HIGH AGREEMENT BUT LOW KAPPA .1. THE PROBLEMS OF 2 PARADOXES

被引:2131
作者
FEINSTEIN, AR [1 ]
CICCHETTI, DV [1 ]
机构
[1] YALE UNIV,SCH MED,ROBERT WOOD JOHNSON CLIN SCHOLARS PROGRAM,NEW HAVEN,CT 06510
基金
美国安德鲁·梅隆基金会;
关键词
Agreement; Concordance; Kappa; Paradox;
D O I
10.1016/0895-4356(90)90158-L
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
In a fourfold table showing binary agreement of two observers, the observed proportion of agreement, P0 can be paradoxically altered by the chance-corrected ratio that creates κ as an index of concordance. In one paradox, a high value of P0 can be drastically lowered by a substantial imbalance in the table's marginal totals either vertically or horizontally. In the second pardox, κ will be higher with an asymmetrical rather than symmetrical imbalance in marginal totals, and with imperfect rather than perfect symmetry in the imbalance. An adjustment that substitutes Kmax for κ does not repair either problem, and seems to make the second one worse. © 1990.
引用
收藏
页码:543 / 549
页数:7
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