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Between- and Within-Observer Agreement for Expert Judgment of Peak Flow Graphs From a Working Population

 

作者: Jan-Paul Zock,   Daphnis Brederode,   Dick Heederik,  

 

期刊: Journal of Occupational and Environmental Medicine  (OVID Available online 1998)
卷期: Volume 40, issue 11  

页码: 969-972

 

ISSN:1076-2752

 

年代: 1998

 

出版商: OVID

 

数据来源: OVID

 

摘要:

Expert judgment of peak flow-time graphs provides an important tool to detect occupational asthma. This technique has mainly been used in clinics to evaluate reversible airflow obstruction and to assess potential work-related patterns. The reproducibility of this technique in an open working population is unknown. Agreement between and within nine experts was studied using peak flow-time graphs of 49 potato-processing workers. All graphs were classified into four categories by the nine experts, while seven experts read ten graphs at two occasions. Thirty-four graphs (69%) were classified as "no airway obstruction" while four graphs (8%) showed "work-related airway obstruction." There was only slight agreement between the nine experts; mean Cohen's kappa (κ) was 0.19. Agreement within experts was moderate; mean κ was 0.47 for judging graphs twice. Our results suggest that in a "healthy" working population, judgment of peak flow graphs is not a favorable method for detection of airway obstruction. If this technique is applied in epidemiological studies, judgment of the graphs should be done by more than one expert.

 



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