Interrater Agreement in the Interpretation of Microscopic Urinalysis

William J. Hueston, Scott Fields, Richard R. McClaflin, Gayleen Eilers

Research output: Contribution to journalArticle

Abstract

To determine the reliability of specimen interpretation by outpatient laboratories, 150 consecutive specimens from three family practice centers were analyzed by either two laboratory technicians (n=99) or two family physicians (n=51). The results showed good to excellent agreement for contamination (defined as five or more epithelial cells per highpower field) or significant pyuria (five or more white blood cells per high-power field) or hematuria (five or more red blood cells per high-power field). Agreement between laboratory technicians did not differ significantly from agreement between physicians for the interpretation of contamination or pyuria, but for hematuria, agreement was higher between technicians (P=.02). These results suggest that outpatient interpretation of microscopic urine specimens shows levels of interrater agreement similar to or better than other tests that have been evaluated.

Original languageEnglish (US)
Pages (from-to)547-549
Number of pages3
JournalArchives of Family Medicine
Volume4
Issue number6
DOIs
StatePublished - 1995

Fingerprint

Pyuria
Laboratory Personnel
Urinalysis
Hematuria
Outpatients
Family Practice
Family Physicians
Leukocytes
Erythrocytes
Epithelial Cells
Urine
Physicians

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Interrater Agreement in the Interpretation of Microscopic Urinalysis. / Hueston, William J.; Fields, Scott; McClaflin, Richard R.; Eilers, Gayleen.

In: Archives of Family Medicine, Vol. 4, No. 6, 1995, p. 547-549.

Research output: Contribution to journalArticle

Hueston, William J. ; Fields, Scott ; McClaflin, Richard R. ; Eilers, Gayleen. / Interrater Agreement in the Interpretation of Microscopic Urinalysis. In: Archives of Family Medicine. 1995 ; Vol. 4, No. 6. pp. 547-549.
@article{3e5994481bfc41d48d89fe33fa88ea4a,
title = "Interrater Agreement in the Interpretation of Microscopic Urinalysis",
abstract = "To determine the reliability of specimen interpretation by outpatient laboratories, 150 consecutive specimens from three family practice centers were analyzed by either two laboratory technicians (n=99) or two family physicians (n=51). The results showed good to excellent agreement for contamination (defined as five or more epithelial cells per highpower field) or significant pyuria (five or more white blood cells per high-power field) or hematuria (five or more red blood cells per high-power field). Agreement between laboratory technicians did not differ significantly from agreement between physicians for the interpretation of contamination or pyuria, but for hematuria, agreement was higher between technicians (P=.02). These results suggest that outpatient interpretation of microscopic urine specimens shows levels of interrater agreement similar to or better than other tests that have been evaluated.",
author = "Hueston, {William J.} and Scott Fields and McClaflin, {Richard R.} and Gayleen Eilers",
year = "1995",
doi = "10.1001/archfami.1995.01850310075017",
language = "English (US)",
volume = "4",
pages = "547--549",
journal = "Archives of Family Medicine",
issn = "1063-3987",
publisher = "American Medical Association",
number = "6",

}

TY - JOUR

T1 - Interrater Agreement in the Interpretation of Microscopic Urinalysis

AU - Hueston, William J.

AU - Fields, Scott

AU - McClaflin, Richard R.

AU - Eilers, Gayleen

PY - 1995

Y1 - 1995

N2 - To determine the reliability of specimen interpretation by outpatient laboratories, 150 consecutive specimens from three family practice centers were analyzed by either two laboratory technicians (n=99) or two family physicians (n=51). The results showed good to excellent agreement for contamination (defined as five or more epithelial cells per highpower field) or significant pyuria (five or more white blood cells per high-power field) or hematuria (five or more red blood cells per high-power field). Agreement between laboratory technicians did not differ significantly from agreement between physicians for the interpretation of contamination or pyuria, but for hematuria, agreement was higher between technicians (P=.02). These results suggest that outpatient interpretation of microscopic urine specimens shows levels of interrater agreement similar to or better than other tests that have been evaluated.

AB - To determine the reliability of specimen interpretation by outpatient laboratories, 150 consecutive specimens from three family practice centers were analyzed by either two laboratory technicians (n=99) or two family physicians (n=51). The results showed good to excellent agreement for contamination (defined as five or more epithelial cells per highpower field) or significant pyuria (five or more white blood cells per high-power field) or hematuria (five or more red blood cells per high-power field). Agreement between laboratory technicians did not differ significantly from agreement between physicians for the interpretation of contamination or pyuria, but for hematuria, agreement was higher between technicians (P=.02). These results suggest that outpatient interpretation of microscopic urine specimens shows levels of interrater agreement similar to or better than other tests that have been evaluated.

UR - http://www.scopus.com/inward/record.url?scp=0029319025&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029319025&partnerID=8YFLogxK

U2 - 10.1001/archfami.1995.01850310075017

DO - 10.1001/archfami.1995.01850310075017

M3 - Article

C2 - 7773432

VL - 4

SP - 547

EP - 549

JO - Archives of Family Medicine

JF - Archives of Family Medicine

SN - 1063-3987

IS - 6

ER -