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Interexaminer agreement on palpatory diagnosis and patient self-assessment of disability: a pilot study

Journal: The Journal of the American Osteopathic Association Date: 1995/02, 95(2):Pages: 97-100, 103-106. doi: Subito , type of study: observational study

Free full text   (https://www.degruyter.com/document/doi/10.7556/jaoa.1995.95.2.97/html)

Keywords:

diagnosis [389]
disability [40]
disability evaluation [6]
interexaminer agreement [1]
observational study [217]
observer variation [6]
palpation [214]
pilot study [193]
self-assessment [4]

Abstract:

To evaluate interexaminer agreement on palpatory diagnostic findings, we compared interexaminer results, patient disability self-evaluations, and assessment of patients' progress by referring physicians. Three examiners (two clinicians and a third-year osteopathic medical student fellow) monitored patients' progress using negotiated examination procedures. The patients were examined independently by each examiner at each of eight weekly visits. Patients completed a disability assessment form at each visit, and the referring physicians recorded changes in their patients' condition. The patients' disability self-rating and examiner test results did not show clear correlation. There was a 62.2% agreement between the two physician examiners when the general descriptors “improvement,“ “no change,“ or “aggravation“ were used. The student examiner's agreement with the clinician examiners was 60.2% and 51.8%. Interexaminer agreement of findings from osteopathic testing procedures appears to depend on general clinical experience and specific experience with the testing procedures.


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