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Table 3 Agreement and variability in classification of DBPCFC outcome

From: Standardized food challenges are subject to variability in interpretation of clinical symptoms

 

All DBPCFC (n =191)

DBPCFC with symptoms (n =111)

 

1

2

3

1

2

3

Agreement with initial DBPCFC outcome

79%

82%

87%

65%

69%

78%

 

1:2

1:3

2:3

1:2

1:3

2:3

Inter-observer agreement

78%

76%

76%

76%

61%

60%

κ (95% CI)

0.65 (0.56-0.74)

0.59 (0.50-0.68)

0.59 (0.50-0.68)

0.46 (0.39-0.53)

0.35 (0.22-0.48)

0.31 (0.25-0.38)

Overall agreement

69%

50%

 

1

2

3

1

2

3

Intra-observer agreement*

77%

83%

88%

67%

70%

81%

κ (95% CI)

0.63 (0.45-0.82)

0.71 (0.54-0.89)

0.77 (0.62-0.92)

0.50 (0.37-0.63)

0.52 (0.39-0.65)

0.60 (0.45-0.60)

  1. DBPCFC, Double Blind Placebo Controlled Food Challenge.
  2. κ, Kappa.
  3. *n =48 (All DBPCFC) and n =27 (DBPCFC with symptoms).
  4. Bold numbers express different observers. For example; 1 = observer 1 and 1:2 = observer 1 versus observer 2.