Inter-rater reliability of the Subjective Global Assessment: A systematic literature review

Jessica Steenson, Angela Vivanti, Elizabeth Isenring

Research output: Contribution to journalArticleResearchpeer-review

13 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)350-2
Number of pages3
JournalNutrition
Volume29
Issue number1
DOIs
Publication statusPublished - Jan 2013
Externally publishedYes

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Malnutrition
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Inter-rater reliability of the Subjective Global Assessment : A systematic literature review. / Steenson, Jessica; Vivanti, Angela; Isenring, Elizabeth.

In: Nutrition, Vol. 29, No. 1, 01.2013, p. 350-2.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Inter-rater reliability of the Subjective Global Assessment

T2 - A systematic literature review

AU - Steenson, Jessica

AU - Vivanti, Angela

AU - Isenring, Elizabeth

N1 - Copyright © 2013 Elsevier Inc. All rights reserved.

PY - 2013/1

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N2 - 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.

AB - 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.

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DO - 10.1016/j.nut.2012.05.006

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JO - Nutrition International

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