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The Concordance and Validity Assessment of Diagnosis for the Expert in Sasang Constitution

Younghwa Baek 1 김호석 1 Siwoo Lee 1 jang eun su 1

1한국한의학연구원

Accredited

ABSTRACT

ObjectivesIt 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). MethodsThree 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. Results1) 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. ConclusionsThe concordance and validity of experts in SCM seems to be moderate. We think further study is needed.

Citation status

* References for papers published after 2022 are currently being built.

This paper was written with support from the National Research Foundation of Korea.