Screening utility and acceptability of the Kiswahili-pGALS (paediatric Gait, Arms, Legs, Spine) at a tertiary referral hospital in Kenya-A diagnostic accuracy study
Authors' conclusion
The Kiswahili-pGALS's was found to be a useful screening tool to aid early identification of MSK conditions in Kiswahili-speaking settings.
Study context
- Population
- Kiswahili-speaking children aged 5–16 years with symptoms suggestive of an musculoskeletal (MSK) condition presenting at the Aga Khan University Hospital's (AKUH) ED, Kenyamedian age 9 years (IQR 7–11)
- Participants
- 100 children
- Comparison
- Kiswahili-pGALS by resident doctors vs paediatric rheumatologist examination (gold standard)
- Outcome
- Diagnostic accuracy of the Kiswahili-pGALS vs the reference standard
Methodological detailssystematic random sampling, reference standard blinded to index test, single-centre
- Systematic random sampling
- Reference standard blinded to index test
- Single-centre
Performance
As reported in the abstract
Diagnostic accuracy for MSK conditions
| Test or model | Sensitivity | Specificity | Diagnostic accuracy | AUC |
|---|---|---|---|---|
| Kiswahili-pGALS | 76.8% (95%CI 63.6-87.0%) | 40.0% (95%CI 23.9-57.9%) | 62.7% (95%CI 52.1-72.1%) | 0.58 (95%CI 0.48-0.68) |
Kiswahili-pGALS
Sensitivity76.8% (95%CI 63.6-87.0%)
Specificity40.0% (95%CI 23.9-57.9%)
Diagnostic accuracy62.7% (95%CI 52.1-72.1%)
AUC0.58 (95%CI 0.48-0.68)
Further findings
- Acceptability: guardians reporting none or only some discomfort — Kiswahili-pGALS
- Ninety percent
- Time to perform Kiswahili-pGALS
- 5.0 · median · IQR 3.5–6.0 · min
Original publication
Screening utility and acceptability of the Kiswahili-pGALS (paediatric Gait, Arms, Legs, Spine) at a tertiary referral hospital in Kenya-A diagnostic accuracy study. Pediatr Rheumatol Online J. Published 18 September 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →