Effects of Diagnostic Errors in Pattern Differentiation and Acupuncture Prescription: A Single-Blinded, Interrater Agreement Study
Joint Authors
Sá Ferreira, Arthur
Oliveira, Ingrid Jardim de Azeredo Souza
Source
Evidence-Based Complementary and Alternative Medicine
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-11, 11 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-04-07
Country of Publication
Egypt
No. of Pages
11
Main Subjects
Abstract EN
This study compared the interrater agreement for pattern differentiation and acupoints prescription between two groups of human patients simulated with different diagnostic outcomes.
Patients were simulated using a dataset about zangfu patterns and separated into groups (n=30 each) according to the diagnostic outcome determined by a computational model.
A questionnaire with 90 patients was delivered to 6 TCM experts (4-year minimal of clinic experience) who were asked to indicate a single pattern (among 73) and 8 acupoints (among 378).
Interrater agreement was higher for pattern differentiation than for acupuncture prescription.
Interrater agreement on pattern differentiation was slight for both groups with correct (Light’s κ=0.167, 95% CI = [0.108; 0.254]) and incorrect diagnosis (Light’s κ=0.190, 95% CI = [0.120; 0.286]).
Interrater agreement on acupuncture prescription was slight for both groups of correct (ι=0.029, 95% CI = [0.015; 0.057]) and incorrect diagnosis (ι=0.040, 95% CI = [0.023; 0.058], P=0.075).
Diagnostic performance of raters yielded the following: accuracy = 60.9%, sensitivity = 21.7%, and specificity = 100%.
An overall improvement in the interrater agreement and diagnostic accuracy was observed when the data were analyzed using the internal systems instead of the pattern’s labels.
American Psychological Association (APA)
Oliveira, Ingrid Jardim de Azeredo Souza& Sá Ferreira, Arthur. 2015. Effects of Diagnostic Errors in Pattern Differentiation and Acupuncture Prescription: A Single-Blinded, Interrater Agreement Study. Evidence-Based Complementary and Alternative Medicine،Vol. 2015, no. 2015, pp.1-11.
https://search.emarefa.net/detail/BIM-1061536
Modern Language Association (MLA)
Oliveira, Ingrid Jardim de Azeredo Souza& Sá Ferreira, Arthur. Effects of Diagnostic Errors in Pattern Differentiation and Acupuncture Prescription: A Single-Blinded, Interrater Agreement Study. Evidence-Based Complementary and Alternative Medicine No. 2015 (2015), pp.1-11.
https://search.emarefa.net/detail/BIM-1061536
American Medical Association (AMA)
Oliveira, Ingrid Jardim de Azeredo Souza& Sá Ferreira, Arthur. Effects of Diagnostic Errors in Pattern Differentiation and Acupuncture Prescription: A Single-Blinded, Interrater Agreement Study. Evidence-Based Complementary and Alternative Medicine. 2015. Vol. 2015, no. 2015, pp.1-11.
https://search.emarefa.net/detail/BIM-1061536
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1061536