Article

This study was designed as an international validation study.
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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Langue : ANGLAIS