Acronym

Kappa - Cohen's Kappa

Cohen's Kappa

Measure of inter-rater agreement for categorical data; accounts for chance agreement

Expansion

Cohen’s Kappa

Purpose

Quantifies observer agreement beyond chance

Clinical Context

Kappa equals (observed agreement minus expected agreement) divided by (1 minus expected agreement). Kappa greater than 0.75 indicates excellent agreement. Preferred for categorical data (positive, negative, indeterminate).

  • Intraclass correlation coefficient
  • Agreement

Key Points

  • Kappa 0.81 to 1.0 excellent, 0.61 to 0.80 good, 0.41 to 0.60 moderate, 0.21 to 0.40 fair, less than 0.20 poor agreement