19. ASSESSMENT OF INTEROBSERVER RELIABILITY OF SINGH INDEX FOR GRADING OF OSTEOPOROSIS

Syed Imran Bukhari, Raja Irfan Qadir, Shandana Khan, Adnan Khan

Department of Orthopaedics & Spine Surgery, NorthWest General Hospital & Research Centre, Peshawar - Pakistan

Abstract

Objective: Assessment of the reliability of Singh’s Index for measurement of osteoporosis between different observers.
Material & Methods: It was a cross-sectional validation study, conducted in the Orthopaedics and Radiology Departments,
NorthWest General Hospital & Research Centre, Peshawar, Pakistan, involving 120 post-menopausal women
from June 2015 to December 2015. X-ray Pelvis was undertaken in all patients.
Results: Mean age was 62.91 years ± 9.6 SD. Single measurement was 43%. Overall agreement among the observers
was 69.5% with p value .000, which is significant. 95% Confidence interval was 0.587 to 0.779. The kappa value ranged
from .171 to .261 with a slight to fair agreement.
Conclusion: Singh Index has 69.5% inter-observer reliability

Keywords: Singh Index , Osteoporosis.

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