Journal
EUROPEAN JOURNAL OF CANCER CARE
Volume 19, Issue 1, Pages 124-130Publisher
WILEY-BLACKWELL PUBLISHING, INC
DOI: 10.1111/j.1365-2354.2008.00967.x
Keywords
measures; proxy; reliability; support team assessment schedule; symptom assessment
Funding
- Palliative Care Foundation
- University of Tokyo, Japan
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Symptom management in palliative care requires reliable symptom assessment. We assessed the inter-rater reliability of a simple proxy symptom-assessment scale using the Japanese version of the Support Team Assessment Schedule (STAS-J) in a hospital-based palliative care team (HPCT) setting. By doing this, we assessed symptoms in a series of consecutive patients at two university hospitals with certified HPCTs within 2 days of referral and 7 days after. A physician and nurse assessed 20 symptoms. In total, 120 patients were assessed within 2 days of referral and 92 patients at 7 days after referral. As a result, we find that the intra-class correlation coefficients were 0.02-0.89 at referral and 0.20-0.92 at 7 days after. The perfect concordance rates were 37-89% at referral and 53-96% at 7 days after. The perfect or +/- 1 concordance rates were 71-97% at referral and 73-100% at 7 days after. In conclusion, the symptom item of the STAS-J had high inter-rater reliability.
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