Table 4 Clinical officer-versus-physician agreement in patient assessment and recommendation of initiation of antiretroviral therapy
% Agreement | % Agreement expected by chance | Kappa ± SE (unweighted) | Kappa ± SE (weighted) | |
|---|---|---|---|---|
ART recommendation | 95.1 | 43.1 | 0.91 ± 0.05 | - |
95.8 | 82.8 | - | 0.76 ± 0.04 | |
WHO stage | 51.7 | 30.3 | 0.31 ± 0.04 | - |
94.2 | 89.7 | - | 0.44 ± 0.06 | |
Functional status | 72.3 | 57.4 | 0.35 ± 0.05 | - |
86.6 | 80.8 | - | 0.31 ± 0.05 | |
TB status | 81.7 | 56.6 | 0.58 ± 0.05 | - |
88.5 | 74.5 | - | 0.55 ± 0.06 | |
Opportunistic infections treated/stabilized | 56.6 | 39.9 | 0.28 ± 0.04 | - |
86.9 | 77.5 | - | 0.42 ± 0.06 | |
Absolute exceptions to starting ART | 57.3 | 35 | 0.31 ± 0.04 | - |
71 | 58.2 | - | 0.31 ± 0.05 | |
Patient is ready to begin ART | 51.3 | 30.8 | 0.30 ± 0.04 | - |
74.1 | 61.5 | - | 0.33 ± 0.05 |