Reliability of the Doha Agreement Classification of Groin Pain

NCT03590145 | Completed

• 1 other identifier: Aspetar
• Study Type: observational
• Target: 48
• Locations: 1 country
• Sites: 1

Brief Summary

This study will investigate the reproducibility of a clinical diagnostic classification system for groin pain between two different examiners.

Conditions

Groin Injury; Hip Pain Chronic; Adductor Tendinitis; Inguinal Hernia; Iliopsoas Syndrome

Keywords

Groin pain; Adductor-related; Inguinal-related; Pubic-related; Iliopsoas-related; Hip-related

Outcome Measures

Primary Outcomes (1)

• Clinical entity

  Patients are diagnosed with one or multiple clinical entities: "Adductor-related" (adductor tenderness AND pain on resisted adduction testing), "Pubic-related" (local tenderness of the pubic symphysis and the immediately adjacent bone), "Iliopsoas-related" (iliopsoas tenderness AND more likely with pain on resisted hip flexion AND/OR pain on stretching of the iliopsoas), "Inguinal-related" (pain location in the inguinal canal region AND tenderness of the inguinal canal. No palpable inguinal hernia. More likely if the pain is aggravated with resistance testing of the abdominal muscles OR on Valsalva/cough/sneeze), or "Hip-related" (clinical suspicion, either through history or clinical examination. Specific diagnosis will require further investigations and will not be included in this study), or "Other" (any cause of groin pain which cannot be included with in the specified clinical entities).

  Oct 2017 - June 2019

Study Arms (1)

Qatari athletes

Participants meeting general inclusion criteria.

Diagnostic Test: Clinical examination

Interventions

Clinical examination DIAGNOSTIC_TEST

Standardized clinical examination consisting of pain provocation test, including palpation, muscle resistance and stretch test.

Qatari athletes

Eligibility Criteria

• Age: 18 Years - 40 Years
• Sex: male
• Healthy Volunteers: No
• Age Groups: Adult (18-64)
• Sampling Method: Probability Sample

Study Population

Adult male individuals regularly participating in recreational or elite sports activity (≥once/week) with a current primary complaint of hip and/or groin pain of a non-acute onset that worsens on exercise, or of acute onset, which has not recovered and become longstanding (˃6w).

You may qualify if:

• adult (˃18y) male individuals regularly participating in recreational or elite sports activity (≥once/week).
• current primary complaint of hip and/or groin pain of a non-acute onset that worsens on exercise, or of acute onset, which has not recovered and become longstanding (˃6w).

You may not qualify if:

• any prior assessment or treatment from one of the examiners for the same complaints.
• fractures or acute injuries with severe pain were it would be unethical to examine the athlete twice.

Sponsors & Collaborators

• Aspetar: lead
• University College Dublin: collaborator

Study Sites (1)

Aspetar Orthopaedic and Sports Medicine Hospital

Doha, 29222, Qatar

Location

Related Publications (8)

• Branci S, Thorborg K, Nielsen MB, Holmich P. Radiological findings in symphyseal and adductor-related groin pain in athletes: a critical review of the literature. Br J Sports Med. 2013 Jul;47(10):611-9. doi: 10.1136/bjsports-2012-091905. Epub 2013 Feb 12.

  PMID: 23403531 BACKGROUND

• Serner A, van Eijck CH, Beumer BR, Holmich P, Weir A, de Vos RJ. Study quality on groin injury management remains low: a systematic review on treatment of groin pain in athletes. Br J Sports Med. 2015 Jun;49(12):813. doi: 10.1136/bjsports-2014-094256. Epub 2015 Jan 29.

  PMID: 25633830 BACKGROUND

• Thorborg K, Holmich P, Christensen R, Petersen J, Roos EM. The Copenhagen Hip and Groin Outcome Score (HAGOS): development and validation according to the COSMIN checklist. Br J Sports Med. 2011 May;45(6):478-91. doi: 10.1136/bjsm.2010.080937.

  PMID: 21478502 BACKGROUND

• Clarsen B, Myklebust G, Bahr R. Development and validation of a new method for the registration of overuse injuries in sports injury epidemiology: the Oslo Sports Trauma Research Centre (OSTRC) overuse injury questionnaire. Br J Sports Med. 2013 May;47(8):495-502. doi: 10.1136/bjsports-2012-091524. Epub 2012 Oct 4.

  PMID: 23038786 BACKGROUND

• Weir A, Brukner P, Delahunt E, Ekstrand J, Griffin D, Khan KM, Lovell G, Meyers WC, Muschaweck U, Orchard J, Paajanen H, Philippon M, Reboul G, Robinson P, Schache AG, Schilders E, Serner A, Silvers H, Thorborg K, Tyler T, Verrall G, de Vos RJ, Vuckovic Z, Holmich P. Doha agreement meeting on terminology and definitions in groin pain in athletes. Br J Sports Med. 2015 Jun;49(12):768-74. doi: 10.1136/bjsports-2015-094869.

  PMID: 26031643 BACKGROUND

• Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977 Mar;33(1):159-74.

  PMID: 843571 BACKGROUND

• Taylor R, Vuckovic Z, Mosler A, Agricola R, Otten R, Jacobsen P, Holmich P, Weir A. Multidisciplinary Assessment of 100 Athletes With Groin Pain Using the Doha Agreement: High Prevalence of Adductor-Related Groin Pain in Conjunction With Multiple Causes. Clin J Sport Med. 2018 Jul;28(4):364-369. doi: 10.1097/JSM.0000000000000469.

  PMID: 28654441 BACKGROUND

• Sim J, Wright CC. The kappa statistic in reliability studies: use, interpretation, and sample size requirements. Phys Ther. 2005 Mar;85(3):257-68.

  PMID: 15733050 BACKGROUND

MeSH Terms

Conditions

Hernia, Inguinal

Interventions

Physical Examination

Condition Hierarchy (Ancestors)

Hernia, Abdominal; Hernia; Pathological Conditions, Anatomical; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Diagnostic Techniques and Procedures; Diagnosis

Study Officials

• Johannes Tol, PhD

  Aspetar Orthopaedic and Sports Medicine Hospital

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Clinical Research Scientist

Study Record Dates

• First Submitted: June 26, 2018
• First Posted: July 18, 2018
• Study Start: October 25, 2017
• Primary Completion: March 3, 2020
• Study Completion: August 1, 2021
• Last Updated: March 16, 2022

Record last verified: 2022-03

Locations

QA (1)