dc.contributor.advisorMieth, Klaus 
dc.creatorCastellanos Mendoza, Cristal Johana 
dc.creatorCamacho, Abelardo 
dc.creatorMieth, Klaus 
dc.creatorCalderon, Claudia 
dc.creatorCarrillo, German 
dc.creatorZayed, Gamal 
dc.creatorGomez, Rafael 
dc.creatorRivero, Oscar 
dc.date.accessioned2018-11-08T12:25:02Z
dc.date.available2018-11-08T12:25:02Z
dc.date.created2018-10-18
dc.identifier.urihttp://repository.urosario.edu.co/handle/10336/18689
dc.descriptionIntroducción: La clasificación de Kellgren y Lawrence (KL) se utiliza para evaluar la artrosis de rodilla, no hay en la literatura consenso de las características a evaluar en cada categoría, ni la opción de evaluar por compartimentos. Se propone la modificación de KL para el análisis individual de los compartimentos de la rodilla. Metodología: La modificación a la escala se realizó por consenso informal. Se evaluó la concordancia intraobservador e interobservador utilizando el coeficiente Krippendorff`s alpha. 210 radiografías de rodilla fueron evaluadas por 6 observadores, en dos instancias con 4 semanas de diferencia asignándoles un puntaje. Resultados: Se construyo un sistema de evaluación a partir de la clasificación de KL que incluye las variables de espacio articular, osteofitos, línea subcondral, esponjosa subcondral. Se realiza la evaluación individual de los compartimentos femorotibial interno (FTI), externo (FTE) y patelofemoral (PF). El resultado de la concordancia interobservador en la primera evaluación fue 0.48, 0.46 y 0.51, para compartimentos FTI, FTE y PF, en la segunda evaluación fue de 0.54, 0.56 y 0.61, respectivamente. Se observa mejoría en la concordancia interobservador en la segunda evaluación. La concordancia intraobservador fue de moderada a substancial y para algunos evaluadores casi perfecta con rangos de 0.48-0.8 , 0.55-0.82 y 0.44-0.83, para compartimentos FTI, FTE y PF. Conclusión: La concordancia de KL modificada es de moderada a substancial y consideramos que la propuesta presentada es útil y específica para la evaluación radiológica de la artrosis de rodilla.
dc.description.abstractIntroduction: Kellgren and Lawrence (KL) scale is used to evaluate osteoarthritis of the knee, there is no consensus in the literature of the characteristics to be evaluated in each category, nor the option of evaluating compartments. The modification of KL scale is proposed for the individual analysis of the compartments of the knee. Methods: The modification to the scale was made by informal consensus. Intra-observer and interobserver concordances were evaluated using Krippendorff's alpha coefficient. 210 knee radiographs were evaluated by 6 observers, in two instances with 4 weeks of difference assigning them a score. Results: Based on the KL scale evaluation system was constructed that includes the variables of joint space, osteophytes, subchondral line, spongy subchondral. The individual evaluation of the three compartments of the knee (Medial, lateral and patellofemoral) was performed. The result of the interobserver concordance in the first evaluation was 0.48, 0.46 and 0.51, for medial, lateral and patellofemoral compartments, in the second evaluation it was 0.54, 0.56 and 0.61, respectively. An improvement in interobserver concordance was observed in the second evaluation. The intra-observer concordance was moderate to substantial and for some evaluators was almost perfect with ranks between 0.48-0.8, 0.55-0.82 and 0.44-0.83, for medial, lateral and patellofemoral compartments. Conclusion: The agreement of modified KL scale is moderate to substantial and we consider that the presented proposal is useful and specific for the radiological evaluation of knee osteoarthritis.
dc.format.mimetypeapplication/pdf
dc.language.isospa
dc.sourcereponame:Repositorio Institucional EdocUR
dc.sourceinstname:Universidad del Rosario
dc.subjectArtrosis
dc.subjectRodilla
dc.subjectKellgren y Lawrence
dc.subjectConcordancia
dc.subject.ddc616
dc.subject.lembOsteoartritis
dc.subject.lembRodillas
dc.titleEvaluación de la artrosis de rodilla por compartimentos con la escala de Kellgren y Lawrence modificada
dc.typebachelorThesis
dc.publisherUniversidad del Rosario
dc.creator.degreeEspecialista en Ortopedia y Traumatología FSFB
dc.publisher.programEspecialización en Ortopedia y Traumatología FSFB
dc.publisher.departmentFacultad de Medicina
dc.subject.keywordOsteoarthritis
dc.subject.keywordKnee
dc.subject.keywordKellgren & Lawrence
dc.subject.keywordConcordance
dc.rights.accesRightsinfo:eu-repo/semantics/embargoedAccess
dc.type.spaTrabajo de grado
dc.rights.accesoRestringido (Temporalmente bloqueado)
dc.date.embargoEndinfo:eu-repo/date/embargoEnd/2019-11-08
dc.type.hasVersioninfo:eu-repo/semantics/acceptedVersion
dc.source.bibliographicCitationVos T, Flaxman AD, Naghavi M, Lozano R, Michaud C, Ezzati M, et al. Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet [Internet]. 2012 Dec 15 [cited 2018 Aug 24];380(9859):2163–96. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23245607
dc.source.bibliographicCitationDawson J, Linsell L, Zondervan K, Rose P, Randall T, Carr A, et al. Epidemiology of hip and knee pain and its impact on overall health status in older adults. Rheumatology [Internet]. 2004 Jan 6 [cited 2018 Aug 6];43(4):497–504. Available from: http://www.ncbi.nlm.nih.gov/pubmed/14762225
dc.source.bibliographicCitationWright RW, Huston LJ, Spindler KP, Dunn WR, Haas AK, Allen CR, et al. Descriptive Epidemiology of the Multicenter ACL Revision Study (MARS) Cohort. Am J Sports Med [Internet]. 2010 Oct [cited 2018 Aug 7];38(10):1979–86. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20889962
dc.source.bibliographicCitationZhang Y, Jordan JM. Epidemiology of Osteoarthritis. Clin Geriatr Med [Internet]. 2010 Aug [cited 2018 Aug 15];26(3):355–69. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20699159
dc.source.bibliographicCitationIHME Institute od Health Metrics and Evaluation. https://vizhub.healthdata.org/gbd- compare/. https://vizhub.healthdata.org/gbd-compare/
dc.source.bibliographicCitationCooper C, Snow S, McAlindon TE, Kellingray S, Stuart B, Coggon D, et al. Risk factors for the incidence and progression of radiographic knee osteoarthritis. Arthritis Rheum [Internet]. 2000 May [cited 2018 Aug 6];43(5):995–1000. Available from: http://doi.wiley.com/10.1002/1529- 0131%28200005%2943%3A5%3C995%3A%3AAID-ANR6%3E3.0.CO%3B2-1
dc.source.bibliographicCitationKellgren JH, Lawrence JS. Radiological assessment of osteo-arthrosis. Ann Rheum Dis [Internet]. 1957 Dec [cited 2018 Aug 6];16(4):494–502. Available from: http://www.ncbi.nlm.nih.gov/pubmed/13498604
dc.source.bibliographicCitationFelson DT, Niu J, Guermazi A, Sack B, Aliabadi P. Defining radiographic incidence and progression of knee osteoarthritis: suggested modifications of the Kellgren and Lawrence scale. Ann Rheum Dis [Internet]. 2011 Nov 1 [cited 2018 Aug 7];70(11):1884–6. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21908453
dc.source.bibliographicCitationIrrgang JJ, Anderson AF, Boland AL, Harner CD, Neyret P, Richmond JC, et al. Responsiveness of the International Knee Documentation Committee Subjective Knee Form. Am J Sports Med [Internet]. 2006 Oct 30 [cited 2018 Aug 6];34(10):1567–73. Available from: http://journals.sagepub.com/doi/10.1177/0363546506288855
dc.source.bibliographicCitationHefti F, Müller W, Jakob RP, Stäubli HU. Evaluation of knee ligament injuries with the IKDC form. Knee Surg Sports Traumatol Arthrosc [Internet]. 1993 [cited 2018 Aug 6];1(3–4):226–34. Available from: http://www.ncbi.nlm.nih.gov/pubmed/8536037
dc.source.bibliographicCitationAhlbäck S. Osteoarthrosis of the knee. A radiographic investigation. Acta Radiol Diagn (Stockh) [Internet]. 1968 [cited 2018 Aug 6];Suppl 277:7-72. Available from: http://www.ncbi.nlm.nih.gov/pubmed/5706059
dc.source.bibliographicCitationRosenberg TD, Paulos LE, Parker RD, Coward DB, Scott SM. The forty-five-degree posteroanterior flexion weight-bearing radiograph of the knee. J Bone Joint Surg Am [Internet]. 1988 Dec [cited 2018 Aug 7];70(10):1479–83. Available from: http://www.ncbi.nlm.nih.gov/pubmed/3198672
dc.source.bibliographicCitationJones AC, Ledingham J, McAlindon T, Regan M, Hart D, MacMillan PJ, et al. Radiographic assessment of patellofemoral osteoarthritis. Ann Rheum Dis [Internet]. 1993 Sep [cited 2018 Aug 7];52(9):655–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/8239760
dc.source.bibliographicCitationCicuttini FM, Baker J, Hart DJ, Spector TD, Thomas S, Cicuttini J Baker D J Hart T D Spector FM, et al. Choosing the best method for radiological assessment of patellofemoral osteoarthritis. Ann Rheum Dis [Internet]. 1996 [cited 2018 Aug 7];55:134–6. Available from: http://ard.bmj.com/
dc.source.bibliographicCitationSpector TD, Cooper C. Radiographic assessment of osteoarthritis in population studies: Whither Kellgren and Lawrence? Osteoarthritis and Cartilage [Internet]. 1993 [cited 2018 Aug 13];1(4):203–6. Available from: https://www.oarsijournal.com/article/S1063-4584(05)80325-5/pdf
dc.source.bibliographicCitationFelson DT, Naimark A, Anderson J et al. The prevalence of knee osteoarthritis in the elderly.No Title. Arthritis Rheum. 1987;30:914–82.
dc.source.bibliographicCitationBadley EM, Tennant A. EXTENDED REPORTS Impact of disablement due to rheumatic disorders in a British population: estimates of severity and prevalence from the Calderdale Rheumatic Disablement Survey. Ann Rheum Dis [Internet]. 1993 [cited 2018 Aug 7];52:6–13. Available from: http://ard.bmj.com/
dc.source.bibliographicCitationVan Saase JLCM, Van Romunde LKJ, Cats A, VanDenBroucke JP, Valkenburg HA. Epidemiology of osteoarthritis: Zoetermeer survey. Comparison of radiological osteoarthritis in a Dutch population with that in 10 other populations. Ann Rheum Dis [Internet]. 1989 Apr [cited 2018 Aug 7];48(4):271–80. Available from: http://www.ncbi.nlm.nih.gov/pubmed/2712610
dc.source.bibliographicCitationBadley EM, Tennant A. Impact of disablement due to rheumatic disorders in a British population: estimates of severity and prevalence from the Calderdale Rheumatic Disablement Survey. Ann Rheum Dis [Internet]. 1993 Jan [cited 2018 Aug 15];52(1):6–13. Available from: http://www.ncbi.nlm.nih.gov/pubmed/8427516
dc.source.bibliographicCitationErsoz M, Ergun S. Relationship between knee range of motion and Kellgren- Lawrence radiographic scores in knee osteoarthritis. Am J Phys Med Rehabil [Internet]. 2003 Feb [cited 2018 Aug 7];82(2):110–5. Available from: http://www.ncbi.nlm.nih.gov/pubmed/12544756
dc.source.bibliographicCitationHayes CW, Jamadar DA, Welch GW, Jannausch ML, Lachance LL, Capul DC, et al. Osteoarthritis of the Knee: Comparison of MR Imaging Findings with Radiographic Severity Measurements and Pain in Middle-aged Women. Radiology [Internet]. 2005 Dec [cited 2018 Aug 7];237(3):998–1007. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16251398
dc.source.bibliographicCitationMcAlindon TE, Snow S, Cooper C, Dieppe PA. Radiographic patterns of osteoarthritis of the knee joint in the community: The importance of the patellofemoral joint. Ann Rheum Dis. 1992
dc.source.bibliographicCitationSchiphof D, Boers M, Bierma-Zeinstra SMA. Differences in descriptions of Kellgren and Lawrence grades of knee osteoarthritis. Ann Rheum Dis [Internet]. 2008 Jul 1 [cited 2018 Aug 16];67(7):1034–6. Available from: http://www.ncbi.nlm.nih.gov/pubmed/18198197
dc.source.bibliographicCitationCortés-Reyes E, Rubio-Romero JA, Gaitán-Duarte H. Métodos estadísticos de evaluación de la concordancia y la reproductibilidad de pruebas diagnósticas. Rev Colomb Obstet Ginecol [Internet]. 2010 [cited 2018 Aug 23];61(3):247–55. Available from: http://www.scielo.org.co/scielo.php?pid=S0034- 74342010000300009&script=sci_abstract&tlng=es
dc.source.bibliographicCitationHeng H-YC, Bin Abd Razak HR, Mitra AK. Radiographic grading of the patellofemoral joint is more accurate in skyline compared to lateral views. Ann Transl Med [Internet]. 2015 Oct [cited 2018 Aug 16];3(18):263. Available from: http://www.ncbi.nlm.nih.gov/pubmed/26605309
dc.source.bibliographicCitationRazak HRBA, Heng HYC, Cheng KY, Mitra AK. Correlation between Radiographic and Arthroscopic Findings in Asian Osteoarthritic Knees. J Orthop Surg [Internet]. 2014 Aug [cited 2018 Aug 16];22(2):155–7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25163945
dc.source.bibliographicCitationKijowski R, Blankenbaker D, Stanton P, Fine J, De Smet A. Arthroscopic Validation of Radiographic Grading Scales of Osteoarthritis of the Tibiofemoral Joint. Am J Roentgenol [Internet]. 2006 Sep [cited 2018 Aug 7];187(3):794–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16928947
dc.source.bibliographicCitationSheehy L, Culham E, McLean L, Niu J, Lynch J, Segal NA, et al. Validity and sensitivity to change of three scales for the radiographic assessment of knee osteoarthritis using images from the Multicenter Osteoarthritis Study (MOST). Osteoarthr Cartil [Internet]. 2015 Sep [cited 2018 Aug 7];23(9):1491–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/26003948
dc.source.bibliographicCitationCulvenor AG, Engen CN, Øiestad BE, Engebretsen L, Risberg MA. Defining the presence of radiographic knee osteoarthritis: a comparison between the Kellgren and Lawrence system and OARSI atlas criteria. Knee Surgery, Sport Traumatol Arthrosc [Internet]. 2015 Dec 31 [cited 2018 Aug 7];23(12):3532–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25079135
dc.source.bibliographicCitationRiddle DL, Jiranek WA, Hull JR. Validity and reliability of radiographic knee osteoarthritis measures by arthroplasty surgeons. Orthopedics [Internet]. 2013 Jan [cited 2018 Aug 16];36(1):e25-32. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23276348
dc.source.bibliographicCitationTilbury C, Holtslag MJ, Tordoir RL, Leichtenberg CS, Verdegaal SHM, Kroon HM, et al. Outcome of total hip arthroplasty, but not of total knee arthroplasty, is related to the preoperative radiographic severity of osteoarthritis. Acta Orthop [Internet]. 2016 Jan 2 [cited 2018 Aug 7];87(1):67–71. Available from: http://www.ncbi.nlm.nih.gov/pubmed/26484651
dc.source.bibliographicCitationStone OD, Duckworth AD, Curran DP, Ballantyne JA, Brenkel IJ. Severe arthritis predicts greater improvements in function following total knee arthroplasty. Knee Surgery, Sport Traumatol Arthrosc [Internet]. 2017 Aug 6 [cited 2018 Aug 7];25(8):2573–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/26441252
dc.source.bibliographicCitationBarker K, Lamb SE, Toye F, Jackson S, Barrington S. Association between radiographic joint space narrowing, function, pain and muscle power in severe osteoarthritis of the knee. Clin Rehabil [Internet]. 2004 Nov [cited 2018 Aug 7];18(7):793–800. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15573836
dc.source.bibliographicCitationGwet Li K. Handbook of inter-rater reliability. Fourth Edition The Definitive Guide to Measuring the Extent of Agreement Among Raters [Internet]. [cited 2018 Aug 16]. Available from: http://www.agreestat.com/book4/9780970806284_prelim_chapter1.pdf
dc.source.bibliographicCitationCantín M. Declaración de Helsinki de la Asociación Médica Mundial: Principios Éticos para las Investi-gaciones Médicas en Seres Humanos. Revisando su Última Versión World Medical Association Declaration of Helsinki: Ethical Principles for Medical Research Involving Human subjects. Reviewing the Latest Version [Internet]. Vol. 1, Int. J. Med. Surg. Sci. 2014 [cited 2018 Aug 8]. Available from: http://www.ijmss.org/wp-content/uploads/2015/05/art_8_14.pdf
dc.source.bibliographicCitationMinisterio de Salud. Resolución 8430 de 1993. Minist Salud y Protección Soc República Colomb. 1993;1993(Octubre 4):1–19.
dc.source.bibliographicCitationSoni A, Kiran A, Hart DJ, Leyland KM, Goulston L, Cooper C, et al. Prevalence of reported knee pain over twelve years in a community-based cohort. Arthritis Rheum [Internet]. 2012 Apr [cited 2018 Aug 16];64(4):1145–52. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22180258
dc.source.bibliographicCitationHo-Pham LT, Lai TQ, Mai LD, Doan MC, Pham HN, Nguyen T V. Prevalence of Radiographic Osteoarthritis of the Knee and Its Relationship to Self-Reported Pain. Milanese S, editor. PLoS One [Internet]. 2014 Apr 10 [cited 2018 Aug 16];9(4):e94563. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24722559
dc.source.bibliographicCitationFarzin B, Gentric J-C, Pham M, Tremblay-Paquet S, Brosseau L, Roy C, et al. Agreement studies in radiology research. Diagn Interv Imaging [Internet]. 2017 Mar [cited 2018 Aug 16];98(3):227–33. Available from: http://www.ncbi.nlm.nih.gov/pubmed/27473190
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