Browse > Article
http://dx.doi.org/10.6114/jkood.2013.26.2.010

Inter- and Intra-rater Reliability of Pattern Identification Using Nasal Endoscopy for Allergic Rhinitis  

Kim, Kyu-Seok (Department of Ophthalmology, Otolaryngology and Dermatology, College of Korean Medicine, Kyung Hee University)
Yun, Young-Hee (Department of Ophthalmology, Otolaryngology and Dermatology, College of Korean Medicine, Kyung Hee University)
Park, Jeong-Su (Department of Preventive Medicine, College of Korean Medicine and Center for Clinical Research and Drug Development, Kyung Hee University)
Kim, Nam-Kwen (Department of Ophthalmology, Otolaryngology and Dermatology, College of Korean Medicine, Wonkwang University)
Kim, Kyung-Jun (Department of Ophthalmology, Otolaryngology and Dermatology, College of Korean Medicine, Gachon University)
Kim, Hee-Taek (Department of Ophthalmology, Otolaryngology and Dermatology, College of Korean Medicine, Semyung University)
Hong, Seung-Ug (Department of Ophthalmology, Otolaryngology and Dermatology, College of Korean Medicine, Dongguk University)
Jang, Bo-Hyeong (Department of Preventive Medicine, College of Korean Medicine and Center for Clinical Research and Drug Development, Kyung Hee University)
Yoon, Hwa-Jung (Department of Ophthalmology, Otolaryngology and Dermatology, College of Korean Medicine, Dong-Eui University)
Choi, In-Hwa (Department of Ophthalmology, Otolaryngology and Dermatology, College of Korean Medicine, Kyung Hee University)
Ko, Seong-Gyu (Department of Preventive Medicine, College of Korean Medicine and Center for Clinical Research and Drug Development, Kyung Hee University)
Publication Information
The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology / v.26, no.2, 2013 , pp. 10-18 More about this Journal
Abstract
Objectives : We performed a pilot study to investigate inter- and intra-rater reliability of pattern identification using nasal endoscopy for allergic rhinitis(AR). Methods : Eight experts of ophthalmology, otolaryngology and dermatology of Korean medicine evaluated 20 nasal endoscopy photograph cases of AR patients with pattern identification index using nasal endoscopy for AR including the nasal membrane color(pale / hyperemia), nasal membrane humidity(dryness / dampness), rhinorrhea(watery / yellow), and membrane edema (atrophic / edematous) on nasal endoscopy. Results : Intra-rater agreement(%) and Kappa coefficient was generally from 'moderate' to 'good'(% agreement: 73.13-90% / Kappa coefficient: 0.547-0.748). Inter-rater agreement(%) and Kappa coefficient was also from 'moderate' to 'good' (% agreement: 65-85% / Kappa: 0.475-0.778) except 'humidity(dryness / dampness)' item (% agreement: 55.98% / Kappa: 0.340). In findings of subgroup analysis according to affiliation of raters, Inter-rater agreement(%) and Kappa coefficient of raters in same affiliation was higher than inter-rater agreement(%) and Kappa coefficient of raters in different affiliation except 'dryness / dampness' item. Conclusions : It is necessary to improve objectivity and reproducibility of pattern identification using nasal endoscopy for allergic rhinitis(AR) through the development of detail-oriented criteria and enhanced training of clinicians with development of standard operating procedures(SOPs).
Keywords
Allergic Rhinitis; Nasal Endoscopy; Pattern Identification;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 Lee JS. Guideline of clinical trial on efficacy of herbal preparations. Bio Herbal Pharmacy report in Korean Food and Drug Administration. 2010.
2 Seong TJ. Validity and reliability. 2nd ed. Seoul:Hakjisa. 2005:155-6.
3 Altman DG. Practical statistics for medical research. London:Chapman and Hall Inc. 1991.
4 Okubo K, Kurono Y, Fujieda S, Ogino S, Uchio E, Odajima H, et al. Japanese Society of Allergology. Japanese guideline for allergic rhinitis. Allergol Int. 2011;60(2):171-89.   DOI   ScienceOn
5 Ko SG, Shin YC. The Research on evaluation endpoint development for clinical trial of herbal medicinal products about atopic dermatitis and allergic rhinitis. Korean Food and Drug Administration report. 2008.
6 Yang JH, Park JH, Han YS. Review in the view of Western and Oriental medicne on allergic rhinitis. J Jeahan Oriental Med Acad. 1999;4(1):436-48.
7 Min YG, Choi JO, Kim LS. Clinical Otolaryngology for primary practice. 1st ed. Seoul:Iljogak. 2004.
8 Yoon YH, Park JS, Kim KS, Kim NG, Kim KJ, Kim HT, et al. Study on the Development of Guideline for Assessing Anterior Nasal Cavity Using Nasal Endoscopy on Allergic Rhinitis Patients. Kor J Oreintal Preventive Med Soc. 2013;17(1) in print.   과학기술학회마을
9 Lee KS, Park DH, Kim GE, Bang JH, Kim JH, Choi JY, et al. A Systematic review from the journals under the Korean oriental medical society. J Korean Oriental Med. 2010;31(5):1-11.   과학기술학회마을
10 Gwet KL. Handbook of inter-rater reliability: The definitive guide to measuring the extent of agreement among multiple raters, advanced analytics. 3rd ed. LLC. 2012.
11 Bousquet J, Khaltaev N, Cruz AA, Denburg J, Fokkens WJ, Togias A, et al. Allergic rhinitis and its impact on asthma (ARIA) 2008 update (in collaboration with the World Health Organization, GA2LEN and AllerGen). Allergy. 2008;63(suppl86):8-160.   DOI   ScienceOn