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Reliability Studies and Surveys

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Abstract

Instruments that are valuable in clinical research yield similar results when used by different users, in different settings, and at different times. Reliability studies test the reproducibility of instruments by examining the relationship between the predicted distribution of measurements, the actual measurement distribution, and the resulting measurement error. Understanding the study types and common statistical measures is imperative when conducting or appraising reliability studies.

Surveys are useful tools in orthopedic research for obtaining information on the views and practices of large populations in an efficient and cost-friendly manner. An intentional and organized approach to survey design and administration can assist to maximize response rate, thus decreasing noncompliance, bias, and increasing generalizability of the results.

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References

  1. Aday LA, Cornelius LJ. Designing and conducting health surveys: a comprehensive guide. 3rd ed. San Francisco: Jossey-Bass; 2006.

    Google Scholar 

  2. Adler J, Parmryd I. Quantifying colocalization by correlation: the Pearson correlation coefficient is superior to the Mander’s overlap coefficient. Cytometry A. 2010;77(8):733–42.

    Article  Google Scholar 

  3. Asch DA, Christakis NA, Ubel PA. Conducting physician mail surveys on a limited budget. A randomized trial comparing $2 bill versus $5 bill incentives. Med Care. 1998;36(1):95–9.

    Article  CAS  Google Scholar 

  4. Audigé L, Bhandari M, Kellam J. How reliable are reliability studies of fracture classifications? A systematic review of their methodologies. Acta Orthop Scand. 2004;75(2):184–94.

    Article  Google Scholar 

  5. Avery DM, Matullo KS. Distal radial traction radiographs: interobserver and intraobserver reliability compared with computed tomography. J Bone Joint Surg Am. 2014;96(7):582–8.

    Article  Google Scholar 

  6. Baron G, De Wals P, Milord F. Cost-effectiveness of a lottery for increasing physicians’ responses to a mail survey. Eval Health Prof. 2001;24(1):47–52.

    Article  CAS  Google Scholar 

  7. Bergk V, Gasse C, Schnell R, Haefeli WE. Mail surveys: obsolescent model or valuable instrument in general practice research? Swiss Med Wkly. 2005;135(13–14):189–91.

    PubMed  Google Scholar 

  8. Bhandari M, Devereaux PJ, Swiontkowski MF, Schemitsch EH, Shankardass K, Sprague S, et al. A randomized trial of opinion leader endorsement in a survey of orthopaedic surgeons: effect on primary response rates. Int J Epidemiol. 2003;32(4):634–6.

    Article  Google Scholar 

  9. Braithwaite D, Emery J, De Lusignan S, Sutton S. Using the Internet to conduct surveys of health professionals: a valid alternative? Fam Pract. 2003;20(5):545–51.

    Article  Google Scholar 

  10. Bruinsma WE, Guitton TG, Warner JJP, Ring D, Science of Variation Group. Interobserver reliability of classification and characterization of proximal humeral fractures: a comparison of two and three-dimensional CT. J Bone Joint Surg Am. 2013;95(17):1600–4.

    Article  Google Scholar 

  11. Burns KEA, Duffett M, Kho ME, Meade MO, Adhikari NKJ, Sinuff T, et al. A guide for the design and conduct of self-administered surveys of clinicians. CMAJ. 2008;179(3):245–52.

    Article  Google Scholar 

  12. Cohen J. Weighted kappa: nominal scale agreement with provision for scaled disagreement or partial credit. Psychol Bull. 1968;70(4):213–20.

    Article  CAS  Google Scholar 

  13. Corona J, Sanders JO, Luhmann SJ, Diab M, Vitale MG. Reliability of radiographic measures for infantile idiopathic scoliosis. J Bone Joint Surg Am. 2012;94(12):e86.

    Article  Google Scholar 

  14. Duffett M, Burns KE, Adhikari NK, Arnold DM, Lauzier F, Kho ME, et al. Quality of reporting of surveys in critical care journals: a methodologic review. Crit Care Med. 2012;40(2):441–9.

    Article  Google Scholar 

  15. Fischbacher C, Chappel D, Edwards R, Summerton N. Health surveys via the Internet: quick and dirty or rapid and robust? J R Soc Med. 2000;93(7):356–9.

    Article  CAS  Google Scholar 

  16. Fisher R. Statistical methods for research workers. 5th ed. Edinburgh: Oliver and Boyd Ltd.; 1925.

    Google Scholar 

  17. Gaumétou E, Quijano S, Ilharreborde B, Presedo A, Thoreux P, Mazda K, et al. EOS analysis of lower extremity segmental torsion in children and young adults. Orthop Traumatol Surg Res. 2014;100(1):147–51.

    Article  Google Scholar 

  18. Giraudeau B, Mary JY. Planning a reproducibility study: how many subjects and how many replicates per subject for an expected width of the 95 per cent confidence interval of the intraclass correlation coefficient. Stat Med. 2001;20(21):3205–14.

    Article  CAS  Google Scholar 

  19. Hocking JS, Lim MSC, Read T, Hellard M. Postal surveys of physicians gave superior response rates over telephone interviews in a randomized trial. J Clin Epidemiol. 2006;59(5):521–4.

    Article  Google Scholar 

  20. Jepson C, Asch DA, Hershey JC, Ubel PA. In a mailed physician survey, questionnaire length had a threshold effect on response rate. J Clin Epidemiol. 2005;58(1):103–5.

    Article  Google Scholar 

  21. Jones D, Story D, Clavisi O, Jones R, Peyton P. An introductory guide to survey research in anaesthesia. Anaesth Intensive Care. 2006;34(2):245–53.

    CAS  PubMed  Google Scholar 

  22. Karanicolas PJ, Bhandari M, Kreder H, Moroni A, Richardson M, Walter SD, et al. Evaluating agreement: conducting a reliability study. J Bone Joint Surg Am. 2009;91(Suppl 3):99–106.

    Article  Google Scholar 

  23. Lee KM, Chung CY, Park MS, Lee SH, Cho JH, Choi IH. Reliability and validity of radiographic measurements in hindfoot varus and valgus. J Bone Joint Surg Am. 2010;92(13):2319–27.

    Article  Google Scholar 

  24. Lee KM, Lee J, Chung CY, Ahn S, Sung KH, Kim TW, et al. Pitfalls and important issues in testing reliability using intraclass correlation coefficients in orthopaedic research. Clin Orthop Surg. 2012;4(2):149–55.

    Article  Google Scholar 

  25. Leece P, Bhandari M, Sprague S, Swiontkowski MF, Schemitsch EH, Tornetta P, et al. Internet versus mailed questionnaires: a controlled comparison (2). J Med Internet Res. 2004;6(4):e39.

    Article  Google Scholar 

  26. Litwin MS. How to measure survey reliability and validity. In: Litwin MS, editor. How to measure survey reliability and validity. Thousand Oaks: Sage; 1995. p. 5–32.

    Chapter  Google Scholar 

  27. Mailey SK. Increasing your response rate for mail survey data collection. SCI Nurs. 2002;19(2):78–9.

    PubMed  Google Scholar 

  28. Mavis BE, Brocato JJ. Postal surveys versus electronic mail surveys. The tortoise and the hare revisited. Eval Health Prof. 1998;21(3):395–408.

    Article  CAS  Google Scholar 

  29. McMahon SR, Iwamoto M, Massoudi MS, Yusuf HR, Stevenson JM, David F, et al. Comparison of e-mail, fax, and postal surveys of pediatricians. Pediatrics. 2003;111(4 Pt 1):e299–303.

    Article  Google Scholar 

  30. McPeake J, Bateson M, O’Neill A. Electronic surveys: how to maximise success. Nurse Res. 2014;21(3):24–6.

    Article  Google Scholar 

  31. Nakash RA, Hutton JL, Jørstad-Stein EC, Gates S, Lamb SE. Maximising response to postal questionnaires—a systematic review of randomised trials in health research. BMC Med Res Methodol. 2006;6:5.

    Article  Google Scholar 

  32. Pappas N, Lawrence JT, Donegan D, Ganley T, Flynn JM. Intraobserver and interobserver agreement in the measurement of displaced humeral medial epicondyle fractures in children. J Bone Joint Surg Am. 2010;92(2):322–7.

    Article  Google Scholar 

  33. Passmore C, Dobbie AE, Parchman M, Tysinger J. Guidelines for constructing a survey. Fam Med. 2002;34(4):281–6.

    PubMed  Google Scholar 

  34. Penson DF, Wei JT. Clinical research methods for surgeons. 1st ed. Totowa: Humana Press; 2006.

    Google Scholar 

  35. Pomerantz ML, Glaser D, Doan J, Kumar S, Edmonds EW. Three-dimensional biplanar radiography as a new means of accessing femoral version: a comparative study of EOS three-dimensional radiography versus computed tomography. Skelet Radiol. 2015;44(2):255–60.

    Article  Google Scholar 

  36. Richards BS, Sucato DJ, Konigsberg DE, Ouellet JA. Comparison of reliability between the Lenke and King classification systems for adolescent idiopathic scoliosis using radiographs that were not premeasured. Spine (Phila Pa 1976). 2003;28(11):1148–56; discussion 1156–7.

    Google Scholar 

  37. Roberts LM, Wilson S, Roalfe A, Bridge P. A randomised controlled trial to determine the effect on response of including a lottery incentive in health surveys [ISRCTN32203485]. BMC Health Serv Res. 2004;4(1):30.

    Article  CAS  Google Scholar 

  38. Rubenfeld GD. Surveys: an introduction. Respir Care. 2004;49(10):1181–5.

    PubMed  Google Scholar 

  39. Schleyer TK, Forrest JL. Methods for the design and administration of web-based surveys. J Am Med Inform Assoc. 2000;7(4):416–25.

    Article  CAS  Google Scholar 

  40. Shiono PH, Klebanoff MA. The effect of two mailing strategies on the response to a survey of physicians. Am J Epidemiol. 1991;134(5):539–42.

    Article  CAS  Google Scholar 

  41. Shrout PE, Fleiss JL. Intraclass correlations: uses in assessing rater reliability. Psychol Bull. 1979;86(2):420–8.

    Article  CAS  Google Scholar 

  42. Sierles FS. How to do research with self-administered surveys. Acad Psychiatry. 2003;27(2):104–13.

    Article  Google Scholar 

  43. Sim J, Wright CC. The kappa statistic in reliability studies: use, interpretation, and sample size requirements. Phys Ther. 2005;85(3):257–68.

    PubMed  Google Scholar 

  44. Sprague S, Quigley L, Bhandari M. Survey design in orthopaedic surgery: getting surgeons to respond. J Bone Joint Surg Am. 2009;91(Suppl 3):27–34.

    Article  Google Scholar 

  45. Sudman S. Applied sampling. In: Rossi PH, Wright JD, Anderson AB, editors. Handbook of survey research. San Diego: Elsevier; 1983. p. 145–94.

    Chapter  Google Scholar 

  46. Thelen P, Delin C, Folinais D, Radier C. Evaluation of a new low-dose biplanar system to assess lower-limb alignment in 3D: a phantom study. Skelet Radiol. 2012;41(10):1287–93.

    Article  Google Scholar 

  47. VanDenKerkhof EG, Parlow JL, Goldstein DH, Milne B. In Canada, anesthesiologists are less likely to respond to an electronic, compared to a paper questionnaire. Can J Anaesth. 2004;51(5):449–54.

    Article  Google Scholar 

  48. Walter SD, Eliasziw M, Donner A. Sample size and optimal designs for reliability studies. Stat Med. 1998;17(1):101–10.

    Article  CAS  Google Scholar 

  49. Wright RW, MARS Group. Osteoarthritis classification scales: interobserver reliability and arthroscopic correlation. J Bone Joint Surg Am. 2014;96(14):1145–51.

    Article  Google Scholar 

  50. Zelnio RN. Data collection techniques: mail questionnaires. Am J Hosp Pharm. 1980;37(8):1113–9.

    CAS  PubMed  Google Scholar 

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Correspondence to Jeffrey A. Macalena .

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Wise, K.L., Kelly, B.J., Knudsen, M.L., Macalena, J.A. (2019). Reliability Studies and Surveys. In: Musahl, V., et al. Basic Methods Handbook for Clinical Orthopaedic Research. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-58254-1_38

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  • DOI: https://doi.org/10.1007/978-3-662-58254-1_38

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