Concordancia en la evaluación del desarrollo puberal mediante la escala de tanner entre adolescentes y un médico entrenado

Sandra Milena Rueda-Quijano, Mónica Andrea Amador-Ariza, Ana María Arboleda, Johanna Otero, Daniel Cohen, Paul Anthony Camacho, Patricio López Jaramillo

Resultado de la investigación: Artículos / NotasArtículo Científicorevisión exhaustiva

Resumen

Objectives. To assess the concordance between self-assessment of pubertal development with the Tanner scale performed by adolescents compared to the assessment performed by a trained physician. Materials and Methods. As part of the SIMAC project, data was collected on 244 adolescents. At baseline, we included an anthropometric and pubertal development assessment, with a self-assessment by the participants. Results. We included 229 teenagers from 12 to 17 years old. The agreement between the self-assessment and the clinical evaluation with the Tanner scale presented an 88.3% agreement and a weighted kappa coefficient of 0.554. The self-assessment in women showed a good agreement (kappaweighted=0.653) and in men a moderate agreement (kappaweighted=0.464). The only variable with a significant influence on the agreement ability was gender; the disagreement probability in males was 63% greater than in females, regardless of age, height, or weight (95% CI: 1,18-2, 26). Conclusions. Self-assessment was not accurate enough to replace medical examination, especially in males. More research is needed on this subject considering the impact that self-assessment of sexual development could have.

Título traducido de la contribuciónConcordance of the assessment of pubertal development with the tanner scale between adolescents and a trained physician
Idioma originalEspañol
Páginas (desde-hasta)408-413
Número de páginas6
PublicaciónRevista Peruana de Medicina Experimental y Salud Publica
Volumen36
N.º3
DOI
EstadoPublicada - 2019

Palabras clave

  • Adolescent
  • Child development
  • Growth and development
  • Puberty
  • Self report

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