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Table 1 Reliability of questions asked during clinical interview and self-complete questionnaire (in order of agreement beyond chance for inter-observer comparisons)

From: Hand assessment in older adults with musculoskeletal hand problems: a reliability study

  Inter-observer reliability (n= 55) Intra-observer reliability (n= 54)
  Prev % Agr Agr % K Agr Agr % K
Do you have problems with one or both hands? (left/right/both + ) 84.6+ 5/3/46 98.2 0.93 3/3/43 90.8 0.67
Have you ever had surgery to your hands? (yes/no) 15.5 8/46 98.2 0.93 8/45 98.1 0.93
Have you ever had injuries to your hands? (yes/no) 49.1 25/26 92.7 0.85 26/26 96.3 0.93
Are you right or left handed? (right + /left/both) 94.5+ 52/2/0 98.1 0.83 51/3/0 100 1.00
Does your hand pain stop you from sleeping or disturb your sleep? (yes/no/na) 30.9 15/29/4 92.7 0.83 12/23/5 87.0 0.68
How long does hand stiffness last on waking? (< 30 mins + ≥30 mins/na) 46.4+ 23/6/18 91.0 0.82 18/4/15 74.1 0.48
When did your hand symptoms first start? (< 12 mnths + /1-5 yrs/5-10 yrs/> 10 yrs) 8.2+ 3/20/6/19 87.3 0.81 1/17/3/20 76.0 0.63
Do you ask for help? (yes/no) 66.4 34/16 90.9 0.80 37/13 92.6 0.82
Do your fingers ever lock, trigger or catch? (yes/no) 23.7 11/40 92.7 0.80 11/39 92.6 0.80
Which hand is worse? (left/right + /no diff/na) 48.2+ 10/24/5/8 85.4 0.79 7/21/5/6 72.3 0.60
Do you have pins and needles in your hands? (yes/no) 45.5 22/27 89.1 0.78 17/24 75.9 0.51
Do you have hand stiffness on waking? (yes/no/na) 61.8 31/6/8 89.1 0.77 29/2/9 81.5 0.60
Do you have numbness in your hands? (yes/no) 30.9 14/35 89.1 0.75 10/36 85.2 0.62
Is your hand pain there all the time? (yes/no/na) 30.9 14/27/4 89.1 0.75 14/17/5 75.9 0.49
Is the altered sensation worse at night? (yes/no/na) 22.8 9/17/20 87.3 0.64 6/10/19 75.9 0.33
Have you had to stop work, chores or hobbies because of your hand symptoms? (yes/no) 30.2 12/34 83.6 0.61 11/32 79.6 0.52
Do you experience stiffness in your hands? (yes/no) 78.2 39/8 85.4 0.57 36/9 83.4 0.57
Do you use gadgets or aids? (yes/no) 50.9 22/21 78.2 0.57 21/21 77.8 0.56
In the last month have you had any pain, tenderness, aching or discomfort in your hands? (yes/no) 88.2 46/4 90.9 0.57 41/5 85.2 0.47
Have you changed the way you do things? (yes/no) 74.6 36/9 81.9 0.53 32/4 66.7 0.09
Does hand pain limit your activities? (yes/no/na) 39.1 15/21/4 76.4 0.52 14/21/5 83.3 0.63
Have you had to take time off work because of your 8.2 2/6/35 78.2 0.51 1/4/41 85.2 0.57
hand problem? (yes/no/retired)        
Do you have tingling in your hands? (yes/no) 39.1 13/29 69.1 0.35 9/27 66.7 0.26
Do you have any other sensation in your hands? 6.4 0/48 87.3 -0.03 0/52 96.3 -0.02
(yes/no)        
Do you experience any thumb pain during activity? (yes/no) § - - - - 45 (30/15) 83.3 0.64
Severity of hand problems (none/very mild/mild/moderate/severe) § - - - - 33 (1/6/10/13/3) 61.2 0.57^
Days of pain, aching, stiffness in the last month (no/few/some/most/all) § - - - - 29 (2/5/8/7/7) 53.8 0.56^
Bothersomeness (not at all/slightly/moderately/very much/extremely) § - - - - 31 (3/10/14/3/1) 57.5 0.53^
Symptom progression (worse/better/same) § - - - - 34 (5/0/29) 63.0 0.19^
   Agr % Median (range) K Median (range) Agr % Median (range) K Median(range)
Can you show me where you have altered sensation? (Hand manikin - 14 areas per hand) - 90.0 (83.6, 100.0) 0.66 (0.20, 1.00) 83.3 (74.1, 90.7) 0.47 (-0.09, 0.65)
Can you show me where your hands hurt? (Hand manikin - 14 areas per hand) - 85.5 (76.4, 94.5) 0.58 (0.27, 0.75) 84.3 (75.9, 90.7) 0.43 (0.05, 0.73)
  1. Prevalence % is based on the average of findings from both assessors. Percentages are based on positive findings unless otherwise indicated+. Abbreviations: Prev % = prevalence of positive findings based on first assessor; Agr = Number of cases agreed; Agr % = observed percentage agreement; k = kappa; ^quadratic weighted kappa; §Questions from self-complete questionnaire; *Median (range) for observed percentage agreement and kappa.