Inter-observer variation in the assessment of skin ulceration.

F. Buntinx, H. Beckers, G. De Keyser, M. Flour, G. Nissen, T. Raskin, H. De Vet

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Abstract

Six observers (three physicians and three nurses) assessed 27 wounds of different types in 20 elderly patients, using five different classification systems. Using classification by colours, inter-observer agreement was moderate when six colours were used (70% agreement, group kappa 53%), and good if this was reduced to three (80% agreement, group kappa 64%). Results were only moderate using the Shea scoring system (68% agreement, group kappa 42%). Assessment for signs of infection was fair to moderate (75-85% agreement, group kappa 29-55%), but there was high inter-observer agreement for size and area (analysis of variance, p > or = 0.88).

Original languageEnglish
Pages (from-to)166-170
Number of pages5
JournalJournal of Wound Care
Volume5
Issue number4
DOIs
Publication statusPublished - 1 Jan 1996

Cite this

Buntinx, F., Beckers, H., De Keyser, G., Flour, M., Nissen, G., Raskin, T., & De Vet, H. (1996). Inter-observer variation in the assessment of skin ulceration. Journal of Wound Care, 5(4), 166-170. https://doi.org/10.12968/jowc.1996.5.4.166