Interexaminer reliability for multiple diagnostic test regimens.
A methodology is presented for conducting interexaminer reliability studies when indication for adjustment is based on the outcomes of multiple diagnostic procedures. The adjustment decision-making process is simulated by defining multitest scores to be computed from test battery results and defining threshold values of these scores to demarcate the selection/rejection decision made by the clinician. A probability analysis of random chance agreement suggests that intermediate values of the threshold multitest scores must be used to ensure moderate agreement between observers and the viability of concordance statistics.
Haas
M
M
Research Department, Western States Chiropractic College, Portland, OR 97230.
D002684:Chiropractic / Q000379:methods*; D003627:Data Interpretation, Statistical; D003955:Diagnostic Tests, Routine; D006801:Humans; D011336:Probability; D015203:Reproducibility of Results; D012107:Research Design