ArticleScandinavian journal of medicine & science in sports2023
Inter-examiner reliability of the Doha agreement meeting classification system of groin pain in male athletes.
Article in Scandinavian journal of medicine & science in sports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 14 citations in OpenAlex.
- Clinical examination findings were not associated with isometric strength or functional performance in adults with groin pain.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2026Observational
- Osteitis Pubis in Athletes in the Era of Pubic-Related Groin Pain: Contemporary Concepts in Diagnosis, Rehabilitation, and Surgical Decision-Making.Journal of clinical medicine · 2026Review
- Clinical examination of musculoskeletal groin pain: a simple protocol for hernia surgeons (Groin-MAP).Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Adductor-Related Athletic Groin Pain: A Clinical Commentary.International journal of sports physical therapy · 2026Article
- Prevalence and patterns of adductor lesions on MRI in athletes with osteitis pubis.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2025Article
- Pubic-Related Radiographic Findings in Male Football Players With Long-Standing Groin Pain, and Asymptomatic Controls - Are They Clinically Relevant?Scandinavian journal of medicine & science in sports · 2025Article
- Inguinal-Related Groin Pain and/or Disruption in Athletes: Current Understanding, Assessment and Management Strategies.Open access journal of sports medicine · 2025Review
- Cleft Sign in MRI May Represent the Disruption of Cartilage Structure within Pubic Symphysis and Pubic Plate: A Cadaver Case Report.Diagnostics (Basel, Switzerland) · 2024Article
- Association between Hip/Groin Pain and Hip ROM and Strength in Elite Female Soccer Players.Journal of clinical medicine · 2024Article
- A New Clinical Examination Algorithm to Prescribe Conservative Treatment in People with Hip-Related Pain.Pain and therapy · 2024Review
- Hip and Groin Problems in Female Team-Sport Athletes: A Cross-Sectional Study.International journal of sports physical therapy · 2024Article
- Inter-examiner reliability of the Doha agreement meeting classification system of groin pain in male athletes.Scandinavian journal of medicine & science in sports · 2023Article
- Adductor Strains in Athletes.International journal of sports physical therapy · 2023Article
- Clinical examination for athletes with inguinal-related groin pain: interexaminer reliability and prevalence of positive tests.BMJ open sport & exercise medicine · 2023Article
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Authors and funding
7 authors at 5 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The Doha agreement classification is used to classify groin pain in athletes. We evaluated the inter-examiner reliability of this classification system. We prospectively recruited 48 male athletes (66 symptomatic sides) with groin pain between 10-2017 and 03-2020 at a sports medicine hospital in Qatar. Two examiners (23 and 10 years of clinical experience) performed history taking, and a standardized clinical examination blinded to each other's findings. Examiners classified groin pain using the Doha agreement terminology (adductor-, inguinal-, iliopsoas-, pubic-, hip-related groin pain, or other causes of groin pain). Multiple entities were ranked in order of perceived clinical importance. Each side was classified separately for bilateral groin pain. Inter-examiner reliability was calculated using Cohen's Kappa statistic (κ). Inter-examiner reliability was slight to moderate for adductor- (κ = 0.40), inguinal- (κ = 0.44), iliopsoas- (κ = 0.57), and pubic-related groin pain (κ = 0.12), substantial for hip-related groin pain (κ = 0.62), and slight for "other causes of groin pain" (κ = 0.13). Ranking entities in order of perceived clinical importance improved inter-examiner reliability for adductor-, inguinal-, and iliopsoas-related groin pain (κ = 0.52-0.65), but not for pubic (κ = 0.12), hip (κ = 0.51), and "other causes of groin pain" (κ = 0.03). For participants with unilateral groin pain classified with a single entity (n = 7), there was 100% agreement between the two examiners. Inter-examiner reliability of the Doha agreement meeting classification system varied from slight to substantial, depending on the clinical entity. Agreement between examiners was perfect when athletes were classified with a single clinical entity of groin pain, but lower when athletes were classified with multiple clinical entities.
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