Interrater reliability of clinical ratings and neurocognitive diagnoses in HIV
Interrater reliability of clinical ratings and neurocognitive diagnoses in HIV
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DOI：
10.1080/13803390490509565
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发表时间：
2004-09-01
影响因子：
2.2
通讯作者：
Heaton, RK
中科院分区：
文献类型：
--
作者：
Woods, SP;Rippeth, JD;Heaton, RK
我们检查了评估者间的可靠性（IRR）的神经心理（NP）损伤和神经认知诊断的HIV的临床评级。30名晚期HIV感染者参加了一项多中心HIV脑库研究项目，他们接受了全面的NP和神经医学评估。使用一个标准化的系统的指导方针，神经心理学家从六个参与网站独立分配的NP损伤的临床评级，以及多级诊断反映推断的病因及其对日常功能的影响。研究结果表明，极好的IRR评级的存在和严重程度的NP损害，但总体上温和的IRR神经认知诊断。毫不奇怪，大多数诊断分歧涉及的病因学的损害的人与医疗和神经精神风险因素，除了艾滋病毒。
We examined the interrater reliability (IRR) of clinical ratings of neuropsychological (NP) impairment and neurocognitive diagnoses in HIV. Thirty participants with advanced HIV-infection who were enrolled in a multicenter HIV brain banking research project underwent comprehensive NP and neuromedical evaluations. Using a standardized system of guidelines, neuropsychologists from six participating sites independently assigned clinical ratings of NP impairment, as well as multilevel diagnoses reflecting the inferred etiology of the impairments and their effects on everyday functioning. Findings indicated excellent IRR in rating the presence and severity of NP impairment, but overall modest IRR for neurocognitive diagnoses. Not surprisingly, most diagnostic disagreements concerned the etiology of impairments in persons with medical and neuropsychiatric risk factors in addition to HIV.