Abstract
Study design:
This study was designed as an international validation study.
Objective:
The objective of this study was to assess the inter-rater reliability of the International Spinal Cord Injury Bowel Function Basic and Extended Data Sets.
Setting:
Three European spinal cord injury centers.
Methods:
In total, 73 subjects with spinal cord injury and a history of bowel dysfunction, out of which 77% were men and median age of the subjects was 49 years (range 20–81), were studied. The inter-rater reliability was estimated by having two raters complete both data sets on the same subject. First and second tests were separated by 14 days. Cohen's kappa was computed as a measure of agreement between raters.
Results:
Inter-rater reliability assessed by kappa statistics was very good (⩾0.81) in 5 items, good (0.61–0.80) in 11 items, moderate (0.41–0.60) in 20 items, fair (0.21–0.40) in 11 and poor (<0.20) in 5 items.
Conclusion:
Most items within the International Spinal Cord Injury Bowel Function Data sets have acceptable inter-rater reliability and are useful tools for data collection in international clinical practice and research. However, minor adjustments are recommended.
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Juul, T., Bazzocchi, G., Coggrave, M. et al. Reliability of the International Spinal Cord Injury Bowel Function Basic and Extended Data Sets. Spinal Cord 49, 886–891 (2011). https://doi.org/10.1038/sc.2011.23
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