@article{Soontrapa_Chowchuen_Srinakarin_Soontrapa_2013, title={Diagnostic Reliability of the Singh index: Femoral Neck Osteoporosis}, volume={19}, url={https://li01.tci-thaijo.org/index.php/SRIMEDJ/article/view/14555}, abstractNote={<p><strong>Background</strong></p> <p>The incidence of osteoporotic hip fracture increases annually, the key to successful treatment of osteoporosis is early diagnosis and treatment before fracture. The Singh index was a popular tool for diagnosis of osteoporosis in the past, but its reliability is debated.</p> <p><strong>Objective</strong></p> <p>To evaluate the intra- and inter-personal reliability of Singh grading among elderly Thai  women between two radiologists at Srinagarind hospital, Khon Kaen University, Thailand.</p> <p><strong>Design</strong></p> <p>Cross-sectional descriptive study</p> <p><strong>Setting</strong></p> <p>Thai elderly women in Khon Kane province, Thailand.</p> <p><strong>Outcome Measurements</strong></p> <p>Singh grading, intra- and inter-observer reliability by kappa (k) and weighted-k</p> <p><strong>Results</strong></p> <p>We registered  130 elderly Thai women in the study. The age of participants averaged 71.6 years (range 61-86 years). The first and second intra-observer (and their weighted) reliability k was 0.15 (95%CI: 0.04-0.26) (and 0.27), and 0.29 (95%CI: 0.15-0.42) (and 0.35), respectively. The inter-observer (and weighted) reliability k was 0.10 (95%CI: 0.00-0.20) and 0.26.</p> <p><strong>Conclusion</strong></p> <p>The intra- and inter-person reliability of the Singh index is poor; therefore, the index needs to be simplified to establish its reliability as a screening tool for osteoporosis.</p> <p><strong><span style="text-decoration: underline;">Key word</span></strong></p> <p>Singh index, Kappa (k), Reliability, Osteoporosis</p>}, number={4}, journal={Srinagarind Medical Journal}, author={Soontrapa, Suppasin and Chowchuen, Prathana and Srinakarin, Jiraporn and Soontrapa, Sukree}, year={2013}, month={Nov.}, pages={215–219} }