TY - JOUR AU1 - Niki, Hisateru AU2 - Aoki, Haruhito AU3 - Inokuchi, Suguru AU4 - Ozeki, Satoru AU5 - Kinoshita, Mitsuo AU6 - Kura, Hideji AU7 - Tanaka, Yasuhito AU8 - Noguchi, Masahiko AU9 - Nomura, Shigeharu AU1 - Hatori, Masahito AU1 - Tatsunami, Shinobu AB - BackgroundThis study evaluated the validity and inter- and intraclinician reliability of (1) the Japanese Society of Surgery of the Foot (JSSF) standard rating system for four sites [ankle-hindfoot (AH), midfoot (MF), hallux (HL), and lesser toe (LT)] and the rheumatoid arthritis (RA) foot and ankle scale and (2) the Japanese Orthopaedic Association’s foot rating scale (JOA scale).MethodsClinicians from the same institute independently evaluated participating patients from their institute by two evaluations at a 1- to 4-week interval. Statistical evaluation was as follows. (1) The intraclass correlation coefficient (ICC) was calculated from data collected from at least two examinations of each patient by at least two evaluating clinicians (Data A). (2) Total scores for the two evaluations were determined from the distribution of differences in data between the two evaluations (Data B); each item was evaluated by determining Cohen’s coefficient of agreement. (3) The relation between patient satisfaction and total score was investigated only for patients who underwent surgery (Data C). Spearman’s rank correlation coefficient was obtained.ResultsParticipants were 65 clinicians and 610 patients, including those with disorders of the AH (313), MF (47), HL (153), and LT (50) and those with RA (47). From Data A, the ICC was high for AH and HL by JSSF scales and for AH, MF, and LT by the JOA scale. From Data B, the coefficient showed high validity for both scales for AH, with almost no difference between the two scales; the validity for HL was higher with the JOA scale than with the JSSF scale. From Data C, correlations were significant between patient satisfaction and outcome for AH and HL by the JSSF scales and for AH, HL, and LT by the JOA scale.ConclusionsThe validity of both scales was high. Clinical evaluation of the therapeutic results using these scales would be highly reliable. TI - Development and reliability of a standard rating system for outcome measurement of foot and ankle disorders II: interclinician and intraclinician reliability and validity of the newly established standard rating scales and Japanese Orthopaedic Association rating scale JF - Journal of Orthopaedic Science DO - 10.1007/s00776-005-0937-1 DA - 2005-09-01 UR - https://www.deepdyve.com/lp/pubmed-central/development-and-reliability-of-a-standard-rating-system-for-outcome-5SD5sfUxIG SP - 466 EP - 474 VL - 10 IS - 5 DP - DeepDyve ER -