Key result
Acanthosis nigricans screening tool achieves ~82% inter-rater agreement among school nurses.
Why the study?
The reliability and validity of an acanthosis nigricans screening tool for elementary school-age children of different ethnic groups needed to be tested.
Is the 0-4 grade acanthosis nigricans screening tool reliable and valid for use by school nurses in elementary school-age children?
Cross-Sectional (n=288)
Is the 0-4 grade acanthosis nigricans screening tool reliable and valid for use by school nurses in elementary school-age children?
Effect estimate: kappa 0.822
p-value: p=≤ .001
The 0-4 grade acanthosis nigricans screening tool is a reliable and easy-to-use instrument for school nurses to identify AN in children across different ethnic groups.
Supports reliable AN screening in diverse elementary children; leaves open need for prospective validation before routine adoption.
The purpose of this study was to test the reliability and validity of an acanthosis nigricans (AN) screening tool for use in elementary school-age children of different ethnic groups. Cross-sectional data were collected via observation of 288, 5- to 12-year-old school-age children. Three nurse clinicians used a 0-4 grade AN screening tool to rate each child's level of AN independently. AN was consistently and appropriately identified in elementary school-age children from different ethnic groups. All clinicians were within one grade 98% of the time. Substantial agreement among raters was found (kappa statistic = .822, p ≤ .001), indicating similar interpretation and reproducibility of the AN screening tool. There was more consistent detection of grade four AN regardless of the children's sex, body mass index, or ethnic group. The AN screening tool is easy to use and reliable for use with elementary school-age children of various ethnic groups.
No takes yet. Share an insight, caveat, or question.
Scott et al. (2012) conducted a cross-sectional in Acanthosis nigricans (n=288). Acanthosis nigricans screening tool was evaluated on Inter-rater agreement (kappa 0.822, p=≤ .001). The acanthosis nigricans screening tool demonstrated substantial inter-rater agreement among school nurses (kappa = 0.822, p ≤ 0.001) in elementary school-age children.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: