High agreement but low kappa: II. Resolving the paradoxes.

@article{Cicchetti1990HighAB,
  title={High agreement but low kappa: II. Resolving the paradoxes.},
  author={Domenic V. Cicchetti and Alvan R. Feinstein},
  journal={Journal of clinical epidemiology},
  year={1990},
  volume={43 6},
  pages={551-8}
}
An omnibus index offers a single summary expression for a fourfold table of binary concordance among two observers. Among the available other omnibus indexes, none offers a satisfactory solution for the paradoxes that occur with p0 and kappa. The problem can be avoided only by using ppos and pneg as two separate indexes of proportionate agreement in the observers' positive and negative decisions. These two indexes, which are analogous to sensitivity and specificity for concordance in a… CONTINUE READING
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