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West J Med. 2001 Oct;175(4):240-4; discussion 244-5.

Reliability of bimanual pelvic examinations performed in emergency departments.

Author information

  • 1University of California, Los Angeles (UCLA) Emergency Medicine Center, 924 Westwood Blvd, Ste 300, Los Angeles, CA 90024, USA. rclose@pol.net

Abstract

OBJECTIVE:

To test the reliability of bimanual pelvic examinations performed in emergency departments by emergency medicine physicians.

DESIGN:

Prospective observational study; 2 examiners each recorded various pelvic examination findings on 186 patients.

SETTING:

A private university hospital and a public county hospital staffed by attending emergency medicine physicians who share an emergency medicine residency program.

SUBJECTS:

Senior resident (3rd or 4th year) and attending emergency physicians.

MAIN OUTCOME MEASURES:

Percentage of agreement and percentage of positive agreement for cervical motion tenderness, uterine tenderness, adnexal tenderness, adnexal mass, and uterine size (within 2 cm).

RESULTS:

The agreement ranged between 71% and 84%, but the percentage of positive agreement was much lower, ranging from 17% to 33%. Agreement for uterine size, within 2 cm, was 60%.

CONCLUSION:

The findings of bimanual pelvic examinations performed by emergency physicians in an emergency department have poor interexaminer reliability.

PMID:
11577050
[PubMed - indexed for MEDLINE]
PMCID:
PMC1071590
Free PMC Article

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