| Autor: |
Lopez OL; Alzheimer Disease Research Center, University of Pittsburgh School of Medicine, PA 15213., Swihart AA, Becker JT, Reinmuth OM, Reynolds CF 3rd, Rezek DL, Daly FL 3rd |
| Jazyk: |
angličtina |
| Zdroj: |
Neurology [Neurology] 1990 Oct; Vol. 40 (10), pp. 1517-22. |
| DOI: |
10.1212/wnl.40.10.1517 |
| Abstrakt: |
Although the NINCDS-ADRDA Work Group has recently developed uniform clinical criteria for the diagnosis of Alzheimer's disease (AD), inter-rater reliability studies of these criteria are few. We report a study in which 2 neurologists and 2 psychiatrists independently reviewed clinical data abstracted from the records of 30 demented subjects and 10 nondemented control subjects participating in a longitudinal study of AD at the University of Pittsburgh. We recorded the clinical data on a standardized form; the subjects' identity and clinical and pathologic diagnoses were omitted. Each physician diagnosed each case according to the NINCDS-ADRDA criteria. We calculated the inter-rater agreement for all possible 2-way combinations of clinicians with the Kappa statistic, which ranged from 0.36 (fair agreement) to 0.65 (substantial agreement). We conclude that current NINCDS-ADRDA criteria enable moderate levels of agreement among clinicians in general. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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