Reliability of Trachoma Clinical Grading—Assessing Grading of Marginal Cases

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Reliability of Trachoma Clinical Grading—Assessing Grading of Marginal Cases

BACKGROUND Clinical examination of trachoma is used to justify intervention in trachoma-endemic regions. Currently, field graders are certified by determining their concordance with experienced graders using the kappa statistic. Unfortunately, trachoma grading can be highly variable and there are cases where even expert graders disagree (borderline/marginal cases). Prior work has shown that inc...

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Reliability of photographs for grading trachoma in field studies.

The validity and reliability of the use of photographs to assess active trachoma and scarring was studied in a village where the disease was hyperendemic. One hundred and thirty six subjects were graded clinically and had photographs taken of the upper tarsal plate. Agreement between the clinical grade in the field and the grade on the photograph was very good for follicular trachoma, severe tr...

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The reliability of clinical tonsil size grading in children.

IMPORTANCE Because tonsillar enlargement can have substantial ill health effects in children, reliable monitoring and documentation of tonsil size is necessary in clinical settings. Tonsil grading scales potentially allow clinicians to precisely record and communicate changes in tonsil size, but their reliability in a clinical setting has not been studied. OBJECTIVE To assess the interobserve...

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Clinical aspects of corneal trachoma.

Classification of trachoma by site rather than density of opacities is better related to visual prognosis and helps in selection for graft surgery. The cases are divided into 3 groups: peripheral corneal opacities, central corneal opacities, and diffuse corneal opacities (ground-glass cornea). A central lesion has the poorest prognosis, especially in children.

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ژورنال

عنوان ژورنال: PLoS Neglected Tropical Diseases

سال: 2014

ISSN: 1935-2735

DOI: 10.1371/journal.pntd.0002840