Measuring Agreement in Diagnostics: A Practical Guide for Researchers.

ABSTRACT: Healthcare professionals routinely perform clinical examinations and diagnostic assessments. How the findings of these assessments are interpreted can have significant implications for patient care and outcomes. A recent systematic review on reliability and agreement studies in intrapartum fetal heart rate monitoring highlighted three methodological issues: (1) confusion between the concepts of agreement and reliability, (2) lack of clarity on how agreement and reliability measures are calculated when more than two raters are involved, and (3) confidence intervals seldom reported. This paper aims to clarify how agreement measures can be computed and interpreted when the outcome is binary (e.g., normal/abnormal test result). Using a motivating example in which five experienced obstetricians

SUBMITTER: Vanbelle S 

PROVIDER: S-EPMC12531475 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature