STEPHEN R. YARNALL, M.D.
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Inter-and intra-observer agreement on replication of problem-lists clustered between 56% and 66% in a small series reported by Bates, Parker, and Reifler (Ann Intern Med 75:929-931, 1971) and was usually related to differing reactions to borderline and minor conditions as well as data viewed as undoubtedly false-positive. The authors quote comparable variations from other studies on physical examinations, ECG interpretation, X-ray reading, and medical and psychiatric diagnosis. The actual topic of their paper, comparing clinical evaluation with multiphasic screening, is not illustrated by a series of only 47 subjects, although their conclusion seems
YARNALL SR. Replication in Screening and Judgment. Ann Intern Med. ;77:326. doi: 10.7326/0003-4819-77-2-326_1
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Published: Ann Intern Med. 1972;77(2):326.
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