Interrater agreement on tympanometry in infants
Two-hundred and forty-two tympanograms of infants were interpreted according to a standard operating procedure independently by an audiologist and ten study doctors from the Finnish Otitis Media Vaccine Trial. The interrater agreement among the study doctors according to Kappa index was excellent (K...
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| Veröffentlicht in: | Scandinavian Audiology 2000, Vol.29 (4), p.260-265 |
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| creator | Palmu, Arto Rahko, Tapani Puhakka, Heikki Takala, Aino K. |
| description | Two-hundred and forty-two tympanograms of infants were interpreted according to a standard operating procedure independently by an audiologist and ten study doctors from the Finnish Otitis Media Vaccine Trial. The interrater agreement among the study doctors according to Kappa index was excellent (K = 0.80). The agreement was significantly better on curves taken during pre-scheduled healthy visits than during sick visits due to respiratory infection ( p < 0.001). In addition concurrent knowledge of the clinical ear status significantly improved the agreement on abnormal curves (flat B-curves and failed F-curves, p < 0.001). The clinical differences between the groups were minor. The age of the infant had no effect on interpretation. The agreement between the audiologist and the study doctors was also excellent (K = 0.77). Excellent agreement can be achieved in infant tympanometry through adequate instruction and training. |
| doi_str_mv | 10.1080/010503900750022899 |
| format | Article |
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The interrater agreement among the study doctors according to Kappa index was excellent (K = 0.80). The agreement was significantly better on curves taken during pre-scheduled healthy visits than during sick visits due to respiratory infection ( p < 0.001). In addition concurrent knowledge of the clinical ear status significantly improved the agreement on abnormal curves (flat B-curves and failed F-curves, p < 0.001). The clinical differences between the groups were minor. The age of the infant had no effect on interpretation. The agreement between the audiologist and the study doctors was also excellent (K = 0.77). 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The interrater agreement among the study doctors according to Kappa index was excellent (K = 0.80). The agreement was significantly better on curves taken during pre-scheduled healthy visits than during sick visits due to respiratory infection ( p < 0.001). In addition concurrent knowledge of the clinical ear status significantly improved the agreement on abnormal curves (flat B-curves and failed F-curves, p < 0.001). The clinical differences between the groups were minor. The age of the infant had no effect on interpretation. The agreement between the audiologist and the study doctors was also excellent (K = 0.77). Excellent agreement can be achieved in infant tympanometry through adequate instruction and training.</description><subject>Acoustic Impedance Tests - statistics & numerical data</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Observer Variation</subject><subject>Otitis Media - diagnosis</subject><subject>Otitis Media - epidemiology</subject><subject>Sensitivity and Specificity</subject><issn>0105-0397</issn><issn>1708-8186</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LAzEQhoMotlb_gAfpydvaSfYrAT1I8aNQ8NJ7SNLEbtlNapJF9t-b0oKIUBhmLs_7zsyL0C2GBwwUZoChhJwB1CUAIZSxMzTGNdCMYlqdo_EeyBJRj9BVCFsAyKsCLtEIY8xKVlRjNFvYqL0XqU3Fp9e60zZOnZ3GodsJ6zod_TBtbCojbAzX6MKINuib45yg1evLav6eLT_eFvPnZaYKqGJmWFkokFTigmGpKVXMUJYX64KZ2hBRlUZRqY0iUlaQY0JImQtMS5B5gWU-QfcH2513X70OkXdNULpthdWuD7wmJanriiSQHEDlXQheG77zTSf8wDHwfUr8f0pJdHd072Wn17-SYywJeDoA6WvnO_HtfLvmUQyt88YLq5rA85MLHv_oN1q0caOE13zrem9Tcqfu-wHx6ob3</recordid><startdate>2000</startdate><enddate>2000</enddate><creator>Palmu, Arto</creator><creator>Rahko, Tapani</creator><creator>Puhakka, Heikki</creator><creator>Takala, Aino K.</creator><general>Informa UK Ltd</general><general>Taylor & Francis</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>2000</creationdate><title>Interrater agreement on tympanometry in infants</title><author>Palmu, Arto ; Rahko, Tapani ; Puhakka, Heikki ; Takala, Aino K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c406t-f954c0b8b1491be88c9f8934d49f7f2a65fc8befc2bb603122253a1850b341b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Acoustic Impedance Tests - statistics & numerical data</topic><topic>Female</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Observer Variation</topic><topic>Otitis Media - diagnosis</topic><topic>Otitis Media - epidemiology</topic><topic>Sensitivity and Specificity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Palmu, Arto</creatorcontrib><creatorcontrib>Rahko, Tapani</creatorcontrib><creatorcontrib>Puhakka, Heikki</creatorcontrib><creatorcontrib>Takala, Aino K.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>Scandinavian Audiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Palmu, Arto</au><au>Rahko, Tapani</au><au>Puhakka, Heikki</au><au>Takala, Aino K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Interrater agreement on tympanometry in infants</atitle><jtitle>Scandinavian Audiology</jtitle><addtitle>Scand Audiol</addtitle><date>2000</date><risdate>2000</risdate><volume>29</volume><issue>4</issue><spage>260</spage><epage>265</epage><pages>260-265</pages><issn>0105-0397</issn><eissn>1708-8186</eissn><abstract>Two-hundred and forty-two tympanograms of infants were interpreted according to a standard operating procedure independently by an audiologist and ten study doctors from the Finnish Otitis Media Vaccine Trial. 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| source | MEDLINE; Taylor & Francis Medical Library - CRKN; Taylor & Francis Journals Complete |
| subjects | Acoustic Impedance Tests - statistics & numerical data Female Humans Infant Male Observer Variation Otitis Media - diagnosis Otitis Media - epidemiology Sensitivity and Specificity |
| title | Interrater agreement on tympanometry in infants |
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