{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T05:09:53Z","timestamp":1776316193879,"version":"3.50.1"},"reference-count":34,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T00:00:00Z","timestamp":1769040000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001250","name":"Transport Accident Commission","doi-asserted-by":"publisher","award":["APP2009998"],"award-info":[{"award-number":["APP2009998"]}],"id":[{"id":"10.13039\/501100001250","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["APP2003537"],"award-info":[{"award-number":["APP2003537"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","ejradiology.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Radiology"],"published-print":{"date-parts":[[2026,3]]},"DOI":"10.1016\/j.ejrad.2026.112688","type":"journal-article","created":{"date-parts":[[2026,1,17]],"date-time":"2026-01-17T15:55:22Z","timestamp":1768665322000},"page":"112688","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"special_numbering":"C","title":["Inter-rater reliability of a classification systems for distal radius fractures using radiology text and x-rays: what really matters?"],"prefix":"10.1016","volume":"196","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7543-0687","authenticated-orcid":false,"given":"Joanna F.","family":"Dipnall","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"O\u2019Donnell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard S.","family":"Page","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raphael","family":"Hau","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"de Steiger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Bucknill","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Oppy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elton","family":"Edwards","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dinesh","family":"Varma","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ronan A.","family":"Lyons","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Cameron","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William","family":"Veitch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily","family":"Doole","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Berwout","family":"Wiltschut","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leah","family":"Sleaby","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adil","family":"Zia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robin","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Belinda J","family":"Gabbe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.ejrad.2026.112688_b0005","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1016\/j.injury.2006.04.130","article-title":"Epidemiology of adult fractures: a review","volume":"37","author":"Court-Brown","year":"2006","journal-title":"Injury"},{"key":"10.1016\/j.ejrad.2026.112688_b0010","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1016\/j.hcl.2012.02.001","article-title":"The epidemiology of distal radius fractures","volume":"28","author":"Nellans","year":"2012","journal-title":"Hand Clin."},{"key":"10.1016\/j.ejrad.2026.112688_b0015","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1177\/15589447221109967","article-title":"Epidemiology of distal forearm fracture: a population-based study of 5426 fractures","volume":"19","author":"Soerensen","year":"2024","journal-title":"Hand"},{"key":"10.1016\/j.ejrad.2026.112688_b0020","doi-asserted-by":"crossref","DOI":"10.3310\/hta19170","article-title":"UK DRAFFT: a randomised controlled trial of percutaneous fixation with Kirschner wires versus volar locking-plate fixation in the treatment of adult patients with a dorsally displaced fracture of the distal radius","volume":"19","author":"Costa","year":"2015","journal-title":"Health Technol. Assess."},{"key":"10.1016\/j.ejrad.2026.112688_b0025","doi-asserted-by":"crossref","first-page":"1161","DOI":"10.1007\/s00198-009-1047-2","article-title":"Assessing forearm fracture risk in postmenopausal women","volume":"21","author":"Melton","year":"2010","journal-title":"Osteoporos Int."},{"key":"10.1016\/j.ejrad.2026.112688_b0030","doi-asserted-by":"crossref","first-page":"292","DOI":"10.3109\/17453674.2013.792035","article-title":"Epidemiology and changed surgical treatment methods for fractures of the distal radius: a registry analysis of 42,583 patients in Stockholm County, Sweden, 2004\u20132010","volume":"84","author":"Wilcke","year":"2013","journal-title":"Acta Orthop."},{"key":"10.1016\/j.ejrad.2026.112688_b0035","doi-asserted-by":"crossref","first-page":"S29","DOI":"10.1016\/S0020-1383(18)30299-7","article-title":"Distal radius fractures are difficult to classify","volume":"49","author":"W\u00e6ver","year":"2018","journal-title":"Injury"},{"key":"10.1016\/j.ejrad.2026.112688_b0040","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1471-2474-13-6","article-title":"Classification of distal radius fractures in children: good inter-and intraobserver reliability, which improves with clinical experience","volume":"13","author":"Randsborg","year":"2012","journal-title":"BMC Musculoskelet. Disord."},{"key":"10.1016\/j.ejrad.2026.112688_b0045","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1186\/s12874-022-01707-5","article-title":"Interrater reliability estimators tested against true interrater reliabilities","volume":"22","author":"Zhao","year":"2022","journal-title":"BMC Med. Res. Method."},{"key":"10.1016\/j.ejrad.2026.112688_b0050","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1177\/001316446002000104","article-title":"A coefficient of agreement for nominal scales","volume":"20","author":"Cohen","year":"1960","journal-title":"Educ. Psychol. Meas."},{"key":"10.1016\/j.ejrad.2026.112688_b0055","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1037\/h0031619","article-title":"Measuring nominal scale agreement among many raters","volume":"76","author":"Fleiss","year":"1971","journal-title":"Psychol. Bull."},{"key":"10.1016\/j.ejrad.2026.112688_b0060","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1037\/h0026256","article-title":"Weighted kappa: Nominal scale agreement provision for scaled disagreement or partial credit","volume":"70","author":"Cohen","year":"1968","journal-title":"Psychol. Bull."},{"key":"10.1016\/j.ejrad.2026.112688_b0065","doi-asserted-by":"crossref","first-page":"325","DOI":"10.3348\/kjr.2023.0965","article-title":"Statistical methods for the analysis of inter-reader agreement among three or more readers","volume":"25","author":"Han","year":"2024","journal-title":"Korean J. Radiol."},{"key":"10.1016\/j.ejrad.2026.112688_b0070","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1016\/0895-4356(93)90018-V","article-title":"Bias, prevalence and kappa","volume":"46","author":"Byrt","year":"1993","journal-title":"J. Clin. Epidemiol."},{"key":"10.1016\/j.ejrad.2026.112688_b0075","doi-asserted-by":"crossref","first-page":"871","DOI":"10.1177\/1536867X1801800408","article-title":"Implementing a general framework for assessing interrater agreement in Stata","volume":"18","author":"Klein","year":"2018","journal-title":"Stata J."},{"key":"10.1016\/j.ejrad.2026.112688_b0080","article-title":"Analysis of interrater reliability in age assessment of minors: how does expertise influence the evaluation?","volume":"1\u20137","author":"Franceschetti","year":"2022","journal-title":"Int. J. Leg. Med."},{"key":"10.1016\/j.ejrad.2026.112688_b0085","doi-asserted-by":"crossref","first-page":"837","DOI":"10.1177\/0049124118799372","article-title":"Interrater reliability in systematic review methodology: exploring variation in coder decision-making","volume":"50","author":"Belur","year":"2021","journal-title":"Sociol. Methods Res."},{"key":"10.1016\/j.ejrad.2026.112688_b0090","series-title":"Orthopaedic trauma: establishment of an outcomes registry to evaluate and monitor treatment effectiveness","author":"Edwards","year":"2006"},{"key":"10.1016\/j.ejrad.2026.112688_b0095","doi-asserted-by":"crossref","DOI":"10.1016\/j.jbi.2019.103208","article-title":"The REDCap consortium: building an international community of software platform partners","volume":"95","author":"Harris","year":"2019","journal-title":"J. Biomed. Inform."},{"key":"10.1016\/j.ejrad.2026.112688_b0100","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1016\/j.jbi.2008.08.010","article-title":"Research electronic data capture (REDCap)\u2014a metadata-driven methodology and workflow process for providing translational research informatics support","volume":"42","author":"Harris","year":"2009","journal-title":"J. Biomed. Inform."},{"key":"10.1016\/j.ejrad.2026.112688_b0105","series-title":"Distal radius fractures. skeletal trauma of the upper extremity","first-page":"470","author":"London","year":"2022"},{"key":"10.1016\/j.ejrad.2026.112688_b0110","series-title":"Classification AO des fractures: les os longs","author":"M\u00fcller","year":"1987"},{"key":"10.1016\/j.ejrad.2026.112688_b0115","doi-asserted-by":"crossref","DOI":"10.2307\/2529310","article-title":"The measurement of observer agreement for categorical data","author":"Landis","year":"1977","journal-title":"Biometrics"},{"key":"10.1016\/j.ejrad.2026.112688_b0120","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0257361","article-title":"Predicting fracture outcomes from clinical registry data using artificial intelligence supplemented models for evidence-informed treatment (PRAISE) study protocol","volume":"16","author":"Dipnall","year":"2021","journal-title":"PLoS One"},{"key":"10.1016\/j.ejrad.2026.112688_b0125","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1111\/ans.19298","article-title":"A comparison of orthopaedic surgery training across five English\u2010speaking countries","volume":"95","author":"Boyle","year":"2025","journal-title":"ANZ J. Surg."},{"key":"10.1016\/j.ejrad.2026.112688_b0130","doi-asserted-by":"crossref","first-page":"1396","DOI":"10.1302\/0301-620X.95B10.32134","article-title":"The imaging and classification of severe pelvic ring fractures: experiences from two level 1 trauma centres","volume":"95","author":"Gabbe","year":"2013","journal-title":"The Bone & Joint Journal."},{"key":"10.1016\/j.ejrad.2026.112688_b0135","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1016\/j.jos.2022.11.010","article-title":"Distal radius fractures: Classifications concordance among orthopedic residents on a teaching hospital","volume":"29","author":"Pe\u00f1a-Mart\u00ednez","year":"2024","journal-title":"J. Orthop. Sci."},{"key":"10.1016\/j.ejrad.2026.112688_b0140","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1007\/978-3-031-89288-2_11","article-title":"Fractures and dislocations of hand region","author":"\u00d6z\u00e7elik","year":"2025","journal-title":"Upper Extremity Reconstruction: from Simple to Complex: Springer"},{"key":"10.1016\/j.ejrad.2026.112688_b0145","doi-asserted-by":"crossref","DOI":"10.1016\/j.jorep.2024.100307","article-title":"Volar marginal rim fractures of the distal radius","volume":"3","author":"MacLean","year":"2024","journal-title":"Journal of Orthopaedic Reports."},{"key":"10.1016\/j.ejrad.2026.112688_b0150","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12891-025-08332-5","article-title":"Supplemental metaphyseal fixation of severe comminuted distal radius fracture with a mini plate","volume":"26","author":"Kim","year":"2025","journal-title":"BMC Musculoskelet. Disord."},{"key":"10.1016\/j.ejrad.2026.112688_b0155","article-title":"How should the shape of the volar rim be taken into account in the treatment of distal radius fractures? a radiological study","author":"de Villeneuve Bargemon","year":"2025","journal-title":"Journal of Wrist Surgery."},{"key":"10.1016\/j.ejrad.2026.112688_b0160","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1016\/0895-4356(90)90159-M","article-title":"High agreement but low kappa: II. Resolving the paradoxes","volume":"43","author":"Cicchetti","year":"1990","journal-title":"J. Clin. Epidemiol."},{"key":"10.1016\/j.ejrad.2026.112688_b0165","doi-asserted-by":"crossref","first-page":"543","DOI":"10.1016\/0895-4356(90)90158-L","article-title":"High agreement but low kappa: i. the problems of two paradoxes","volume":"43","author":"Feinstein","year":"1990","journal-title":"J. Clin. Epidemiol."},{"key":"10.1016\/j.ejrad.2026.112688_b0170","doi-asserted-by":"crossref","first-page":"482","DOI":"10.1016\/j.jhsa.2024.01.006","article-title":"The Kappa paradox explained","volume":"49","author":"Derksen","year":"2024","journal-title":"J. Hand Surg. Am."}],"container-title":["European Journal of Radiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0720048X26000367?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0720048X26000367?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T08:07:07Z","timestamp":1771488427000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0720048X26000367"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":34,"alternative-id":["S0720048X26000367"],"URL":"https:\/\/doi.org\/10.1016\/j.ejrad.2026.112688","relation":{},"ISSN":["0720-048X"],"issn-type":[{"value":"0720-048X","type":"print"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Inter-rater reliability of a classification systems for distal radius fractures using radiology text and x-rays: what really matters?","name":"articletitle","label":"Article Title"},{"value":"European Journal of Radiology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ejrad.2026.112688","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier B.V.","name":"copyright","label":"Copyright"}],"article-number":"112688"}}