ArticleJournal of Indian Association of Pediatric Surgeons
Measuring up: Ensuring Intra- and Interobserver Reliability in Stretched Penile Length with the SPLINT Technique.
Article in Journal of Indian Association of Pediatric Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Gene-Dosage Effect of V89L Variants in Steroid 5α-Reductase Type 2 and Increased Risk of 46, XY Disorders of Sex Development: A Systematic Review and Meta-Analysis.Journal of Indian Association of Pediatric SurgeonsReview
- Epigenetic Signatures in Hypospadias: Systematic Review.Journal of Indian Association of Pediatric SurgeonsArticle
- Reference Standards for Stretched Penile Length in Indian Boys.Journal of Indian Association of Pediatric SurgeonsReview
- Glans-Urethral Meatus-Shaft (GMS) Scoring System in Hypospadias: A Multicontinental Systematic Review and Meta analysis.Journal of Indian Association of Pediatric SurgeonsReview
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Authors and funding
11 authors.
Funding
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Abstract
Background: A discrepancy between the true and measured value of stretched penile length (SPL) may be a result of errors that can either be systematic or random. Hence, it becomes important to focus on the quality of measurements to prevent any iatrogenic harm to the patients. Objective: The objective of this study was to assess the magnitude of intra- and interobserver variations in the measurement of SPL with the SPLINT technique. Materials and Methods: SPL was measured prospectively in a cohort of 449 boys aged 0-14 years including 68 infants (substratified into Group I: >4 years, Group II: 4-8 years, and Group III: >8 years) with the SPLINT technique by expert (E: E1 and E2) and trainee (T: T1 and T2) surgeons after completing a three-tiered training module. Intra- and interobserver variability was assessed through descriptive statistics, intraclass correlation (ICC), relative technical error of measurement (rTEM), and reliability or Results: Intraobserver variability: the mean difference between the two readings (E1 and E2) is 0.08 cm (95% confidence interval [CI]: 0.073-0.087), ICC was 0.998 (95% CI: 0.997-0.998), and intraobserver variability ≤0.1 cm in 85% of the participants ( Conclusions: The study has validated the SPLINT technique by demonstrating a high level of intra- and interobserver reliability. The adequacy of the training modules for SPL measurements described in this study has also been established. Evidence that the SPL can be used as an objective marker of penile dimensions is herewith furnished.
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