I've been trying to collect some up to date data on clinical disagreement using Cohen's kappa scores. In Sackett et al's big book, there are some examples that are beginning to look rather dated. A Medline search got me several thousand articles with 'kappa' as a textword but my attempts to refine the search have not struck gold so far.
Any offers of EITHER recent studies that have successfully quantified clinical disagreement OR a good search strategy to find them would be most welcome.
Incidentally, several list members responded to my plea a month or so ago for a non-jargon introduction to outcomes research. Of all the many suggestions I would say the following helped me most:
Zimmerman DL, Daley J, Kizer K, Feussner JR. Using outcomes to improve health care decision making: a primer. Management Decision and Research Center, Washington DC, USA. Available as a downloadable file from internet site http://www.va.gov/resdev/ps/pshsrd/outcomes.pdf
I'm still digesting all the others!
Thanks to everyone once more. Best wishes.
trish
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|