Interrater Variability among Anaesthesiologists Using American Society of Anesthesiologists Physical Status Classification System
Background: The American Society of Anaesthesiologists Physical Status classification is deployed by the anaesthesiologists worldwide to classify operative surgical patients. Many studies have found moderate degree of interrater variability among anaesthesiologists. The general objective of the st...
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| Format: | Article |
| Language: | English |
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Nepal Health Research Council
2024-03-01
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| Series: | Journal of Nepal Health Research Council |
| Online Access: | https://www.jnhrc.com.np/index.php/jnhrc/article/view/4542 |
| _version_ | 1797233903838167040 |
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| author | Amit Sharma Bhattarai Navindra Raj Bista Madindra Bahadur Basnet Deepak Raj Joshi Anil Shrestha |
| author_facet | Amit Sharma Bhattarai Navindra Raj Bista Madindra Bahadur Basnet Deepak Raj Joshi Anil Shrestha |
| author_sort | Amit Sharma Bhattarai |
| collection | DOAJ |
| description |
Background: The American Society of Anaesthesiologists Physical Status classification is deployed by the anaesthesiologists worldwide to classify operative surgical patients. Many studies have found moderate degree of interrater variability among anaesthesiologists.
The general objective of the study was to find out interrater variability among Nepalese anesthesiologists using this classification system in Nepal. The specific objectives of the study were to find out the correctness of assignment and inter-rater variability among anaesthesiologists based on their experience.
Methods: Ten clinical cases were distributed among 130 registered anaesthesiologist practitioners of Nepal after validation with the experts. Respondents were asked to assign each of ten cases to a specific physical status class. Anaesthesiologists were classified to two classes based on clinical experience as having more or less than five years of experience.
Results: We found substantial agreement among < 5 year’s (0.66) and > 5 year’s experience group (0.753) and among all raters (0.736). The mean score of the group with less than 5 years of experience was more. There was no significant difference between the mean score (p = 0.595). Overall mean score for the both groups was 5.66 with SD 1.66. There was no significant difference between the groups.
Conclusions: The study shows that there is very less variation among registered practising anaesthesiologists of Nepal using American Society of Anesthesiologists Physical Status classification system.
Keywords: ASA-PS; interrater; variability.
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| first_indexed | 2024-04-24T16:23:34Z |
| format | Article |
| id | doaj.art-821c49bc6e1a4c16b75d5ac8b8b79e5f |
| institution | Directory Open Access Journal |
| issn | 1727-5482 1999-6217 |
| language | English |
| last_indexed | 2024-04-24T16:23:34Z |
| publishDate | 2024-03-01 |
| publisher | Nepal Health Research Council |
| record_format | Article |
| series | Journal of Nepal Health Research Council |
| spelling | doaj.art-821c49bc6e1a4c16b75d5ac8b8b79e5f2024-03-31T09:10:08ZengNepal Health Research CouncilJournal of Nepal Health Research Council1727-54821999-62172024-03-0121410.33314/jnhrc.v21i4.4542Interrater Variability among Anaesthesiologists Using American Society of Anesthesiologists Physical Status Classification System Amit Sharma Bhattarai0Navindra Raj Bista1Madindra Bahadur Basnet2Deepak Raj Joshi3Anil Shrestha4Department of Anaesthesiology, Maharajgunj Medical Campus, Insitute of MedicineDepartment of Anaesthesiology, Maharajgunj Medical Campus, Insitute of MedicineNepal Cancer Hospital and Research Center Pvt LtdResearch Department, Institute of Medicine, Maharajgunj, Kathmandu, NepalDepartment of Anaesthesiology, Maharajgunj Medical Campus, Insitute of Medicine Background: The American Society of Anaesthesiologists Physical Status classification is deployed by the anaesthesiologists worldwide to classify operative surgical patients. Many studies have found moderate degree of interrater variability among anaesthesiologists. The general objective of the study was to find out interrater variability among Nepalese anesthesiologists using this classification system in Nepal. The specific objectives of the study were to find out the correctness of assignment and inter-rater variability among anaesthesiologists based on their experience. Methods: Ten clinical cases were distributed among 130 registered anaesthesiologist practitioners of Nepal after validation with the experts. Respondents were asked to assign each of ten cases to a specific physical status class. Anaesthesiologists were classified to two classes based on clinical experience as having more or less than five years of experience. Results: We found substantial agreement among < 5 year’s (0.66) and > 5 year’s experience group (0.753) and among all raters (0.736). The mean score of the group with less than 5 years of experience was more. There was no significant difference between the mean score (p = 0.595). Overall mean score for the both groups was 5.66 with SD 1.66. There was no significant difference between the groups. Conclusions: The study shows that there is very less variation among registered practising anaesthesiologists of Nepal using American Society of Anesthesiologists Physical Status classification system. Keywords: ASA-PS; interrater; variability. https://www.jnhrc.com.np/index.php/jnhrc/article/view/4542 |
| spellingShingle | Amit Sharma Bhattarai Navindra Raj Bista Madindra Bahadur Basnet Deepak Raj Joshi Anil Shrestha Interrater Variability among Anaesthesiologists Using American Society of Anesthesiologists Physical Status Classification System Journal of Nepal Health Research Council |
| title | Interrater Variability among Anaesthesiologists Using American Society of Anesthesiologists Physical Status Classification System |
| title_full | Interrater Variability among Anaesthesiologists Using American Society of Anesthesiologists Physical Status Classification System |
| title_fullStr | Interrater Variability among Anaesthesiologists Using American Society of Anesthesiologists Physical Status Classification System |
| title_full_unstemmed | Interrater Variability among Anaesthesiologists Using American Society of Anesthesiologists Physical Status Classification System |
| title_short | Interrater Variability among Anaesthesiologists Using American Society of Anesthesiologists Physical Status Classification System |
| title_sort | interrater variability among anaesthesiologists using american society of anesthesiologists physical status classification system |
| url | https://www.jnhrc.com.np/index.php/jnhrc/article/view/4542 |
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