soil</term><term>Tropical medicine</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Biais de l'observateur</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Maladies du pied (anatomopathologie)</term><term>Mâle</term><term>Reproductibilité des résultats</term><term>Sensibilité et spécificité</term><term>Silicates d'aluminium</term><term>Sol</term><term>Éléphantiasis (anatomopathologie)</term><term>Éthiopie</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Aluminum Silicates</term><term>Soil</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Ethiopia</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Maladies du pied</term><term>Éléphantiasis</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Elephantiasis</term><term>Foot Diseases</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Observer Variation</term><term>Reproducibility of Results</term><term>Risk Factors</term><term>Sensitivity and Specificity</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Biais de l'observateur</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Lymphoedème</term><term>Eléphantiasis</term><term>Classification</term><term>Mâle</term><term>Médecine tropicale</term><term>Podoconiose</term><term>Reproductibilité des résultats</term><term>Sensibilité et spécificité</term><term>Silicates d'aluminium</term><term>Sol</term><term>Éthiopie</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Éthiopie</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Classification</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">OBJECTIVE To develop and test a robust clinical staging system for podoconiosis, a geochemical disease in individuals exposed to red clay soil. METHODS We adapted the Dreyer system for staging filarial lymphoedema and tested it in four re-iterative field tests conducted in an area of high-podoconiosis prevalence in Southern Ethiopia. The system has five stages according to proximal spread of disease and presence of dermal nodules, ridges and bands. We measured the 1-week repeatability and the inter-observer agreement of the final staging system. RESULTS The five-stage system is readily understood by community workers with little health training. Kappa for 1-week repeatability was 0.88 (95% CI 0.80-0.96), for agreement between health professionals was 0.71 (95% CI 0.60-0.82), while that between health professionals and community podoconiosis agents without formal health training averaged 0.64 (95% CI 0.52-0.78). CONCLUSIONS This simple staging system with good inter-observer agreement and repeatability can assist in the management and further study of podoconiosis.</div></front></TEI><affiliations><list><country><li>Royaume-Uni</li><li>Éthiopie</li></country></list><tree><country name="Royaume-Uni"><noRegion><name sortKey="Tekola, Fasil" sort="Tekola, Fasil" uniqKey="Tekola F" first="Fasil" last="Tekola">Fasil Tekola</name></noRegion><name sortKey="Fuller, Claire" sort="Fuller, Claire" uniqKey="Fuller C" first="Claire" last="Fuller">Claire Fuller</name></country><country name="Éthiopie"><noRegion><name sortKey="Ayele, Zewdu" sort="Ayele, Zewdu" uniqKey="Ayele Z" first="Zewdu" last="Ayele">Zewdu Ayele</name></noRegion><name sortKey="Davey, Gail" sort="Davey, Gail" uniqKey="Davey G" first="Gail" last="Davey">Gail Davey</name><name sortKey="Dereje Haile Mariam" sort="Dereje Haile Mariam" uniqKey="Dereje Haile Mariam" last="Dereje Haile Mariam">DEREJE HAILE MARIAM</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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