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Inter-rater reliability of the Quebec Task Force classification system for recent-onset Whiplash Associated Disorders

Journal of the Canadian Chiropractic Association, 2021-08, Vol.65 (2), p.186-192 [Peer Reviewed Journal]

JCCA 2021. ;COPYRIGHT 2021 Canadian Chiropractic Association ;Copyright Canadian Chiropractic Association Aug 2021 ;JCCA 2021 2021 ;ISSN: 0008-3194 ;EISSN: 1715-6181 ;PMID: 34658390

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  • Title:
    Inter-rater reliability of the Quebec Task Force classification system for recent-onset Whiplash Associated Disorders
  • Author: Shergill, Yaadwinder ; Côté, Pierre ; Shearer, Heather ; Wong, Jessica J ; Stupar, Maja ; Tibbles, Anthony ; Cassidy, J David
  • Subjects: Analysis ; Chiropractic medicine ; Medical research ; Medicine, Experimental ; Original ; Pain management ; Physicians ; Reliability ; Task forces ; Whiplash injuries
  • Is Part Of: Journal of the Canadian Chiropractic Association, 2021-08, Vol.65 (2), p.186-192
  • Description: The inter-rater reliability of the Quebec Task Force (QTF) classification system for Whiplash-Associated Disorders (WAD) remains unknown. Our objective was to determine the inter-rater reliability of the WAD classification between an experienced chiropractic clinician and two chiropractic residents. We conducted an inter-rater reliability study using baseline clinical data from 80 participants assessed for inclusion in a randomized clinical trial of the conservative management of WAD grades I and II. We reported reliability using Cohen's kappa (k) and 95% confidence intervals (CI). The mean duration of WAD symptoms was 7.6 days (s.d.=5.2). In our study, the interrater reliability of the WAD grade classification varied from k=0.04 (95% CI -0.04 to 0.12) to k=0.80 (95% CI 0.67 to 0.94). Inter-rater reliability of the WAD classification varied greatly across raters and may be associated with the experience of the raters and with their understanding of the criteria. Our results suggest that clinicians may benefit from training to standardize how they classify WAD. Furthermore, our results need to be tested in a different sample of patients and with a range of clinicians from different clinical disciplines.
  • Publisher: Canada: Canadian Chiropractic Association
  • Language: English;French
  • Identifier: ISSN: 0008-3194
    EISSN: 1715-6181
    PMID: 34658390
  • Source: Freely Accessible Journals
    Open Access: PubMed Central
    Alma/SFX Local Collection
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