scholarly journals Mayo and NINDS scales for assessment of tendon reflexes: between observer agreement and implications for communication

1998 ◽  
Vol 64 (2) ◽  
pp. 253-255 ◽  
Author(s):  
S Manschot ◽  
L van Passel ◽  
E Buskens ◽  
A Algra ◽  
J van Gijn
Keyword(s):  
Observer Agreement ◽  
Tendon Reflexes

Observer Agreement on Disfluency and Stuttering

1981 ◽  
Vol 24 (4) ◽  
pp. 595-600 ◽  
Author(s):  
Richard F. Curlee
Keyword(s):  
Graduate Student ◽  
Adult Male ◽  
Observer Agreement

Groups of undergraduate and graduate stndent listeners identified the stutterings and disfluencies of eight adult male stutterers during videotaped samples of their reading and speaking. Stuttering and disfluency loci were assigned to words or to intervals between words. The data indicated that stuttering and disfluency are not two reliable and unambiguous response classes and are not usually assigned to different, nonoverlapping behaviors. Furthermore, judgments of stuttering and disfluency were distributed similarly across words and intervals. For both undergraduate and graduate student listeners, there was relatively low unit-by-unit agreement among listeners and within the same listeners from one judgment session to another.

Observer agreement in endoscopic assessment of ulcerative colitis

2001 ◽  
Vol 120 (5) ◽  
pp. A275-A276
Author(s):  
D HOMMES ◽  
M MUL ◽  
G STERRINGA ◽  
F KATE ◽  
G TYTGAT ◽  
...  
Keyword(s):  
Ulcerative Colitis ◽  
Observer Agreement ◽  
Endoscopic Assessment

The Kappa Coefficient and the Prevalence of a Diagnosis

1988 ◽  
Vol 27 (04) ◽  
pp. 184-186 ◽  
Author(s):  
Thomas Gjørup
Keyword(s):  
Kappa Coefficient ◽  
Observer Agreement ◽  
General Statement ◽  
Kappa Value

SummaryThe kappa coefficient is a widely used measure of agreement between observers’ independent recording of diagnoses. Kappa adjusts the overall agreement for expected chance agreement. The dependence of kappa on the prevalence . of a diagnosis has not previously been emphasized. This dependence means that kappa does not give a general statement of the reproducibility of a diagnosis. The result of a study of observer agreement should, therefore, not – as it has been done in several studies – be given by the kappa value alone. The kappa value should always be given together with the original results of the study.

Percentage of Inadequate Phlebograms and Observer Agreement in Thromboprophylactic Multicenter Trials Using Standardized Methodology and Central Assessment

1996 ◽  
Vol 76 (06) ◽  
pp. 0893-0896 ◽  
Author(s):  
P Kälebo ◽  
S Ekman ◽  
S Lindbratt ◽  
B I Eriksson ◽  
U Pauli ◽  
...  
Keyword(s):  
Standard Method ◽  
Observer Agreement ◽  
Observer Variability ◽  
Intraobserver Agreement ◽  
Multicenter Trials ◽  
Kappa Value

SummaryThis study examines inadequacy rates for phlebography in two multicenter trials for the prevention of post-operative DVT and determines inter- and intra-observer variability in evaluating phlebograms. A total of 991 (I) and 385 (II) patients underwent bilateral phlebography in two studies of thromboprophylaxis. Phlebography was performed using a standard method designed to visualize and assess all deep veins. Each vein was scored as normal, DVT or inadequate by both local and central assessment. The study showed low inadequacy rates for phlebograms of 12.2% (121/991) and 6.5% (25/385). Inter-observer agreement (local vs. central assessment) was moderate in both studies (1:74.8%, Kappa-value 0.41; II: 82.6%, Kappa-value 0.51). Good intraobserver agreement (within the central assessment group) was observed (I: 88.8%, Kappa-value 0.75). This study demonstrates low inadequacy rates for phlebograms using a standardized methodology and superior intra-observer agreement compared to inter-observer agreement and supports the importance of central assessment of phlebograms in thromboprophylactic multicenter trials to reduce observer variability.

The Orientation of Gastric Biopsy Samples Improves the Interobserver Agreement of the OLGA Staging System

2017 ◽  
Vol 26 (4) ◽  
pp. 351-356 ◽  
Author(s):  
Bogdan Cotruta ◽  
Cristian Gheorghe ◽  
Razvan Iacob ◽  
Mona Dumbrava ◽  
Cristina Radu ◽  
...  
Keyword(s):  
Intestinal Metaplasia ◽  
Lamina Propria ◽  
Case Series ◽  
Gastric Biopsy ◽  
Gastric Atrophy ◽  
Observer Agreement ◽  
Gastric Body ◽  
Kappa Index ◽  
Gastric Biopsies

Background & Aims: Evaluation of severity and extension of gastric atrophy and intestinal metaplasia is recommended to identify subjects with a high risk for gastric cancer. The inter-observer agreement for the assessment of gastric atrophy is reported to be low. The aim of the study was to evaluate the inter-observer agreement for the assessment of severity and extension of gastric atrophy using oriented and unoriented gastric biopsy samples. Furthermore, the quality of biopsy specimens in oriented and unoriented samples was analyzed.Methods: A total of 35 subjects with dyspeptic symptoms addressed for gastrointestinal endoscopy that agreed to enter the study were prospectively enrolled. The OLGA/OLGIM gastric biopsies protocol was used. From each subject two sets of biopsies were obtained (four from the antrum, two oriented and two unoriented, two from the gastric incisure, one oriented and one unoriented, four from the gastric body, two oriented and two unoriented). The orientation of the biopsy samples was completed using nitrocellulose filters (Endokit®, BioOptica, Milan, Italy). The samples were blindly examined by two experienced pathologists. Inter-observer agreement was evaluated using kappa statistic for inter-rater agreement. The quality of histopathology specimens taking into account the identification of lamina propria was analyzed in oriented vs. unoriented samples. The samples with detectable lamina propria mucosae were defined as good quality specimens. Categorical data was analyzed using chi-square test and a two-sided p value <0.05 was considered statistically significant.Results: A total of 350 biopsy samples were analyzed (175 oriented / 175 unoriented). The kappa index values for oriented/unoriented OLGA 0/I/II/III and IV stages have been 0.62/0.13, 0.70/0.20, 0.61/0.06, 0.62/0.46, and 0.77/0.50, respectively. For OLGIM 0/I/II/III stages the kappa index values for oriented/unoriented samples were 0.83/0.83, 0.88/0.89, 0.70/0.88 and 0.83/1, respectively. No case of OLGIM IV stage was found in the present case series. Good quality histopathology specimens were described in 95.43% of the oriented biopsy samples, and in 89.14% of the unoriented biopsy samples, respectively (p=0.0275).Conclusion: The orientation of gastric biopsies specimens improves the inter-observer agreement for the assessment of gastric atrophy.Key words:  –  –  – .Abbreviations: H. pylori: Helicobacter pylori; OLGA: operative link for gastritis assessment; OLGIM: operative link on intestinal metaplasia assessment.

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