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Inter-rater Agreement Between Exposure Assessment Using Automatic Algorithms and Using Experts.

Ines Florath1, Deborah C Glass2, Mounia Senhaji Rhazi3

  • 1School of Public Health, Curtin University, Perth, Australia.

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|October 11, 2018
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Summary
This summary is machine-generated.

The OccIDEAS algorithm shows good agreement with expert assessments for occupational exposure to asthmagens. This automated tool offers a time-efficient alternative to traditional expert evaluations in research settings.

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Area of Science:

  • Occupational Health
  • Environmental Epidemiology
  • Toxicology

Background:

  • Accurate assessment of occupational exposure to asthmagens is crucial for understanding and preventing occupational asthma.
  • Traditional expert-based exposure assessments are time-consuming and require specialized personnel.
  • Automated tools can potentially streamline the exposure assessment process.

Purpose of the Study:

  • To estimate the inter-rater agreement between an algorithm-based exposure assessment tool (OccIDEAS) and expert assessments for current occupational exposure to asthmagens.
  • To evaluate the reliability of OccIDEAS compared to traditional expert evaluations.

Main Methods:

  • Participants from a national survey on asthmagen exposure (AWES-Asthma) were randomly assigned to subcohorts.
  • A random sample of 200 participants from subcohort 2 underwent current occupational exposure assessment (yes/no) using OccIDEAS and two independent experts.
  • Inter-rater agreement was quantified using Cohen's Kappa coefficient, with a null hypothesis of 0.4.

Main Results:

  • Kappa coefficients for agreement between OccIDEAS and experts ranged from 0.37 to 1.
  • Agreement between two experts ranged from 0.29 to 0.94, varying by asthmagen.
  • After expert consensus, OccIDEAS agreement exceeded 0.4 for 7 of 10 asthmagen groups, with overall agreement significantly greater than chance (P < 0.0001).

Conclusions:

  • The web-based OccIDEAS application is a suitable tool for automated assessment of current occupational exposure to asthmagens.
  • OccIDEAS reduces the need for time-intensive work by highly qualified personnel compared to expert-based methods.
  • The tool has the potential to learn from and reuse expert determinations in future research.