Expanding a photographic grading system for trachomatous scarring.
Expanding a photographic grading system for trachomatous scarring.
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DOI：
10.1093/inthealth/ihad078
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发表时间：
2023-12-04
影响因子：
2.5
通讯作者：
Wolle, Meraf A.
中科院分区：
文献类型：
--
作者：
Nayel, Yassin;Munoz, Beatriz E.;Mkocha, Harran;West, Sheila K.;Wolle, Meraf A.
其目的是评估先前发表的沙眼疤痕形成(TS)的摄影四步严重程度分级标准的扩展。坦桑尼亚成年女性眼睑外翻的图像根据TS的存在和严重程度进行了分级。以前的S3等级被细分为两类：S3A，三分之一至<；50%的上眼睑结膜疤痕；S3B，50%至<；90%。对系统的可靠性和易用性进行了评估。然后，将这种新的分类方法应用于5年前拍摄的同一女性的图像，以评估它是否有助于检测之前未发现的进展。共有142只眼在基线时和418只眼在5岁后随访时被评为S3级。观察者之间使用扩展的疤痕分级量表的一致性为0.86。基线时，51只眼(35.9%)为S3A，91只眼(64.1%)为S3B。在5年后的随访中，36.6%的以前被记录为没有进展的眼睛现在被检测到已经从S3A进展到S3B。与S3A相比，S3B图像更有可能进展到S4(OR 4.6，95%CI 2.1~9.9)。添加S3A和S3B是可靠的，可以检测到更多的疤痕进展。这将为今后分析照片中TS的研究提供有益的帮助。
The purpose was to assess an expansion of a previously published photographic four-step severity grading scale for trachomatous scarring (TS). Images of everted eyelids of adult women in Tanzania were graded for the presence and severity of TS. The previous S3 grade was subdivided into two categories: S3A, one-third to <50% of the upper eyelid conjunctiva scarred; and S3B, 50% to <90%. The reliability and ease of use were evaluated. This new categorisation was then applied to images taken of the same women 5 y prior to evaluate whether it could help detect previously undetected progression. In total, 142 eyes at baseline and 418 eyes at follow-up after 5 y were graded as S3. Interobserver agreement using the expanded scarring grading scale was a kappa of 0.86. At baseline, 51 (35.9%) eyes were S3A and 91 (64.1%) were S3B. At follow-up after 5 y, 36.6% of the eyes that were previously documented as not having progressed were now detected as having progressed from S3A to S3B. S3B images were more likely to progress to S4 compared with S3A (OR 4.6, 95% CI 2.1 to 9.9). Adding S3A and S3B is reliable and detects more scarring progression. It will be beneficial for future studies analysing TS in photographs.
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影响因子：
4.1
作者：
Karani, Rabia;Wolle, Meraf;West, Sheila K.
通讯作者：
West, Sheila K.
影响因子：
3.8
作者：
Ramadhani, Athumani M.;Derrick, Tamsyn;Burton, Matthew J.
通讯作者：
Burton, Matthew J.
影响因子：
168.9
作者：
Taylor, Hugh R.;Burton, Matthew J.;Wright, Heathcote
通讯作者：
Wright, Heathcote
影响因子：
3.8
作者：
Wolle MA;Muñoz BE;Naufal F;Kashaf MS;Mkocha H;West SK
通讯作者：
West SK
影响因子：
5.7
作者：
Ramadhani AM;Derrick T;Macleod D;Massae P;Mtuy T;Jeffries D;Roberts CH;Bailey RL;Mabey DCW;Holland MJ;Burton MJ
通讯作者：
Burton MJ