Interobserver agreement for the assessment of handicap in stroke patients
Interobserver agreement for the assessment of handicap in stroke patients was investigated in a group of 10 senior neurologists and 24 residents from two centers. One hundred patients were separately interviewed by two physicians in different combinations. The degree of handicap was recorded by each...
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| Published in | Stroke (1970) Vol. 19; no. 5; pp. 604 - 607 |
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| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Hagerstown, MD
Lippincott Williams & Wilkins
01.05.1988
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| Subjects | |
| Online Access | Get full text |
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| Abstract | Interobserver agreement for the assessment of handicap in stroke patients was investigated in a group of 10 senior neurologists and 24 residents from two centers. One hundred patients were separately interviewed by two physicians in different combinations. The degree of handicap was recorded by each observer on the modified Rankin scale, which has six grades (0-5). The agreement rates were corrected for chance (kappa statistics). Both physicians agreed on the degree of handicap in 65 patients; they differed by one grade in 32 patients and by two grades in 3 patients. Kappa for all pairwise observations was 0.56; the value for weighted kappa (with quadratic disagreement weights) was 0.91. Our results confirm the value of the modified Rankin scale in the assessment of handicap in stroke patients; nevertheless, further improvements are possible. |
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| AbstractList | Interobserver agreement for the assessment of handicap in stroke patients was investigated in a group of 10 senior neurologists and 24 residents from two centers. One hundred patients were separately interviewed by two physicians in different combinations. The degree of handicap was recorded by each observer on the modified Rankin scale, which has six grades (0-5). The agreement rates were corrected for chance (kappa statistics). Both physicians agreed on the degree of handicap in 65 patients; they differed by one grade in 32 patients and by two grades in 3 patients. Kappa for all pairwise observations was 0.56; the value for weighted kappa (with quadratic disagreement weights) was 0.91. Our results confirm the value of the modified Rankin scale in the assessment of handicap in stroke patients; nevertheless, further improvements are possible. |
| Author | KOUDSTAAL, P. J VISSER, M. C SCHOUTEN, H. J. A VAN SWIETEN, J. C VAN GIJN, J |
| Author_xml | – sequence: 1 givenname: J. C surname: VAN SWIETEN fullname: VAN SWIETEN, J. C organization: Univ. dep. neurology, Utrecht, Netherlands – sequence: 2 givenname: P. J surname: KOUDSTAAL fullname: KOUDSTAAL, P. J organization: Univ. dep. neurology, Utrecht, Netherlands – sequence: 3 givenname: M. C surname: VISSER fullname: VISSER, M. C organization: Univ. dep. neurology, Utrecht, Netherlands – sequence: 4 givenname: H. J. A surname: SCHOUTEN fullname: SCHOUTEN, H. J. A organization: Univ. dep. neurology, Utrecht, Netherlands – sequence: 5 givenname: J surname: VAN GIJN fullname: VAN GIJN, J organization: Univ. dep. neurology, Utrecht, Netherlands |
| BackLink | http://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=7077440$$DView record in Pascal Francis https://www.ncbi.nlm.nih.gov/pubmed/3363593$$D View this record in MEDLINE/PubMed |
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| CODEN | SJCCA7 |
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| Keywords | Stroke Nervous system diseases Social adaptation Evaluation scale Statistical study Physical handicap |
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| Snippet | Interobserver agreement for the assessment of handicap in stroke patients was investigated in a group of 10 senior neurologists and 24 residents from two... |
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| SubjectTerms | Activities of Daily Living Biological and medical sciences Cerebrovascular Disorders - physiopathology Humans Medical sciences Neurologic Examination Neurology Prognosis Vascular diseases and vascular malformations of the nervous system |
| Title | Interobserver agreement for the assessment of handicap in stroke patients |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/3363593 https://search.proquest.com/docview/78205561 |
| Volume | 19 |
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