Marcia J Ash, Melvin D Livingston, Jessica M Sales, Briana Woods-Jaeger
Mental Health Treatment Utilization and Unmet Mental Health Needs Among Black Reproductive-Age Women in the United States
Psychiatric services (Washington, D.C.)
gold standard skin thickness assessment systemic sclerosis ssc modified rodnan skin score mrss however inter intrarater variation arise due subjective methods inexperience study aimed determine inter intrarater variability mrss assessment using skin model comparative study conducted january december 2020 srinagarind hospital khon kaen university thailand thirtysix skin sites 8 ssc patients underwent mrss assessment 4 times first day 1 time next 4 weeks 10 raters skin model mrss assessment used first two assessments one used remaining three rounds assessments latin square design kappa statistic used determine inter intrarater variability kappa agreement interrater variability improved skin model used 04 05 25 improvement interrater variability seen nonexpert group kappa agreement rose 03 05 change 667 intrarater variability change kappa remained 09 longterm effect using skin model slightly decreased week 4 kappa 0907 using skin model could used improve interrater variation mrss assessment especially nonexpert group model considered reference mrss assessment clinical practice health education