OBJECTIVES: Malnutrition continues to be under-recognized and undertreated in the hospitalized setting. Although no "gold standard" for the diagnosis of malnutrition exists, the Subjective Global Assessment (SGA) is a commonly used malnutrition assessment tool. The study aim was to explore the reporting of inter-rater reliability (IRR) of the SGA when used as a nutritional assessment tool in the published literature. METHODS: A comprehensive literature review was performed identifying 119 articles using the SGA once exclusion criteria were applied. Articles were examined for use of IRR and the Cohen κ agreement between examiners. RESULTS: The IRR of the SGA was reported in only 13% of articles where the SGA was used for nutritional assessment. The κ agreement was highest when examiners were experienced. CONCLUSIONS: The IRR is rarely reported in the published literature and has not yet been reported across experience levels.
OBJECTIVES:Malnutrition continues to be under-recognized and undertreated in the hospitalized setting. Although no "gold standard" for the diagnosis of malnutrition exists, the Subjective Global Assessment (SGA) is a commonly used malnutrition assessment tool. The study aim was to explore the reporting of inter-rater reliability (IRR) of the SGA when used as a nutritional assessment tool in the published literature. METHODS: A comprehensive literature review was performed identifying 119 articles using the SGA once exclusion criteria were applied. Articles were examined for use of IRR and the Cohen κ agreement between examiners. RESULTS: The IRR of the SGA was reported in only 13% of articles where the SGA was used for nutritional assessment. The κ agreement was highest when examiners were experienced. CONCLUSIONS: The IRR is rarely reported in the published literature and has not yet been reported across experience levels.
Authors: Clare Shaw; Catherine Fleuret; Jennifer M Pickard; Kabir Mohammed; Gayle Black; Linda Wedlake Journal: Support Care Cancer Date: 2014-06-20 Impact factor: 3.603