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dc.contributor.authorDownie, LE
dc.contributor.authorHodgson, LAB
dc.contributor.authorD'Sylva, C
dc.contributor.authorMcIntosh, RL
dc.contributor.authorRogers, SL
dc.contributor.authorConnell, P
dc.contributor.authorWong, TY
dc.date.available2014-05-22T07:48:16Z
dc.date.issued2013-05-01
dc.identifierhttp://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000317115000018&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=d4d813f4571fa7d6246bdc0dfeca3a1c
dc.identifier.citationDownie, L. E., Hodgson, L. A. B., D'Sylva, C., McIntosh, R. L., Rogers, S. L., Connell, P. & Wong, T. Y. (2013). Hypertensive retinopathy: comparing the Keith-Wagener-Barker to a simplified classification. JOURNAL OF HYPERTENSION, 31 (5), pp.960-965. https://doi.org/10.1097/HJH.0b013e32835efea3.
dc.identifier.issn0263-6352
dc.identifier.urihttp://hdl.handle.net/11343/33031
dc.descriptionC1 - Journal Articles Refereed
dc.description.abstractPURPOSE: This study assessed the interobserver and intraobserver grading reliability of the Keith-Wagener-Barker (KWB) system to the proposed Mitchell-Wong 'simplified' three-grade classification for hypertensive retinopathy. METHODS: Digital retinal images of normal and hypertensive human fundii (n = 50 per group) were randomly graded by an optometrist and an ophthalmologist using the two systems. Interobserver agreement was compared to a 'gold standard' research grader. Intraobserver agreement was assessed through a repeat grading after 6 months. Cohen's kappa coefficients were used to assess the degree of agreement. RESULTS: Both clinicians demonstrated a good level of agreement with the KWB and simplified classification compared with a 'gold standard' grader; there was no significant difference in the level of agreement for either of the two classification methods for either observer. The simplified classification was found to be equally as efficacious as the KWB system with respect to interobserver and intraobserver agreement for both practitioners. CONCLUSION: These findings indicate that the simplified classification of hypertensive retinopathy is both reliable and repeatable. The advantage of the simplified method over the KWB system in correlating retinal microvascular signs to incident cardiovascular risk supports its adoption in clinical practice.
dc.formatapplication/octet-stream
dc.languageEnglish
dc.publisherLIPPINCOTT WILLIAMS & WILKINS
dc.subjectOptometry and Ophthalmology not elsewhere classified; Cardiovascular System and Diseases; Hearing
dc.subjectVision
dc.subjectSpeech and Their Disorders
dc.titleHypertensive retinopathy: comparing the Keith-Wagener-Barker to a simplified classification
dc.typeJournal Article
dc.identifier.doi10.1097/HJH.0b013e32835efea3
melbourne.peerreviewPeer Reviewed
melbourne.affiliationThe University of Melbourne
melbourne.affiliation.departmentOptometry And Vision Sciences
melbourne.source.titleJOURNAL OF HYPERTENSION
melbourne.source.volume31
melbourne.source.issue5
melbourne.source.pages960-965
dc.research.codefor111399
dc.research.codeseo2008920103
dc.research.codeseo2008920107
melbourne.publicationid192207
melbourne.elementsid499686
melbourne.contributor.authorWong, Tien
melbourne.contributor.authorMCINTOSH, RACHEL
melbourne.contributor.authorDownie, Laura
melbourne.contributor.authorConnell, Paul
dc.identifier.eissn1473-5598
melbourne.accessrightsThis item is currently not available from this repository


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