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http://dx.doi.org/10.7730/JSCM.2014.26.3.295

The Concordance and Validity Assessment of Diagnosis for the Expert in Sasang Constitution  

Baek, Young-Hwa (Korea Institute of Oriental Medicine)
Kim, Ho-Seok (Korea Institute of Oriental Medicine)
Lee, Si-Woo (Korea Institute of Oriental Medicine)
Jang, Eun-Su (Korea Institute of Oriental Medicine)
Publication Information
Journal of Sasang Constitutional Medicine / v.26, no.3, 2014 , pp. 295-303 More about this Journal
Abstract
Objectives It is very important to diagnose Sasang Constitution (SC) correctly. The aim of this study was to reveal the concordance and validity of the specialists in Sasang Constitutional Medicine (SCM). Methods Three experts who had more than 5 years of experience and used more than 90% of Sasang Constitutional prescription in clinical practice of SCM participated in this study. The data composed of body shape, face, voice, temperament and physio-pathological symptoms were collected in the Korea Constitutional Multicenter Bank and 81 subjects' data were extracted randomly. The experts reviewed all 81 subjects data independently. Kappa analysis was conducted. Results 1) The concordance is from 52.5% to 68.4% among three experts. 2) The validity between individual expert and gold standard is from 54.3% to 63% and Kappa's coefficients are from 0.283 to 0.421. 3) The validity is from 68.5% to 70.7% when two or three experts agree the Sasang constitution independently and 75.7% when all of experts agree it. Conclusions The concordance and validity of experts in SCM seems to be moderate. We think further study is needed.
Keywords
Sasang Constitution; Concordance; Validity; Expert;
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Times Cited By KSCI : 15  (Citation Analysis)
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