LymphedemaV1, PascalFrancis, Corpus, bibRecord, 000369

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

Identifieur interne : 000369 ( PascalFrancis/Corpus ); précédent : 000368; suivant : 000370

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

Auteurs : Fasil Tekola ; Zewdu Ayele ; DEREJE HAILE MARIAM ; Claire Fuller ; Gail Davey

Source :

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

RBID : Pascal:08-0481263

Descripteurs français

Pascal (Inist)
- Lymphoedème, Eléphantiasis, Classification, Médecine tropicale, Podoconiose.

English descriptors

KwdEn :
- Classification, Elephantiasis, Lymphedema, Podoconiosis, Tropical medicine.

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.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

A01	`01`	`1`		`@0 1360-2276`
A03		`1`		`@0 TM IH, Trop. med. int. health`
A05				`@2 13`
A06				`@2 10`
A08	`01`	`1`	`ENG`	`@1 Development and testing of a de novo clinical staging system for podoconiosis (endemic non-filarial elephantiasis)`
A11	`01`	`1`		`@1 TEKOLA (Fasil)`
A11	`02`	`1`		`@1 AYELE (Zewdu)`
A11	`03`	`1`		`@1 DEREJE HAILE MARIAM`
A11	`04`	`1`		`@1 FULLER (Claire)`
A11	`05`	`1`		`@1 DAVEY (Gail)`
A14	`01`			`@1 Brighton and Sussex Medical School @2 Brighton @3 GBR @Z 1 aut.`
A14	`02`			`@1 Department of Dermatovenereology, ALERT & Tikur Anbessa Hospitals @2 Addis Ababa @3 ETH @Z 2 aut.`
A14	`03`			`@1 Otona Hospital @2 Wolaita Sodo @3 ETH @Z 3 aut.`
A14	`04`			`@1 East Kent Hospitals NHS Trust @2 Canterbury @3 GBR @Z 4 aut.`
A14	`05`			`@1 School of Public Health, Addis Ababa University @3 ETH @Z 5 aut.`
A20				`@1 1277-1283`
A21				`@1 2008`
A23	`01`			`@0 ENG`
A43	`01`			`@1 INIST @2 26295 @5 354000185355760080`
A44				`@0 0000 @1 © 2008 INIST-CNRS. All rights reserved.`
A45				`@0 1/4 p.`
A47	`01`	`1`		`@0 08-0481263`
A60				`@1 P`
A61				`@0 A`
A64	`01`	`1`		`@0 TM & IH. Tropical medicine & international health`
A66	`01`			`@0 GBR`
C01	`01`		`ENG`	@0 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.
C02	`01`	`X`		`@0 002B01`
C02	`02`	`X`		`@0 002B12B04`
C03	`01`	`X`	`FRE`	`@0 Lymphoedème @5 01`
C03	`01`	`X`	`ENG`	`@0 Lymphedema @5 01`
C03	`01`	`X`	`SPA`	`@0 Linfedema @5 01`
C03	`02`	`X`	`FRE`	`@0 Eléphantiasis @5 02`
C03	`02`	`X`	`ENG`	`@0 Elephantiasis @5 02`
C03	`02`	`X`	`SPA`	`@0 Elefantiasis @5 02`
C03	`03`	`X`	`FRE`	`@0 Classification @5 09`
C03	`03`	`X`	`ENG`	`@0 Classification @5 09`
C03	`03`	`X`	`SPA`	`@0 Clasificación @5 09`
C03	`04`	`X`	`FRE`	`@0 Médecine tropicale @5 10`
C03	`04`	`X`	`ENG`	`@0 Tropical medicine @5 10`
C03	`04`	`X`	`SPA`	`@0 Medicina tropical @5 10`
C03	`05`	`X`	`FRE`	`@0 Podoconiose @4 CD @5 96`
C03	`05`	`X`	`ENG`	`@0 Podoconiosis @4 CD @5 96`
C07	`01`	`X`	`FRE`	`@0 Pathologie de l'appareil circulatoire @5 37`
C07	`01`	`X`	`ENG`	`@0 Cardiovascular disease @5 37`
C07	`01`	`X`	`SPA`	`@0 Aparato circulatorio patología @5 37`
C07	`02`	`X`	`FRE`	`@0 Pathologie des vaisseaux lymphatiques @5 38`
C07	`02`	`X`	`ENG`	`@0 Lymphatic vessel disease @5 38`
C07	`02`	`X`	`SPA`	`@0 Linfático patología @5 38`
N21				`@1 316`
N44	`01`			`@1 OTO`
N82				`@1 OTO`

Format Inist (serveur)

NO :	PASCAL 08-0481263 INIST
ET :	Development and testing of a de novo clinical staging system for podoconiosis (endemic non-filarial elephantiasis)
AU :	TEKOLA (Fasil); AYELE (Zewdu); DEREJE HAILE MARIAM; FULLER (Claire); DAVEY (Gail)
AF :	Brighton and Sussex Medical School/Brighton/Royaume-Uni (1 aut.); Department of Dermatovenereology, ALERT & Tikur Anbessa Hospitals/Addis Ababa/Ethiopie (2 aut.); Otona Hospital/Wolaita Sodo/Ethiopie (3 aut.); East Kent Hospitals NHS Trust/Canterbury/Royaume-Uni (4 aut.); School of Public Health, Addis Ababa University/Ethiopie (5 aut.)
DT :	Publication en série; Niveau analytique
SO :	TM & IH. Tropical medicine & international health; ISSN 1360-2276; Royaume-Uni; Da. 2008; Vol. 13; No. 10; Pp. 1277-1283; Bibl. 1/4 p.
LA :	Anglais
EA :	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.
CC :	002B01; 002B12B04
FD :	Lymphoedème; Eléphantiasis; Classification; Médecine tropicale; Podoconiose
FG :	Pathologie de l'appareil circulatoire; Pathologie des vaisseaux lymphatiques
ED :	Lymphedema; Elephantiasis; Classification; Tropical medicine; Podoconiosis
EG :	Cardiovascular disease; Lymphatic vessel disease
SD :	Linfedema; Elefantiasis; Clasificación; Medicina tropical
LO :	INIST-26295.354000185355760080
ID :	08-0481263

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Pascal:08-0481263

Le document en format XML

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<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>
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<server><NO>PASCAL 08-0481263 INIST</NO>
<ET>Development and testing of a de novo clinical staging system for podoconiosis (endemic non-filarial elephantiasis)</ET>
<AU>TEKOLA (Fasil); AYELE (Zewdu); DEREJE HAILE MARIAM; FULLER (Claire); DAVEY (Gail)</AU>
<AF>Brighton and Sussex Medical School/Brighton/Royaume-Uni (1 aut.); Department of Dermatovenereology, ALERT & Tikur Anbessa Hospitals/Addis Ababa/Ethiopie (2 aut.); Otona Hospital/Wolaita Sodo/Ethiopie (3 aut.); East Kent Hospitals NHS Trust/Canterbury/Royaume-Uni (4 aut.); School of Public Health, Addis Ababa University/Ethiopie (5 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>TM & IH. Tropical medicine & international health; ISSN 1360-2276; Royaume-Uni; Da. 2008; Vol. 13; No. 10; Pp. 1277-1283; Bibl. 1/4 p.</SO>
<LA>Anglais</LA>
<EA>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.</EA>
<CC>002B01; 002B12B04</CC>
<FD>Lymphoedème; Eléphantiasis; Classification; Médecine tropicale; Podoconiose</FD>
<FG>Pathologie de l'appareil circulatoire; Pathologie des vaisseaux lymphatiques</FG>
<ED>Lymphedema; Elephantiasis; Classification; Tropical medicine; Podoconiosis</ED>
<EG>Cardiovascular disease; Lymphatic vessel disease</EG>
<SD>Linfedema; Elefantiasis; Clasificación; Medicina tropical</SD>
<LO>INIST-26295.354000185355760080</LO>
<ID>08-0481263</ID>
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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)

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