Inter-examiner reliability of the Doha agreement meeting classification system of groin pain in male athletes

Review written by Dr Joanne Kemp info

Key Points

  1. This study tested the inter-rater reliability of the Doha classification system for groin pain in athletes.
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BACKGROUND & OBJECTIVE

The Doha agreement on groin pain was published in 2015 (1) following a meeting of experts in Doha, Qatar in 2014. This consensus agreement aimed to provide clinicians with a framework on which to be able classify/diagnose the cause of the groin pain. If clinicians were satisfied there were no red flags to consider, the Doha agreement advises clinicians to use one of four clinical entities to classify groin pain (adductor-related, inguinal-related, iliopsoas-related and pubic-related groin pain) with a fifth entity of hip-related pain (See figure 1 below) (1).

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Other publications have provided information for clinicians on how to use this framework within a comprehensive assessment of athletes with hip/groin pain (2). However, until now we did not know the between-clinician reliability of the Doha agreement clinical entities framework.

This study aimed to examine the inter-rater reliability of the Doha classification system.

The Doha agreement on groin pain aimed to provide clinicians with a framework on which to be able classify/diagnose the cause of the pain.
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If clinicians use the Doha classification system and form a single diagnosis for the cause of groin pain, they can be confident that another clinician would probably form the same diagnosis.

METHODS

  • The researchers conducted a reliability study, recruiting 48 male athletes in Doha, Qatar, who had groin pain.
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