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Interobserver Agreement for the Assessment of Handicap in Stroke Patients Stroke 19:604-607, vanSwieten,J.C.,et al, 1988 See this aricle in Pubmed Article Abstract Interobserver agreement for the assessment of handicap in stroke patients was investigated in a group of 10 senior neurologists and 24 residents from two centers.One hundred patients were separately interviewed by two physicians in different combinations.The degree of handicap was recorded by each observer on the modified Rankin scale,which has six grades(0-5). The agreement rates were corrected for chance(k statistics).Both physicians agreed on the degree of handicap in 65 patients;they differed by one grade in 32 patients and by two grades in 3 patients.K for all pairwise observations was 0.56;the value for weighted K(with quadratic disagreement weights)was 0.91.Our results confirm the value of the modified Rankin scale in the assessment of handicap in stroke patients; nevertheless,further improvements are possible.

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(click to filter results - removes previous filter) cerebrovascular accident disability rating scale,neurological disability,neurological interobserver agreement stroke disability scale

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