TY - JOUR
T1 - Occupational asthma: An assessment of diagnostic agreement between physicians
AU - Fishwick, David
AU - Bradshaw, Lisa
AU - Henson, Mandy
AU - Stenton, Chris
AU - Hendrick, David
AU - Burge, Sherwood
AU - Niven, Rob
AU - Warburton, Chris
AU - Rogers, Trevor
AU - Rawbone, Roger
AU - Cullinan, Paul
AU - Barber, Chris
AU - Pickering, Tony
AU - Williams, Nerys
AU - Ayres, Jon
AU - Curran, Andrew D.
PY - 2007/3
Y1 - 2007/3
N2 - Objectives: To investigate the levels of agreement between expert respiratory physicians when making a diagnosis of occupational asthma. Methods: 19 cases of possible occupational asthma were identified as part of a larger national observational cohort. A case summary for each case was then circulated to 12 physicians, asking for a percentage likelihood, from the supplied information, that this case represented occupational asthma. The resulting probabilities were then compared between physicians using Spearman's rank correlation and Cohen's K coefficients. Results: Agreement between the 12 physicians for all 19 cases was generally good as assessed by Spearman's rank correlation. For all 66 physician-physician interactions, 45 were found to correlate significantly at the 5% level. The agreement assessed by K analysis was more variable, with a median κ value of 0.26, (range -0.2 to +0.76), although 7 of the physicians agreed significantly (p
AB - Objectives: To investigate the levels of agreement between expert respiratory physicians when making a diagnosis of occupational asthma. Methods: 19 cases of possible occupational asthma were identified as part of a larger national observational cohort. A case summary for each case was then circulated to 12 physicians, asking for a percentage likelihood, from the supplied information, that this case represented occupational asthma. The resulting probabilities were then compared between physicians using Spearman's rank correlation and Cohen's K coefficients. Results: Agreement between the 12 physicians for all 19 cases was generally good as assessed by Spearman's rank correlation. For all 66 physician-physician interactions, 45 were found to correlate significantly at the 5% level. The agreement assessed by K analysis was more variable, with a median κ value of 0.26, (range -0.2 to +0.76), although 7 of the physicians agreed significantly (p
U2 - 10.1136/oem.2006.027722
DO - 10.1136/oem.2006.027722
M3 - Article
SN - 1351-0711
VL - 64
SP - 185
EP - 190
JO - Occupational and Environmental Medicine
JF - Occupational and Environmental Medicine
IS - 3
ER -
