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

28 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. (Project Lead), Isenring, E. (Professor), Hugo, C. (HDR Student), Agarwal, E. (Assistant Professor), Teleni, L. (HDR Student), Reidlinger, D. (Associate Professor), Campbell, K. (Associate Professor), Van der Meij, B. (Senior Research Fellow) & Tang, X. (Admin)
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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doi = "10.1016/j.nut.2012.05.006",

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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

C2 - 23182379

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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