SCIENTIFIC PROBLEMS IN CLINICAL-SCALES, AS DEMONSTRATED IN THE KARNOFSKY INDEX OF PERFORMANCE STATUS

被引：200

作者：

HUTCHINSON, TA ^{[1
]}

BOYD, NF ^{[1
]}

FEINSTEIN, AR ^{[1
]}

GONDA, A ^{[1
]}

HOLLOMBY, D ^{[1
]}

ROWAT, B ^{[1
]}

机构：

[1] YALE UNIV,SCH MED,DEPT MED & EPIDEMIOL,NEW HAVEN,CT 06520

来源：

JOURNAL OF CHRONIC DISEASES | 1979年 / 32卷 / 9-10期

关键词：

D O I：

10.1016/0021-9681(79)90096-1

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

No general standards have been established for creating or evaluating the scales used to rate clinical phenomena. The need for such standards became apparent when we evaluated the Karnofsky Performance Status Scale. We studied inter-observer variability in the use of the Karnofsky scale when two pairs of physicians scored 60 patients on the scale. Agreement was only 34% for one pair and 29% for the other. Major sources of observer variability appeared to be the lack of operational criteria to define the major elements of the scale and the nonexhaustive aggregation of the scale's constituent elements. Recognition of the importance of these omissions can improve the evaluation of other clinical scales and assist the development and testing of new scales. © 1979.

引用

页码：661 / 666

页数：6