Evidence map›Paper›PMID 33302979›Full record

ArticleEuropean journal of medical research2020

Evaluation of intra- and interobserver reliability in the assessment of the 'critical trochanter angle'.

Sebastian Serong, Moritz Schutzbach, Ivica Zovko, Marcus Jäger, Stefan Landgraeber, Marcel Haversath

Open access · goldAbstract read
In one paragraph

Article in European journal of medical research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 42% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Research on a deep learning-based model for measurement of X-ray imaging parameters of atlantoaxial joint.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025
    Article
  3. Performance evaluation of a deep learning-based cascaded HRNet model for automatic measurement of X-ray imaging parameters of lumbar sagittal curvature.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Sebastian SerongDepartment of Orthopaedics & Orthopaedic Surgery, Saarland University, Kirrberger Strasse 100, 66421, Homburg, Germany. sebastian.serong@uks.eu.ORCID http://orcid.org/0000-0001-5163-2241
Moritz SchutzbachDepartment of Orthopaedics & Traumatology, University of Duisburg-Essen, Essen, Germany.
Ivica ZovkoDepartment of Orthopaedics & Traumatology, University of Duisburg-Essen, Essen, Germany.
Marcus JägerDepartment of Orthopaedics, Trauma and Reconstructive Surgery, St. Marien Hospital Mülheim/Chair of Orthopaedics and Trauma Surgery, University of Duisburg-Essen, Essen, Germany.
Stefan LandgraeberDepartment of Orthopaedics & Orthopaedic Surgery, Saarland University, Kirrberger Strasse 100, 66421, Homburg, Germany.
Marcel HaversathDepartment of Orthopaedics & Traumatology, University of Duisburg-Essen, Essen, Germany.
University of Duisburg-Essen · DESaarland University · DESt. Marien Hospital · DEUniversitätsklinikum des Saarlandes · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe recently described 'critical trochanter angle' (CTA) is a novel parameter in the preoperative risk assessment of stem malalignment in total hip arthroplasty. As its reproducibility needs to be evaluated, the given study aims to investigate intra- and interobserver reliability. It is hypothesized that both analyses justify the clinical use of the CTA.

methodsA total of 100 pelvic radiographs obtained prior to total hip arthroplasty were retrospectively reviewed by four observers with different levels of clinical experience. The CTA was measured twice by each observer at different occasions in the previously described technique. Intra- and interobserver reliability was evaluated using intraclass correlation coefficients (ICC) with confidence intervals (CI) and the Bland-Altman approach.

resultsThe mean CTA in both measuring sequences was 20.58° and 20.78°. The observers' means ranged from 17.76° to 25.23°. Intraobserver reliability showed a mean difference of less than 0.5° for all four observers (95% limit of agreement: - 7.70-6.70). Intraobserver ICCs ranged from 0.92 to 0.99 (CI 0.88-0.99). For interobserver variation analysis, ICCs of 0.83 (CI 0.67-0.90) and 0.85 (CI 0.68-0.92) were calculated.

conclusionAnalyses concerning intra- and interobserver reliability in the assessment of the CTA showed 'very good' and 'good' results, respectively. In view of these findings, the use of the CTA as an additional preoperative parameter to assess the risk of intraoperative stem malalignment seems to be justified.

Indexed as

Observer VariationArthroplasty, Replacement, HipFemurHumansRadiographyRetrospective StudiesCritical trochanter angleInterobserverIntraobserverReliabilityStem alignmentTotal hip arthroplasty

Identifiers

PMID33302979
PMCPMC7731484
OpenAlexW3111577964

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.