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Development and testing of a de novo clinical staging system for podoconiosis (endemic non-filarial elephantiasis)

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Development and testing of a de novo clinical staging system for podoconiosis (endemic non-filarial elephantiasis)

Auteurs : Fasil Tekola ; Zewdu Ayele ; Dereje Hailemariam ; Claire Fuller ; Gail Davey

Source :

Tropical medicine & international health : TM & IH [ 1360-2276 ] ; 2008.

RBID : PMC:2992944

Descripteurs français

KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Biais de l'observateur, Facteurs de risque, Femelle, Humains, Maladies du pied (anatomopathologie), Mâle, Reproductibilité des résultats, Sensibilité et spécificité, Silicates d'aluminium, Sol, Éléphantiasis (anatomopathologie), Éthiopie.
MESH :
- anatomopathologie : Maladies du pied, Éléphantiasis.
- Adolescent, Adulte, Adulte d'âge moyen, Biais de l'observateur, Facteurs de risque, Femelle, Humains, Mâle, Reproductibilité des résultats, Sensibilité et spécificité, Silicates d'aluminium, Sol, Éthiopie.
Wicri :
- geographic : Éthiopie.

English descriptors

KwdEn :
- Adolescent, Adult, Aluminum Silicates, Elephantiasis (pathology), Ethiopia, Female, Foot Diseases (pathology), Humans, Male, Middle Aged, Observer Variation, Reproducibility of Results, Risk Factors, Sensitivity and Specificity, Soil.
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

SummaryBackground

Podoconiosis (endemic non-filarial elephantiasis) is a geochemical disease in individuals exposed to red-clay soil. Despite the prevalence and public health importance of podoconiosis, there is as yet no accepted clinical staging system.

Objective

We aimed to develop and test a robust clinical staging system for podoconiosis.

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 finally arrived at has five stages according to proximal spread of disease and presence of dermal nodules, ridges and bands. We measured the one-week repeatability and the inter-observer agreement of the final staging system.

Results

We have developed a five-stage system that is readily understood by community workers with little health training. Kappa for one-week repeatability was 0.88 (95% CI 0.80 to 0.96), Kappa for agreement between health professionals was 0.71 (95% CI 0.60 to 0.82), while that between health professionals and community podoconiosis agents without formal health training averaged 0.64 (95% CI 0.52 to 0.78).

Conclusions

A simple staging system with good inter-observer agreement and repeatability has been developed to assist in the management and further study of podoconiosis.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2992944

DOI: 10.1111/j.1365-3156.2008.02133.x
PubMed: 18721188
PubMed Central: 2992944

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Le document en format XML

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<term>Ethiopia</term>
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<term>Foot Diseases (pathology)</term>
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<term>Reproducibility of Results</term>
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<term>Facteurs de risque</term>
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<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>
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<term>Soil</term>
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<term>Éléphantiasis</term>
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<term>Foot Diseases</term>
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<term>Reproducibility of Results</term>
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<term>Adulte d'âge moyen</term>
<term>Biais de l'observateur</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
<term>Reproductibilité des résultats</term>
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<front><div type="abstract" xml:lang="en"><title>Summary</title>
<sec id="S1"><title>Background</title>
<p id="P3">Podoconiosis (endemic non-filarial elephantiasis) is a geochemical disease in individuals exposed to red-clay soil. Despite the prevalence and public health importance of podoconiosis, there is as yet no accepted clinical staging system.</p>
</sec>
<sec id="S2"><title>Objective</title>
<p id="P4">We aimed to develop and test a robust clinical staging system for podoconiosis.</p>
</sec>
<sec id="S3"><title>Methods</title>
<p id="P5">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 finally arrived at has five stages according to proximal spread of disease and presence of dermal nodules, ridges and bands. We measured the one-week repeatability and the inter-observer agreement of the final staging system.</p>
</sec>
<sec id="S4"><title>Results</title>
<p id="P6">We have developed a five-stage system that is readily understood by community workers with little health training. Kappa for one-week repeatability was 0.88 (95% CI 0.80 to 0.96), Kappa for agreement between health professionals was 0.71 (95% CI 0.60 to 0.82), while that between health professionals and community podoconiosis agents without formal health training averaged 0.64 (95% CI 0.52 to 0.78).</p>
</sec>
<sec id="S5"><title>Conclusions</title>
<p id="P7">A simple staging system with good inter-observer agreement and repeatability has been developed to assist in the management and further study of podoconiosis.</p>
</sec>
</div>
</front>
</TEI>
</record>

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Development and testing of a de novo clinical staging system for podoconiosis (endemic non-filarial elephantiasis)

Development and testing of a de novo clinical staging system for podoconiosis (endemic non-filarial elephantiasis)

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

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Pour générer des pages wiki