ASSESSMENT OF INTEROBSERVER RELIABILITY OF SINGH INDEX FOR GRADING OF OSTEOPOROSIS

Objective: Assessment of the reliability of Singh’s Index for measurement of osteoporosis between different observers.Material & Methods: It was a cross-sectional validation study, conducted in the Orthopaedics and Radiology Departments,NorthWest General Hospital & Research Centre, Peshawar, Pakistan, involving 120 post-menopausal womenfrom June 2015 to December 2015. X-ray Pelvis was undertaken in all patients.Results: Mean age was 62.91 years ± 9.6 SD. Single measurement was 43%. Overall agreement among the observerswas 69.5% with p value .000, which is significant. 95% Confidence interval was 0.587 to 0.779. The kappa value rangedfrom .171 to .261 with a slight to fair agreement.Conclusion: Singh Index has 69.5% inter-observer reliability.