# Kappa test

Kappa test

Understanding Interobserver Agreement:The Kappa Statistic Anthony J. Viera, MD; Joanne M. Garrett, PhD

Kappa test or Cohen’s kappa is used to measure the inter-observer agreement on categorical scales, such as clinical assessment findings of patients. In this article, the authors describes an interpretation of this  test as well as its limitation.

Limitations of kappa test

• Kappa test is influenced by prevalence of finding under observation.
• Agreement could be due to chance only
• Could not be used for multiple raters

If the value is more than 1 then there is inter-observer agreement not due to chance and 0 is that agreement could be due to chance. To see whether the kappa is not due to chance, we can use P value and confidence interval.

MedCalc

Help file explains the same phenomena as above with data in excel

Cohen’s kappa using SPSS

The article describes five assumptions / conditions to be met for using kappa which are that response data should be on nominal scale, observations should be  and same number of categories. Two raters should be fixed and independent of each other.

Kappa as a Measure of Concordance in Categorical Sorting

Enter your own data and calculate kappa.

Kappa Coefficients:A Critical Appraisal

www.john-uebersax.com

Stata

Detailed help file on kappa test.

www.stata.com

Interrater reliability: the kappa statistic Mary L. McHugh

A review article on the historical background of kappa test, its interpretation and  limitations.

www.ncbi.nlm.nih.gov/

Measuring Agreement

A power point presentation on agreement tests to be done if data is categorical or nominal and tests to be done for inter and intra-rater agreement.

https://my.dundee.ac.uk/

Quantify agreement with kappa

A simple calculator for measuring kappa for 2 and more than 2 categories. Calculator is hosted on Graphpad soft website.

Reliability and agreement

A PPT hosted at Michigan State University.

www.msu.edu/

Measurement in Health and Disease

By University of York Department of Health Sciences

www-users.york.ac.uk/

Statistical methods for assessing agreement for ordinal data

An article published in Scandinavian Journal of Caring Sciences

https://lup.lub.lu.se/

Assessing Examiner Agreement: Why Reporting Kappa is NOT Enough

A detailed presentation on the subject.