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KMID : 0878220140260030295
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Journal of Sasang Constitutional Medicine
2014 Volume.26 No. 3 p.295 ~ p.303
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The Concordance and Validity Assessment of Diagnosis for the Expert in Sasang Constitution
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Baek Young-Hwa
Kim Ho-Seok
Lee Si-Woo
Jang Eun-Su
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Abstract
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Objectives: It is very important to diagnose Sasang Constitution (SC) correctly. The aim of this study was to reveal the concordance and validity of the specialists in Sasang Constitutional Medicine (SCM).
Methods : Three experts who had more than 5 years of experience and used more than 90% of Sasang Constitutional prescription in clinical practice of SCM participated in this study. The data composed of body shape, face, voice, temperament and physio-pathological symptoms were collected in the Korea Constitutional Multicenter Bank and 81 subjects’ data were extracted randomly. The experts reviewed all 81 subjects data independently. Kappa analysis was conducted.
Results : 1) The concordance is from 52.5% to 68.4% among three experts.
2) The validity between individual expert and gold standard is from 54.3% to 63% and Kappa’s coefficients are from 0.283 to 0.421.
3) The validity is from 68.5% to 70.7% when two or three experts agree the Sasang constitution independently and 75.7% when all of experts agree it.
Conclusions: The concordance and validity of experts in SCM seems to be moderate. We think further study is needed.
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KEYWORD
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Sasang Constitution, Concordance, Validity, Expert
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