How many raters? toward the most reliable diagnostic consensus
Article first published online: 12 OCT 2006
Copyright © 1992 John Wiley & Sons, Ltd.
Statistics in Medicine
Volume 11, Issue 3, pages 317–331, 1992
How to Cite
Kraemer, H. C. (1992), How many raters? toward the most reliable diagnostic consensus. Statist. Med., 11: 317–331. doi: 10.1002/sim.4780110305
- Issue published online: 12 OCT 2006
- Article first published online: 12 OCT 2006
- Manuscript Received: MAY 1991
- NIMH Clinical Research Center. Grant Number: MH30854
- Stanford University
When faced with a decision whether or not to treat a patient, to enter or to withdraw a patient from a clinical trial, or any other such binary decision, based on diagnosis with unsatisfactory reliability, can a consensus diagnosis be used to improve reliability? If so, exactly how? That is the question I address here. I draw comparisons and contrasts between the known results with an interval consensus and those with a binary consensus and suggest tactics for use in a pilot study to answer the above questions.