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Pathologists should probably forget about kappa. Percent agreement, diagnostic specificity and related metrics provide more clinically applicable measures of interobserver variability

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References

1960A Coefficient of Agreement for Nominal Scales42,335 cited
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1999Beyond kappa: A review of interrater agreement measures976 cited
1989Reproducibility of histomorphologic diagnoses with special reference to the kappa statistic455 cited
2013Clinicians are right not to like Cohen's251 cited
2001Evaluation of a clinical test. I: Assessment of reliability135 cited
1972Quantification of Agreement in Multiple Psychiatric Diagnosis72 cited

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2023Kappa Statistics: A Method of Measuring Agreement in Dental Examinations13 cited

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