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dc.contributor.authorAndersen, Stian
dc.contributor.authorDavidsen, Anne Herefoss
dc.contributor.authorSchirmer, Henrik
dc.contributor.authorMelbye, Hasse
dc.contributor.authorSpigt, Marcus
dc.contributor.authorAviles Solis, Juan Carlos
dc.date.accessioned2023-01-30T10:31:22Z
dc.date.available2023-01-30T10:31:22Z
dc.date.issued2023-01-04
dc.description.abstractObjective: To investigate interrater and intrarater agreement between physicians and medical students on heart sound classification from audio recordings, and factors predicting agreement with a reference classification.<p> <p>Design: Intra- and interrater agreement study. <p>Subjects: Seventeen GPs and eight cardiologists from Norway and the Netherlands, eight medical students from Norway. <p>Main outcome measures: Proportion of agreement and kappa coefficients for intrarater agreement and agreement with a reference classification. <p>Results: The proportion of intrarater agreement on the presence of any murmur was 83% on average, with a median kappa of 0.64 (range k ¼ 0.09–0.86) for all raters, and 0.65, 0.69, and 0.61 for GPs, cardiologist, and medical students, respectively. <p>Results: The proportion of agreement with the reference on any murmur was 81% on average, with a median kappa of 0.67 (range 0.29–0.90) for all raters, and 0.65, 0.69, and 0.51 for GPs, cardiologists, and medical students, respectively. Results: Distinct murmur, more than five years of clinical practice, and cardiology specialty were most strongly associated with the agreement, with ORs of 2.41 (95% CI 1.63–3.58), 2.19 (1.58–3.04), and 2.53 (1.46–4.41), respectively. <p>Conclusion: We observed fair but variable agreement with a reference on heart murmurs, and physician experience and specialty, as well as murmur intensity, were the factors most strongly associated with agreement.en_US
dc.identifier.citationAndersen, Davidsen, Schirmer, Melbye, Spigt, Aviles Solis. Interrater and intrarater agreement on heart murmurs. Scandinavian Journal of Primary Health Care. 2022;40(4):491-497en_US
dc.identifier.cristinIDFRIDAID 2115617
dc.identifier.doi10.1080/02813432.2022.2159204
dc.identifier.issn0281-3432
dc.identifier.issn1502-7724
dc.identifier.urihttps://hdl.handle.net/10037/28413
dc.language.isoengen_US
dc.publisherTaylor & Francisen_US
dc.relation.journalScandinavian Journal of Primary Health Care
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2022 The Author(s)en_US
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0en_US
dc.rightsAttribution-NonCommercial 4.0 International (CC BY-NC 4.0)en_US
dc.titleInterrater and intrarater agreement on heart murmursen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)
Med mindre det står noe annet, er denne innførselens lisens beskrevet som Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)