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Journal articles on the topic 'Kappa scores'

Author: Grafiati

Published: 4 June 2025

Last updated: 1 August 2025

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1

Feitosa-Filho, Gilson Soares, Bruna Melo Coelho Loureiro, and Jedson dos Santos Nascimento. "Agreement between three perioperative risk scores." Revista da Associação Médica Brasileira 62, no. 3 (2016): 276–79. http://dx.doi.org/10.1590/1806-9282.62.03.276.

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SUMMARY Objective: To evaluate the agreement between the three scores proposed by the II Guideline for Perioperative Evaluation of the Brazilian Society of Cardiology (SBC): the American College of Physicians algorithm (ACP), the Multicenter Study of Perioperative Evaluation (EMAPO) and Lee’s Revised Cardiac Risk Index (RCRI). Method: Patients evaluated preoperatively for non-cardiac surgery by the anesthesiology service were classified as low, moderate or high-risk according to the 3 algorithms suggested by the II Guideline. To calculate the strength of agreement between the scores, the kappa

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Feagan, Brian, David Rubin, Stephen Hanauer, et al. "ENDOSCOPIC SCORE INTER-READER CONCORDANCE ANALYSIS FROM A PHASE 2B STUDY IN PATIENTS WITH MILD-TO-MODERATE UC." Inflammatory Bowel Diseases 29, Supplement_1 (2023): S18—S19. http://dx.doi.org/10.1093/ibd/izac247.036.

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Abstract BACKGROUND Endoscopic assessment of disease severity is a key component of ulcerative colitis (UC) clinical studies. However, interobserver variability may contribute to bias in selecting study candidates and evaluating response rates. Scoring by blinded central readers has become the recommended standard method of assessment to minimize bias and interobserver variance. We present concordance rates between central and local readings from a Phase 2b study of investigational microbiome therapeutic SER-287 in patients with mild-to-moderate UC. METHODS This double-blind, placebo-controlle

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Nizam, Ahmad, Sining Chen, and Stephen Wong. "Best-Case Kappa Scores Calculated Retrospectively From EEG Report Databases." Journal of Clinical Neurophysiology 30, no. 3 (2013): 268–74. http://dx.doi.org/10.1097/wnp.0b013e3182933da7.

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Oyebode, Femi, Sanju George, Veena Math, and Sayeed Haque. "Inter-examiner reliability of the clinical parts of MRCPsych part II examinations." Psychiatric Bulletin 31, no. 9 (2007): 342–44. http://dx.doi.org/10.1192/pb.bp.106.012906.

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Aims and MethodThe aim of the study was to investigate the interrater reliability of the clinical component of the MRCPsych part II examinations, namely the individual patient assessment and the patient management problems. In the study period, there were 1546 candidates and 773 pairs of examiners. Kappa scores for pairs of examiners in both these assessments were calculated.ResultsThe kappa scores for exact numerical agreement between the pairs of examiners in both individual patient assessment and patient management problems were only moderate (0.4 –0.5). However, the kappa scores for agreem

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Warrens, Matthijs J. "On the Equivalence of Multirater Kappas Based on 2-Agreement and 3-Agreement with Binary Scores." ISRN Probability and Statistics 2012 (October 15, 2012): 1–11. http://dx.doi.org/10.5402/2012/656390.

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Cohen’s kappa is a popular descriptive statistic for summarizing agreement between the classifications of two raters on a nominal scale. With m≥3 raters there are several views in the literature on how to define agreement. The concept of g-agreement (g∈{2,3,…,m}) refers to the situation in which it is decided that there is agreement if g out of m raters assign an object to the same category. Given m≥2 raters we can formulate m−1 multirater kappas, one based on 2-agreement, one based on 3-agreement, and so on, and one based on m-agreement. It is shown that if the scale consists of only two cate

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Dale, Hanna Fjeldheim, Milada Hagen, Gunn Helen Malmstrøm, et al. "Assessing hard and loose “endpoints”: comparison of patient and expert Bristol Stool Scale scoring of 2280 fecal samples." F1000Research 13 (December 19, 2024): 833. https://doi.org/10.12688/f1000research.152496.2.

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Background Stool consistency is an important outcome measure to evaluate in the investigation of several gastrointestinal diseases. The Bristol Stool Scale (BSS) is one of the most commonly used tools for evaluation of stool consistency. BSS ranges from 1-7 and each score is assigned to a given consistency of the feces. Self-reported characterizations can differ from an expert evaluation, and the reliability of BSS is unclear. We aimed to evaluate the reliability of BSS by comparing patient scores with expert scores. Methods Patients with inflammatory bowel disease collected stool samples thro

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Dale, Hanna Fjeldheim, Milada Hagen, Gunn Helen Malmstrøm, et al. "Assessing hard and loose “endpoints”: comparison of patient and expert Bristol Stool Scale scoring of 2280 fecal samples." F1000Research 13 (July 25, 2024): 833. http://dx.doi.org/10.12688/f1000research.152496.1.

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Background Stool consistency is an important outcome measure to evaluate in the investigation of several gastrointestinal diseases. The Bristol Stool Scale (BSS) is one of the most commonly used tools for evaluation of stool consistency. BSS ranges from 1-7 and each score is assigned to a given consistency of the feces. Self-reported characterizations can differ from an expert evaluation, and the reliability of BSS is unclear. We aimed to evaluate the reliability of BSS by comparing patient scores with expert scores. Methods Patients with inflammatory bowel disease collected stool samples thro

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Arni, Delphine, Oliver Karam, Isabelle Vidal, Peter Rimensberger, Sylviane Hanquinet, and Barbara Wildhaber. "Are Scores Reliable in Predicting the Need for Surgery and Mortality in Necrotizing Enterocolitis?" European Journal of Pediatric Surgery 27, no. 04 (2016): 330–35. http://dx.doi.org/10.1055/s-0036-1593382.

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Background Management of children with necrotizing enterocolitis (NEC) remains challenging. Various scores try to facilitate therapeutic decision-making. We aim to assess the agreement of three scores intending to predict the need for surgery and/or mortality in our patient cohort, and analyze agreement between the different scores. Methods This study is a retrospective analysis of patients with NEC Bell's stage II and III, managed in a single institution (1991–2011). Three existing scores (Metabolic Derangement Acuity score, NEC score, Detroit score) were calculated individually for each pati

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Letts, Lori, Sheri Scott, Jill Burtney, Linda Marshall, and Martha McKean. "The Reliability and Validity of the Safety Assessment of Function and the Environment for Rehabilitation (SAFER Tool)." British Journal of Occupational Therapy 61, no. 3 (1998): 127–32. http://dx.doi.org/10.1177/030802269806100309.

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The Safety Assessment of Function and the Environment for Rehabilitation (SAFER Too)) was developed to assess people's abilities to manage functional activities safety within their homes. The results of a study to evaluate the instruments inter-rater and test-retest reliability and construct validity are reported. Reliability was evaluated using kappa for each dichotomous item. For inter-rater reliability, 59 of 66 items had acceptable reliability. For test-retest reliability, 63 of 70 items had acceptable kappa scores. For items where kappa could not be calculated because of limited variation

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Nurdiana, Dian, Muhamad Riyan Maulana, Siti Hadijah Hasanah, Madiha Dzakiyyah Chairunnisa, Avelyn Pingkan Komuna, and Muhammad Rif'an. "Generative artificial intelligence as an evaluator and feedback tool in distance learning: a case study on law implementation." IAES International Journal of Artificial Intelligence (IJ-AI) 14, no. 3 (2025): 2490. https://doi.org/10.11591/ijai.v14.i3.pp2490-2505.

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The development of generative artificial intelligence (GAI) has impacted various fields, including higher education. This research examines the use of GAI as an evaluator and feedback provider in distance legal education. This study tested five GAI models: ChatGPT, Perplexity, Gemini, Bing, and You, using a sample of 20 students and evaluations from legal experts. Descriptive statistical analysis and non-parametric tests, including Wilcoxon, intraclass correlation coefficient (ICC), Kappa, and Kendall's W, were used to assess accuracy, feedback quality, and usability. The results showed that C

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Fox, Shandy, Michael Spiess, Luke Hnenny, and Daryl R. Fourney. "Spinal Instability Neoplastic Score (SINS): Reliability Among Spine Fellows and Resident Physicians in Orthopedic Surgery and Neurosurgery." Global Spine Journal 7, no. 8 (2017): 744–48. http://dx.doi.org/10.1177/2192568217697691.

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Study Design: Reliability analysis. Objectives: The Spinal Instability Neoplastic Score (SINS) was developed for assessing patients with spinal neoplasia. It identifies patients who may benefit from surgical consultation or intervention. It also acts as a prognostic tool for surgical decision making. Reliability of SINS has been established for spine surgeons, radiologists, and radiation oncologists, but not yet among spine surgery trainees. The purpose of our study is to determine the reliability of SINS among spine residents and fellows, and its role as an educational tool. Methods: Twenty-t

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Durukan, Hatice Esra, Burçe Emine Dörtkardeşler, Merve Tosyalı, Şule Gökçe, Nuri Zafer Kurugöl, and Feyza Koç. "Assessment of the Diagnostic Performance of MUAC in Malnutrition Screening and Its Correlation with Other Anthropometric Indicators in Healthy Children and Adolescents." Children 11, no. 12 (2024): 1535. https://doi.org/10.3390/children11121535.

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Background/Objectives: This study aimed to evaluate the correlation of mid-upper arm circumference (MUAC) z-scores with body mass index (BMI) and weight-for-height (WFH) z-scores to determine its reliability in identifying malnutrition and its potential in clinical practice in healthy children and adolescents. Methods: Our study included 906 healthy children and adolescents aged between 2 months and 18 years who were admitted to University Hospital’s General Pediatrics Clinic and attended 12 primary schools in 6 additional Izmir provinces. Anthropometric measurements (weight, length/standing h

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Mars, Michael, Puneet Batra, and Emma Worrell. "Complete Unilateral Cleft Lip and Palate: Validity of the Five-Year Index and the Goslon Yardstick in Predicting Long-Term Dental Arch Relationships." Cleft Palate-Craniofacial Journal 43, no. 5 (2006): 557–62. http://dx.doi.org/10.1597/05-074.

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Objective: To assess the validity of the 5-year index by subjecting study models at the age of 5 years to both the 5-year index and the Goslon yardstick, and then relating these results to the Goslon ratings at 10 years. Design: Retrospective study. Setting: Sahlgrenska University Hospital, Gothenburg, Sweden. Patients: Study models of 94 patients with unilateral cleft lip and palate (UCLP) were evaluated at the ages of 5 and 10 years. The dental arch relationships were judged and categorized by using the Goslon yardstick for the 10-year models and both the Goslon yardstick and the 5-year inde

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Haas, Ute, Herbert Mayer, and Georges Evers. "The inter-rater reliability in the «Functional Independence Measure» (FIM) in patients with head injuries." Pflege 15, no. 4 (2002): 191–97. http://dx.doi.org/10.1024/1012-5302.15.4.191.

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Gegenstand der vorliegenden Arbeit ist die Interrater Reliabilität des «Functional Independence Measure» (FIM). Der FIM ist ein psychometrisches Instrument zur Einschätzung der funktionalen Selbständigkeit bei Patienten mit Funktionseinschränkungen. Er erfasst Aktivitäten des Lebens mit 18 Items. Anhand einer siebenstufigen Ordinalskala zu jedem Item wird der gegenwärtige Grad der Selbständigkeit bewertet. Die Interrater Reliabilität wurde anhand einer Gelegenheitsstichprobe von 128 doppelten Einschätzungen mit dem FIM untersucht. Fünfzehn Pflegende führten diese Einschätzungen bei 30 Patiente

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Röhrig, Eike J., Henning Schenkat, Nadine Hochhausen, et al. "Comparing Charlson Comorbidity Index Scores between Anesthesiologists, Patients, and Administrative Data: A Prospective Observational Study." Journal of Clinical Medicine 13, no. 5 (2024): 1469. http://dx.doi.org/10.3390/jcm13051469.

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(1) Background: Patients’ comorbidities play an immanent role in perioperative risk assessment. It is unknown how Charlson Comorbidity Indices (CCIs) from different sources compare. (2) Methods: In this prospective observational study, we compared the CCIs of patients derived from patients’ self-reports and from physicians’ assessments with hospital administrative data. (3) Results: The data of 1007 patients was analyzed. Agreement between the CCI from patients’ self-report compared to administrative data was fair (kappa 0.24 [95%CI 0.2–0.28]). Agreement between physicians’ assessment and the

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Principi, Mariabeatrice, Antonella Contaldo, Francesco Paolo Bianchi, et al. "Inter-Observer Agreement of a New Endoscopic Score for Ulcerative Colitis Activity: Preliminary Experience." Diagnostics 10, no. 4 (2020): 213. http://dx.doi.org/10.3390/diagnostics10040213.

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Ulcerative colitis (UC) endoscopic scores translate mucosal damage into values standardizing image analysis. Due to potential limits of current endoscopic activity indexes, we have elaborated on a new score, the “Extended Mayo Endoscopic Score (EMES),” and evaluated its inter-observer agreement in a multicenter endoscopy team, comparing concordance with the Mayo subscore. Sixteen UC consecutive patients underwent follow-up colonoscopy. Recorded videos were anonymously loaded on a web platform. Thirteen expert endoscopists evaluated UC activity using both Mayo and EMES. EMES was described in ev

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Verheyden, Geert, Godelieve Nuyens, Alice Nieuwboer, Pol Van Asch, Piet Ketelaer, and Willy De Weerdt. "Reliability and Validity of Trunk Assessment for People With Multiple Sclerosis." Physical Therapy 86, no. 1 (2006): 66–76. http://dx.doi.org/10.1093/ptj/86.1.66.

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Abstract Background and Purpose. Standardized scales are a prerequisite for rehabilitation and research. This study was designed to determine the reliability and validity of scores on items of the trunk assessment of the Melsbroek Disability Scoring Test (MDST) and Trunk Impairment Scale (TIS) in people with multiple sclerosis (MS). Subjects. Thirty people with MS participated in the study. Methods. Interrater and test-retest reliability and construct validity were assessed. Results. Kappa and weighted kappa values for the items of the trunk assessment of the MDST ranged from .74 to .95, and t

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Silberman, Cláudia Débora, Jerson Laks, Cláudia Figueiredo Capitão, Cláudia Soares Rodrigues, Irene Moreira, and Eliasz Engelhardt. "Recognizing depression in patients with Parkinson’s disease: accuracy and specificity of two depression rating scale." Arquivos de Neuro-Psiquiatria 64, no. 2b (2006): 407–11. http://dx.doi.org/10.1590/s0004-282x2006000300011.

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This study aimed to find cut-off scores for the Montgomery-Asberg rating scale (MADRS) and the Beck depression inventory (BDI) that can relate to specific clinical diagnoses of depression in Parkinson´s disease (PD). Mild and moderate PD patients (n=46) were evaluated for depression according to the DSM IV criteria. All patients were assessed with the MADRS and the BDI. A "receiver operating characteristics" (ROC) curve was obtained and the sensibility, specificity, positive and the negative predictive values were calculated for different cut-off scores of the MADRS and the BDI. The Kappa stat

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CANDIDO, PRISCILA BARILE MARCHI, FERNANDA MARIA PERRIA, HERTON RODRIGO DA COSTA, and HELTON LUIZ APARECIDO DEFINO. "A COMPARISON OF THE TOMITA AND TOKUHASHI SCORES IN SPINAL METASTASIS." Coluna/Columna 19, no. 4 (2020): 297–301. http://dx.doi.org/10.1590/s1808-185120201904238102.

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ABSTRACT Objective To compare Tokuhashi and Tomita scores in patients with epidural spinal metastasis who underwent surgical treatment. Methods A retrospective evaluation of 103 patients with spinal metastasis and epidural compression who underwent surgical treatment. An analysis was performed of agreement between the survival rates observed in the study sample and the survival rate estimated by the Tomita and Tokuhashi scales. Results The overall accuracy was 39.03% for the Tomita scale and 61.75% for the Tokuhashi scale. Fair agreement (0.38 weighted Cohen’s Kappa coefficient) was observed b

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Thimansson, Erik, Sophia Zackrisson, Fredrik Jäderling, et al. "A pilot study of AI-assisted reading of prostate MRI in Organized Prostate Cancer Testing." Acta Oncologica 63 (October 29, 2024): 816–21. http://dx.doi.org/10.2340/1651-226x.2024.40475.

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Objectives: To evaluate the feasibility of AI-assisted reading of prostate magnetic resonance imaging (MRI) in Organized Prostate cancer Testing (OPT). Methods: Retrospective cohort study including 57 men with elevated prostate-specific antigen (PSA) levels ≥3 µg/L that performed bi-parametric MRI in OPT. The results of a CE-marked deep learning (DL) algorithm for prostate MRI lesion detection were compared with assessments performed by on-site radiologists and reference radiologists. Per patient PI-RADS (Prostate Imaging-Reporting and Data System)/Likert scores were cross-tabulated and compar

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Bak, M., N. Hammoudi, M. Allez, et al. "P277 Interobserver agreement of current and new proposed endoscopic scores for postoperative recurrence in Crohn’s disease." Journal of Crohn's and Colitis 18, Supplement_1 (2024): i644. http://dx.doi.org/10.1093/ecco-jcc/jjad212.0407.

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Abstract Background The modified Rutgeerts’ score (mRS) is widely used for the assessment of endoscopic postoperative recurrence (ePOR) in Crohn’s disease (CD) after ileocolic resection to guide therapeutic decisions. To improve the validity and prognostic value of this endoscopic assessment, two new scores have been proposed. This study assessed the interobserver agreement of the current (mRS) and new endoscopic scores for ePOR in CD. Methods Sixteen academic and non-academic IBD specialists assessed endoscopic videos (n=71) of postoperative CD patients (n=66) retrieved from nine Dutch center

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Graziani, Monica, Brent Doney, Eva Hnizdo, et al. "Assessment of Lifetime Occupational Exposure in an Epidemiologic Study of COPD." Open Epidemiology Journal 5, no. 1 (2012): 27–35. http://dx.doi.org/10.2174/1874297101205010027.

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Ascertainment of lifetime occupational exposures in an epidemiological study of chronic obstructive pulmonary disease (COPD) is important in order to investigate its effect on the disease and develop prevention strategies. The aim of our paper is to describe and evaluate a methodology used to assign lifetime occupational exposure to participants in a case-control study of COPD where lifetime occupational history was ascertained through telephone questionnaire interviews. The methodology involved assigning to each individual a qualitative index of potential exposure to eight occupational hazard

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Delli, Konstantina, Suzanne Arends, Jolien van Nimwegen, et al. "Ultrasound of the Major Salivary Glands is a Reliable Imaging Technique in Patients with Clinically Suspected Primary Sjögren’s Syndrome." Ultraschall in der Medizin - European Journal of Ultrasound 39, no. 03 (2017): 328–33. http://dx.doi.org/10.1055/s-0043-104631.

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Abstract Objective To assess the inter- and intraobserver reliability of ultrasound of major salivary glands in patients clinically suspected of having primary Sjögren’s syndrome (pSS) as well as to assess sources of variation in outcomes of ultrasonographic evaluation. Methods 80 consecutive outpatients with clinically suspected pSS underwent ultrasound evaluation. The following ultrasound variables of the parotid and submandibular salivary glands were assessed: echogenicity, parenchymal homogeneity, presence of hypoechogenic areas, hyperechogenic reflections and clearness of posterior glandu

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Bhatti, A., L. West, and N. Shenker. "AB1779-HPR ASSESSING THE INTERNAL VALIDITY OF THE BSR PAIN MANAGEMENT FOR INFLAMMATORY ARTHRITIS QIP TOOL." Annals of the Rheumatic Diseases 82, Suppl 1 (2023): 2123.2–2123. http://dx.doi.org/10.1136/annrheumdis-2023-eular.3138.

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BackgroundPain management is an important component of many Inflammatory Arthritis consultations. The BSR Pain Management for Inflammatory Arthritis Quality Improvement Tool uses 11 questions and 38 sub questions that assess three domains; background information (3 questions), pain management in the consultation (5 questions) and pain management in previous consultations (3 questions)[1]. The questions are based on the EULAR Guidelines for Pain Management in Inflammatory and Osteoarthritis [2]. The tool is free to use, produces results in real time in anonymised PDF form. The project is sponso

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Bettuzzi, C., C. N. Abati, G. Salvatori, A. Zanardi, and M. Lampasi. "Interobserver reliability of Diméglio and Pirani score and their subcomponents in the evaluation of idiopathic clubfoot in a clinical setting: a need for improved scoring systems." Journal of Children's Orthopaedics 13, no. 5 (2019): 478–85. http://dx.doi.org/10.1302/1863-2548.13.190010.

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Purpose Diméglio (DimS) and Pirani (PirS) scores are the most commonly used scoring systems for evaluation of clubfoot, with many centres performing both. Interobserver reliability of their global score has been rated high in a few studies, but agreement of their subcomponents has been poorly investigated. The aim of the study was to assess interrater reliability of global scores and of items in a clinical setting and to analyse overlapping features of the two scores. Methods Fifty-six consecutive idiopathic clubfeet undergoing correction using the Ponseti method were independently evaluated a

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DeSai, Charisma, Keri Janowiak, Beatrice Secheli, et al. "Empowering patients: simplifying discharge instructions." BMJ Open Quality 10, no. 3 (2021): e001419. http://dx.doi.org/10.1136/bmjoq-2021-001419.

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Patients who do not have enough information about their discharge plans have decreased treatment compliance, decreased patient safety, increased emergency department (ED) recidivism, and poor satisfaction. This project aimed to develop and implement a method to assess and improve patient understanding of treatment and discharge plan in the ED. The authors developed a questionnaire to assess patient knowledge using Centers for Medicare and Medicaid Services and Joint Commission recommendations, areas of communication deficits reported in other manuscripts, and ED staff and provider input. Respo

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Fowler, Peter V., Azza H. Al-Ani, and John M. D. Thompson. "Comparison of Reliability of Categorical and Continuous Scales for Radiographic Assessments of Bone Infill Following Secondary Alveolar Bone Grafting." Cleft Palate-Craniofacial Journal 55, no. 2 (2017): 269–75. http://dx.doi.org/10.1177/1055665617723922.

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Objectives: To investigate examiner reliability of scoring intraoral radiographs of bone infill following secondary bone grafting using a categorical scale (modified Kindelan Index) and a 10-cm visual analog scale (VAS). To investigate the level of clinical experience on the reliability of these assessments. Design: Retrospective study involving 10 clinicians of varying clinical experience who were blind to the patient’s identity. Setting: All grafting was carried out within the New Zealand public hospital service. Patients: Fifty-eight grafts (48 UCLP and 5 BCLP) were assessed with 14 duplica

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Galisteo, C., S. Garcia-Cirera, S. Retamozo, et al. "POS0782 ULTRASONOGRAPHIC EVALUATION OF MAJOR SALIVARY GLANDS IN PRIMARY SJOGREN’S SYNDROME: COMPARISON OF THREE SCORING SYSTEMS AND ASSOCIATION WITH BIOPSY RESULTS." Annals of the Rheumatic Diseases 81, Suppl 1 (2022): 678.1–678. http://dx.doi.org/10.1136/annrheumdis-2022-eular.4702.

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BackgroundSalivary glands ultrasound is an imaging technique useful for primary Sjogren’s syndrome (pSS) diagnosis. Nowadays, the use of ultrasound in diagnostic criteria is not clear. Different scoring systems have been published in recent years.ObjectivesThis study aims to compare the reliability between three salivary glands ultrasound (SGUS) scores in a series of patients with pSS. Furthermore, we assessed the association of the three SGUS scores with minor salivary gland biopsy.MethodsA cross-sectional study including 98 subjects fulfilling the ACR-EULAR 2017 classification criteria for p

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Katsios, CM, M. Donadini, M. Meade, et al. "Prediction Scores Do Not Correlate with Clinically Adjudicated Categories of Pulmonary Embolism in Critically Ill Patients." Canadian Respiratory Journal 21, no. 1 (2014): 36–42. http://dx.doi.org/10.1155/2014/296161.

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BACKGROUND: Prediction scores for pretest probability of pulmonary embolism (PE) validated in outpatient settings are occasionally used in the intensive care unit (ICU).OBJECTIVE: To evaluate the correlation of Geneva and Wells scores with adjudicated categories of PE in ICU patients.METHODS: In a randomized trial of thromboprophylaxis, patients with suspected PE were adjudicated as possible, probable or definite PE. Data were then retrospectively abstracted for the Geneva Diagnostic PE score, Wells, Modified Wells and Simplified Wells Diagnostic scores. The chance-corrected agreement between

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Hammer, Hilde Berner, Brigitte Michelsen, Joseph Sexton, et al. "Swollen, but not tender joints, are independently associated with ultrasound synovitis: results from a longitudinal observational study of patients with established rheumatoid arthritis." Annals of the Rheumatic Diseases 78, no. 9 (2019): 1179–85. http://dx.doi.org/10.1136/annrheumdis-2019-215321.

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ObjectivesJoint swelling and tenderness are considered a proxy for inflammation in patients with rheumatoid arthritis (RA). With ultrasound-detected inflammation as reference, our objectives were to explore on patient and joint level the associations between ultrasound synovitis and joint swelling, tenderness and patient-reported joint pain (PRJP).Methods209 patients with established RA were examined six times during 12 months with assessment of 32 joints in upper/lower extremities for joint swelling/tenderness and Grey scale (GS)/power Doppler (PD) synovitis. PRJP was assessed on a manikin. C

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Knippenberg, Inge, Ruslan Leontjevas, Ine Declercq, Jacques van Lankveld, Patricia de Vriendt, and Debby Gerritsen. "P76: Agreement between nursing-home caregivers’ observations of residents’ depression, wellbeing, and quality of life." International Psychogeriatrics 35, S1 (2023): 163–64. http://dx.doi.org/10.1017/s1041610223003010.

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Objective:In nursing home residents, outcomes are often assessed using proxies, especially in residents with severe cognitive problems. Although caregivers are commonly involved as proxies, studies assessing their agreement for proxy measures are scarce. Therefore, secondary analysis was performed on a dataset with proxy-reported scores of several scales in Dutch and Flemish nursing home residents with and without dementia.Methods:To assess the agreement between the observations of 81 pairs of caregivers, we calculated Cohen’s Kappa, Weighted Kappa, and Prevalence- and Bias-Adjusted Kappa (PAB

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Padmehr, Roya, Khadijeh Shadjoo, Arash Mohazzab, et al. "Intra- and inter-observer reproducibility of r-ASRM endometriosis classification system and its components, using edited videotaped laparoscopic procedures." Journal of Endometriosis and Pelvic Pain Disorders 13, no. 4 (2021): 256–61. http://dx.doi.org/10.1177/22840265211058085.

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Several classification systems have been proposed for endometriosis but the search for the ideal system is ongoing. While the most commonly used system has historically been r-ASRM, this system is not fit for purpose, particularly for deep endometriosis. In order to explore strategies to devise a new system and learn from problems with the existing ones, this study was designed to assess the reproducibility of each component in r-ASRM and its total score using videotaped laparoscopic procedures. Two surgeons independently scored 64 edited videos of laparoscopic endometriosis procedure, twice.

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Rocca, Walter A., Liliana Gazzuola Rocca, Carin Y. Smith, et al. "Assessment of adverse childhood experiences in women: a study of reliability and predictive validity of self-reporting versus medical records abstraction in an American population." BMJ Open 15, no. 7 (2025): e091270. https://doi.org/10.1136/bmjopen-2024-091270.

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Objective To study the reliability and validity of adverse childhood experiences (ACE) scores measured using a questionnaire versus abstraction of medical records, and to test whether the scores vary by history of bilateral oophorectomy, or by age and presence of anxiety or depressive symptoms at the time of questionnaire administration. Design The study involved a reliability component and a predictive validity component. Setting A population-based sample in Olmsted County, Minnesota, was derived from the Mayo Clinic Cohort Study of Oophorectomy and Aging-2. Participants We included 198 women

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Bagheban, Alireza Akbarzadeh, Mahtab Nouri, and Mohammadreza Safavi. "Assessment of agreement in measuring orthodontic treatment need with the modified DHC." Australasian Orthodontic Journal 24, no. 1 (2008): 10–14. http://dx.doi.org/10.2478/aoj-2008-0003.

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Abstract Aims To determine senior dental students’ validity, reliability and category distinguishability when using the Dental Health Component (DHC) of the Index of Orthodontic Treatment Need (IOTN). Methods Randomly selected pretreatment dental casts of 42 patients were used. The casts were assessed by six senior dental students after a 4-day training period and three orthodontists using the modified Dental Health Component (DHC) of the Index of Orthodontic Treatment Need (IOTN). Validity and reliability in assessing the DHC were measured using kappa and the category distinguishability with

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Bori, Rita, Ferenc Salamon, Csaba Móczár, and Gábor Cserni. "Interobserver reproducibility of Gleason grading in prostate biopsy samples." Orvosi Hetilap 154, no. 31 (2013): 1219–25. http://dx.doi.org/10.1556/oh.2013.29659.

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Introduction: Gleason grading is the most common method of prostate cancer classification. Aim: The aim of the authors was to assess the reproducibility of Gleason grading among pathologists using the same needle biopsy samples. Method: 23 pathologists examined 37 prostate cancer biopsies stained with hematoxylin and eosin. Gleason scores were categorised into 4 groups (2–4, 5–6, 7 and 8–10). Kappa statistics were used to reflect interobserver agreement. Results: Considering all participating pathologists, grouping into one of the 4 categories resulted in an overall kappa value of 0.49. For th

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Rizk, Dana V., Lea Novak, Stacy D. Hall, et al. "Colocalization of IgG and IgA Heavy Chains with Kappa and Lambda Light Chains in Glomerular Deposits of IgA Nephropathy Patients Using High-Resolution Confocal Microscopy and Correlation with Oxford MEST-C Scores." Journal of Clinical Medicine 12, no. 23 (2023): 7361. http://dx.doi.org/10.3390/jcm12237361.

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Routine immunofluorescence microscopy of glomerular immunodeposits in IgA nephropathy shows IgA, C3, and lambda light chains, and sometimes IgG, IgM, and kappa light chains. However, a previous study using high-resolution confocal microscopy showed IgG in all IgA nephropathy cases, likely representing autoantibodies specific for galactose-deficient IgA1. Here, we used high-resolution confocal microscopy to examine the composition of glomerular immunodeposits and colocalization of kappa and lambda light chains with IgA or IgG heavy chains in kidney-biopsy samples from twenty patients with IgA n

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Bouwmeester, Romy N., Mathijs Binkhorst, Nicole K. Yamada, et al. "Appraisal of a scoring instrument for training and testing neonatal intubation skills." Archives of Disease in Childhood - Fetal and Neonatal Edition 104, no. 5 (2018): F521—F527. http://dx.doi.org/10.1136/archdischild-2018-315221.

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ObjectiveTo determine the validity, reliability, feasibility and applicability of a neonatal intubation scoring instrument.DesignProspective observational study.SettingSimulation-based research and training centre (Center for Advanced Pediatric and Perinatal Education), California, USA.SubjectsForty clinicians qualified for neonatal intubation.InterventionsVideotaped elective intubations on a neonatal patient simulator were scored by two independent raters. One rater scored the intubations twice. We scored the preparation of equipment and premedication, intubation performance, tube position/fi

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Topaloğlu, Ali Can, Hüseyin Akkaya, Ömer Kaya, et al. "Comparison of PI-RADS and LIKERT scoring systems in the diagnosis of prostate cancer and the contribution of radiologist experience." Cukurova Medical Journal 50, no. 1 (2025): 106–14. https://doi.org/10.17826/cumj.1608411.

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Purpose: The aim of this study was to investigate the concordance of these two scoring systems with histopathological data and the relationship between this concordance and radiologist experience. Materials and Methods: A total of 347 patients who underwent multiparametric prostate MRI (mpMRI) with a preliminary diagnosis of prostate cancer were retrospectively reviewed. The assessors independently scored the images according to PI-RADS v2.1. Two weeks later, they independently scored the images using the LIKERT system while blinded to their previous PI-RADS v2.1 scores. The study investigated

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Mullins, Israel L., Carissa M. Truman, Magnus R. Campler, Jeffrey M. Bewley, and Joao H. C. Costa. "Validation of a Commercial Automated Body Condition Scoring System on a Commercial Dairy Farm." Animals 9, no. 6 (2019): 287. http://dx.doi.org/10.3390/ani9060287.

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Body condition scoring (BCS) is the management practice of assessing body reserves of individual animals by visual or tactile estimation of subcutaneous fat and muscle. Both high and low BCS can negatively impact milk production, disease, and reproduction. Visual or tactile estimation of subcutaneous fat reserves in dairy cattle relies on their body shape or thickness of fat layers and muscle on key areas of the body. Although manual BCS has proven beneficial, consistent qualitative scoring can be difficult to implement. The desirable BCS range for dairy cows varies within lactation and should

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Wilkins, Vanessa, Jeremy Evans, Christina Park, Annette L. Fitzpatrick, Kate E. Creevy, and Audrey Ruple. "Validation of the shortened version of the Canine Behavioral Assessment and Research Questionnaire (C-BARQ) using participants from the Dog Aging Project." PLOS ONE 19, no. 4 (2024): e0299973. http://dx.doi.org/10.1371/journal.pone.0299973.

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The Canine Behavioral Assessment and Research Questionnaire (C-BARQ) is a 100-item owner-completed survey instrument used for assessing behavior and temperament of companion dogs. The shortened version of the C-BARQ (C-BARQ(S)) consists of 42 items of the long C-BARQ. We aimed to validate the shortened C-BARQ(S) by comparing it with the long questionnaire in the same human-dog pair. We examined data from a nationwide cohort of companion dogs enrolled in the large-scale longitudinal Dog Aging Project (DAP) study. Among 435 participating owners who completed both the long and shortened versions

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Maybrier, Hannah R., Angela M. Mickle, Krisztina E. Escallier, et al. "Reliability and accuracy of delirium assessments among investigators at multiple international centres." BMJ Open 8, no. 11 (2018): e023137. http://dx.doi.org/10.1136/bmjopen-2018-023137.

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IntroductionDelirium is a common, serious postoperative complication. For clinical studies to generate valid findings, delirium assessments must be standardised and administered accurately by independent researchers. The Confusion Assessment Method (CAM) is a widely used delirium assessment tool. The objective was to determine whether implementing a standardised CAM training protocol for researchers at multiple international sites yields reliable inter-rater assessment and accurate delirium diagnosis.MethodsPatients consented to video recordings of CAM delirium assessments for research purpose

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Ramaekers, R., M. A. Mukarram, C. A. Smith, and V. Thiruganasambandamoorthy. "LO050: The predictive value of pre-endoscopic risk scores to predict adverse outcomes among emergency department patients with upper gastrointestinal bleeding - a systematic review." CJEM 18, S1 (2016): S47. http://dx.doi.org/10.1017/cem.2016.87.

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Introduction: Patients with upper gastrointestinal bleeding (UGIB) are at risk for serious adverse events (SAE) after emergency department (ED) discharge. Endoscopy can aid in risk stratification but is not easily available. Therefore, stratifying using pre-endoscopic risk scores can aid ED physicians in disposition decisions. The aim of this study was to conduct a systematic review to assess the predictive value of pre-endoscopic risk scores for risk-stratification of ED UGIB patients. Methods: We searched 4 databases from inception to March 2015 with search terms related to “UGIB” and “ED”.

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Lee, Jeremiah, and Terry Church. "143 Assessing gender literacy: A novel methodology for evaluating eligibility criteria in clinical research." Journal of Clinical and Translational Science 9, s1 (2025): 42. https://doi.org/10.1017/cts.2024.802.

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Objectives/Goals: The objective of this project is to develop a tool for evaluating clinical trial (CT) eligibility criteria for demonstrated “gender literacy,” defined as the recognition that biologically assigned “sex” is distinct from personally defined “gender identity,” as a way to quantify the inclusion of gender minority populations. Methods/Study Population: The study is validating an assessment scale that evaluates gender literacy based on CT eligibility criteria (EC). Two health professionals will serve as “coders,” tasked with grading 15 CTs. EC for all CTs will be exported from cli

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Abda Arif, Ruli Robi Ferli, and Theodorus. "Predicting Burn Patient Mortality: A Comparative Analysis of the BOBI and R-Baux Scoring Systems." Sriwijaya Journal of Surgery 8, no. 1 (2024): 764–75. https://doi.org/10.37275/sjs.v8i1.116.

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Introduction: Burns represents a significant global health challenge, causing considerable morbidity and mortality. Accurate prognostication is crucial for optimal burn care management. This study compared the accuracy of the BOBI and R-Baux scores in predicting mortality among burn patients. Methods: This retrospective study analyzed data from 46 burn patients treated at Dr. Mohammad Hoesin General Hospital Palembang. Patient demographics, burn characteristics, and mortality outcomes were recorded. BOBI and R-Baux scores were calculated for each patient. Sensitivity, specificity, positive pre

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Pinto, Frederico Ramos, Liane Correia-Costa, and Inês Azevedo. "Comparison of Kristjansson Respiratory Score and Wang Respiratory Score in infants with bronchiolitis in a hospital emergency department." Hong Kong Physiotherapy Journal 40, no. 02 (2020): 145–53. http://dx.doi.org/10.1142/s1013702520500146.

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Objective: Several respiratory scores have been created to evaluate bronchiolitis’ severity level, but it is still not clear which is the best score. The aim of this study is to compare the Wang Respiratory Score (WRS) and the Kristjansson Respiratory Score (KRS) in the setting of an emergency room. Methods: We performed a prospective observational study with 60 infants with bronchiolitis admitted to a paediatric emergency department. For both scores, we assessed inter-rater reliability between two different health professionals (physician and physiotherapist), internal consistency, and correl

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Fontes Marx, Mayara, Marion Heap, Margaret W. Gichane, and Leslie London. "Validity and reliability of maternal recall of pregnancy history and service use among signing Deaf women: a cross-sectional descriptive study from South Africa." BMJ Open 8, no. 12 (2018): e023896. http://dx.doi.org/10.1136/bmjopen-2018-023896.

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IntroductionThere is little credible quantitative data on pregnancy histories and outcomes for disabled women in low-income and middle-income countries. The purpose of this study, based in Cape Town, South Africa, was to test the reliability and validity of maternal recall of pregnancy history and service use among a sample of Deaf women who use South African Sign Language (SASL).MethodsWe interviewed 42 signing Deaf women of childbearing age (18–49 years) in SASL using a structured questionnaire in July 2016. To assess reliability, seven participants (16% of the sample) were reinterviewed by

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W, Macallister, Vasserman M, Fay-Mcclymont T, et al. "A-245 So What's the Damage? The Effect of the WISC-V Digitization Debacle." Archives of Clinical Neuropsychology 35, no. 6 (2020): 1040. http://dx.doi.org/10.1093/arclin/acaa068.245.

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Abstract Objective The WISC-V can now be administered in paper format or digitally. Though most subtests are comparable, Processing Speed Index (PSI) subtests, Coding and Symbol Search required complete redesign for digital presentation. We initially collected data to assess comparability of paper versus digital PSI tasks for future use. However, in March of 2020, Pearson issued an alert stating that, due to a programming error, Coding scores may be inflated secondary to timing inaccuracy; they advised against further use of digital Coding. We refocused our analyses to assess the degree to whi

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Ishee, Jimmy H., and Larry W. Titlow. "Validation of Criterion-Referenced Archery Cutting Scores." Perceptual and Motor Skills 76, no. 2 (1993): 643–46. http://dx.doi.org/10.2466/pms.1993.76.2.643.

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This study investigated an empirical method for setting optimal cutting scores for a criterion-referenced archery test. The classification-outcome probabilities and approaches to validity suggested by Berk were utilized. Pretest scores were obtained on 35 uninstructed college-age women on six ends (six arrows each) from 20 yards (18.3 m) after an unrecorded warm-up end. Posttest scores were after 15 weeks of instruction. Score distributions were the primary determinant for accurately classifying students as true mastery and true nonmastery. Accuracy is a function of the amount of overlap betwe

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Lin, Chuang, Shanxin Guo, Jinsong Chen, et al. "Deep Learning Network Intensification for Preventing Noisy-Labeled Samples for Remote Sensing Classification." Remote Sensing 13, no. 9 (2021): 1689. http://dx.doi.org/10.3390/rs13091689.

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The deep-learning-network performance depends on the accuracy of the training samples. The training samples are commonly labeled by human visual investigation or inherited from historical land-cover or land-use maps, which usually contain label noise, depending on subjective knowledge and the time of the historical map. Helping the network to distinguish noisy labels during the training process is a prerequisite for applying the model for training across time and locations. This study proposes an antinoise framework, the Weight Loss Network (WLN), to achieve this goal. The WLN contains three m

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Ijaz, Atif, Alexia Papaconstantinou, Helen O'Neill, and Harry G. Kennedy. "The Suicide Risk Assessment and Management Manual (S-RAMM) Validation Study 1." Irish Journal of Psychological Medicine 26, no. 2 (2009): 54–58. http://dx.doi.org/10.1017/s0790966700000215.

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AbstractObjective:There are validated tools for structured professional judgement of risk of violence, but few for risk of suicide. The Suicide Risk Assessment and Management Manual (S-RAMM) is a new structured professional judgement tool closely modelled on the HCR-20. This is the first validation study for the S-RAMM. We measured inter-rater reliability, internal consistency, concurrent validity with another validated risk instrument (HCR-20) and with a measure of psychopathology (PANSS). We tested whether the tool could distinguish between groups of patients clinically assessed as at varyin

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