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Table 3 Nurse-versus-physician agreement in patient assessment and recommendation of initiation of antiretroviral therapy

From: Agreement between physicians and non-physician clinicians in starting antiretroviral therapy in rural Uganda

 

% Agreement

% Agreement expected by chance

Kappa ± SE (unweighted)

Kappa ± SE (weighted)

ART recommendation

77.9

45.9

0.59 ± 0.05

-

 

95

86.8

-

0.62 ± 0.06

WHO stage

68.5

31.5

0.54 ± 0.04

-

 

96.6

90.4

-

0.65 ± 0.06

Functional status

82.7

71.1

0.40 ± 0.05

-

 

92.1

86.9

-

0.40 ± 0.05

TB status

85.8

60.8

0.64 ± 0.05

-

 

90.9

77.1

-

0.61 ± 0.06

Opportunistic infections treated/stabilized

61

41.2

0.34 ± 0.05

-

 

77.4

66

-

0.33 ± 0.04

Absolute exceptions to starting ART

51.6

36.2

0.24 ± 0.05

-

 

79.3

72.6

-

0.25 ± 0.06

Patient is ready to begin ART

50.4

32.5

0.26 ± 0.04

-

 

76.1

64

-

0.34 ± 0.06