Table 3 Agreement between clinician pairs in classification of CXR abnormalities in patients with a severe acute respiratory infection
| Â | Â | Â | Number of CXRs with discrepant scores |
|---|---|---|---|
| Â | Weighted Kappa | Strength of | n = 250 |
Clinician-clinician combination | (95 % CI) | agreementa | n (%) |
Agreement after independent review | |||
Pediatrician vs. internal medicine physician | 0.85 (0.73 to 0.98) | ‘Very good’ | 39 (16) |
Pediatrician vs. internal medicine resident | 0.76 (0.63 to 0.88) | ‘Good’ | 48 (19) |
Pediatrician vs. pediatric resident | 0.81 (0.68 to 0.95) | ‘Very good’ | 51 (20) |
Pediatrician vs. medical student 1 | 0.66 (0.53 to 0.78) | ‘Good’ | 67 (27) |
Pediatrician vs. medical student 2 | 0.63 (0.50 to 0.76) | ‘Good’ | 70 (28) |
Pediatrician vs. research nurse | 0.75 (0.62 to 0.88) | ‘Good’ | 56 (22) |
Agreement after combined review of CXRs with discrepant scores | |||
Pediatrician vs. internal medicine physician | 0.98 (0.90 to 1.06) | ‘Very good’ | 3 (1) |
Pediatrician vs. internal medicine resident | 0.99 (0.87 to 1.12) | ‘Very good’ | 4 (2) |
Pediatrician vs. pediatric resident | 0.97 (0.84 to 1.09) | ‘Very good’ | 5 (2) |
Pediatrician vs. medical student 1 | 0.99 (0.86 to 1.11) | ‘Very good’ | 3 (1) |
Pediatrician vs. medical student 2 | 0.98 (0.85 to 1.10) | ‘Very good’ | 3 (1) |
Pediatrician vs. research nurse | 0.99 (0.86 to 1.11) | ‘Very good’ | 6 (2) |