Inter-rater reliability of proxy simple symptom assessment scale between physician and nurse: A hospital-based palliative care team setting

M. Miyashita, M. Yasuda, R. Baba, S. Iwase, R. Teramoto, K. Nakagawa, Y. Kizawa, Y. Shima

Research output: Contribution to journalArticlepeer-review

23 Citations (Scopus)

Abstract

Symptom management in palliative care requires reliable symptom assessment. We assessed the inter-rater reliability of a simple proxy symptom-assessment scale using the Japanese version of the Support Team Assessment Schedule (STAS-J) in a hospital-based palliative care team (HPCT) setting. By doing this, we assessed symptoms in a series of consecutive patients at two university hospitals with certified HPCTs within 2 days of referral and 7 days after. A physician and nurse assessed 20 symptoms. In total, 120 patients were assessed within 2 days of referral and 92 patients at 7 days after referral. As a result, we find that the intra-class correlation coefficients were 0.02-0.89 at referral and 0.20-0.92 at 7 days after. The perfect concordance rates were 37-89% at referral and 53-96% at 7 days after. The perfect or ±1 concordance rates were 71-97% at referral and 73-100% at 7 days after. In conclusion, the symptom item of the STAS-J had high inter-rater reliability.

Original languageEnglish
Pages (from-to)124-130
Number of pages7
JournalEuropean Journal of Cancer Care
Volume19
Issue number1
DOIs
Publication statusPublished - 2010 Jan
Externally publishedYes

Keywords

  • Measures
  • Proxy
  • Reliability
  • Support team assessment schedule
  • Symptom assessment

ASJC Scopus subject areas

  • Oncology

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