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

Jessica Steenson; Angela Vivanti; Elizabeth Isenring

doi:10.1016/j.nut.2012.05.006

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

Jessica Steenson, Angela Vivanti, Elizabeth Isenring

Research output: Contribution to journal › Article › Research › peer-review

26 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 language	English
Pages (from-to)	350-2
Number of pages	3
Journal	Nutrition
Volume	29
Issue number	1
DOIs	https://doi.org/10.1016/j.nut.2012.05.006
Publication status	Published - Jan 2013
Externally published	Yes

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10.1016/j.nut.2012.05.006

Ageing Nutrition: Research Across the Care Continuum
Marshall, S., Isenring, E., Hugo, C., Agarwal, E., Teleni, L., Reidlinger, D., Campbell, K., Van der Meij, B. & Tang, X.
1/01/14 → …
Project: Research

Cite this

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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.",

author = "Jessica Steenson and Angela Vivanti and Elizabeth Isenring",

year = "2013",

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T1 - Inter-rater reliability of the Subjective Global Assessment

T2 - A systematic literature review

AU - Steenson, Jessica

AU - Vivanti, Angela

AU - Isenring, Elizabeth

PY - 2013/1

Y1 - 2013/1

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

M3 - Article

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SN - 0899-9007

VL - 29

SP - 350

EP - 352

JO - Nutrition

JF - Nutrition

IS - 1

ER -

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

Abstract

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