Abstract：
The Doha agreement classification is used to classify groin pain in athletes. We evaluated the inter-examiner reliability of this classification system. We prospectively recruited 48 male athletes (66 symptomatic sides) with groin pain between 10-2017 and 03-2020 at a sports medicine hospital in Qatar. Two examiners (23 and 10 years of clinical experience) performed history taking, and a standardized clinical examination blinded to each other\'s findings. Examiners classified groin pain using the Doha agreement terminology (adductor-, inguinal-, iliopsoas-, pubic-, hip-related groin pain, or other causes of groin pain). Multiple entities were ranked in order of perceived clinical importance. Each side was classified separately for bilateral groin pain. Inter-examiner reliability was calculated using Cohen\'s Kappa statistic (κ). Inter-examiner reliability was slight to moderate for adductor- (κ = 0.40), inguinal- (κ = 0.44), iliopsoas- (κ = 0.57), and pubic-related groin pain (κ = 0.12), substantial for hip-related groin pain (κ = 0.62), and slight for \"other causes of groin pain\" (κ = 0.13). Ranking entities in order of perceived clinical importance improved inter-examiner reliability for adductor-, inguinal-, and iliopsoas-related groin pain (κ = 0.52-0.65), but not for pubic (κ = 0.12), hip (κ = 0.51), and \"other causes of groin pain\" (κ = 0.03). For participants with unilateral groin pain classified with a single entity (n = 7), there was 100% agreement between the two examiners. Inter-examiner reliability of the Doha agreement meeting classification system varied from slight to substantial, depending on the clinical entity. Agreement between examiners was perfect when athletes were classified with a single clinical entity of groin pain, but lower when athletes were classified with multiple clinical entities.
摘要：
多哈协议分类用于对运动员腹股沟疼痛进行分类。我们评估了该分类系统的考试者间可靠性。我们在卡塔尔的一家运动医学医院前瞻性招募了48名男性运动员（66名症状侧），他们在2017年10月至2020年3月之间患有腹股沟疼痛。两名审查员（23年和10年的临床经验）进行了病史采集，和标准化的临床检查对彼此的发现视而不见。审查员使用多哈协议术语(adductor-，语言-,髂肌-,pubic-,髋部相关腹股沟疼痛,或腹股沟疼痛的其他原因)。按照感知的临床重要性对多个实体进行排序。两侧腹股沟疼痛分别分类。使用科恩的Kappa统计量(κ)计算考试者间信度。内收-(κ=0.40)的相互检验信度为轻度至中度，腹股沟-(κ=0.44)，髂痛-(κ=0.57)，和耻骨相关性腹股沟疼痛（κ=0.12），对于髋部相关腹股沟疼痛（κ=0.62），轻微的“腹股沟疼痛的其他原因”(κ=0.13)。按感知临床重要性的顺序对实体进行排序，提高了对内收条的检查者可靠性，语言-,髂腰肌相关腹股沟痛（κ=0.52-0.65），但不适用于耻骨(κ=0.12)，髋关节（κ=0.51），和“腹股沟疼痛的其他原因”(κ=0.03)。对于以单一实体分类的单侧腹股沟疼痛的参与者(n=7)，两位考官100%达成一致。多哈协议会议分类系统的相互审查可靠性从轻微到实质性不等，取决于临床实体。当运动员被归类为腹股沟疼痛的单一临床实体时，审查员之间的协议是完美的，但当运动员被分类为多个临床实体时，较低。
