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Updated: Jul 28, 2026
Coordinate Mapping of Hyolaryngeal Mechanics in Swallowing
Published on: May 6, 2014
Low agreement among 24 doctors using the Neer-classification; only moderate agreement on displacement, even between
S Brorson1, J Bagger, A Sylvest
1Department of Medical Philosophy and Clinical Theory, University of Copenhagen, Panum Institute, Blegdamsvej 3, 2200 Copenhagen N, Denmark. s.brorson@medphil.ku.dk
Abstract:
Twenty-four orthopaedic surgeons classified 42 pairs of radiographs according to the Neer system for proximal humeral fractures. Mean kappa value for inter-observer agreement was 0.27 (95% CI 0.26-0.28) with no clinically significant difference between orthopaedic residents ( n=9), fellows ( n=6) and specialists ( n=9). Mean kappa for agreement of displacement versus non-displacement was 0.41 (95% CI 0.39-0.43) overall, and 0.50 (95% CI 0.45-0.56) within the specialist group. The agreement found in our study is unsatisfactory from a clinical perspective.
