The Karnofsky Performance Status (KPS) is a gold standard assessment of a patient's prognosis, frequently used for decision-making in palliative care. Nurses have expressed difficulties in using the KPS, and the San Diego Hospice and the Institute for Palliative Medicine developed a Modified-Karnofsky Performance Status (M-KPS) to address nurses' needs. This study examined the criterion validity and inter-rater reliability using a web-based survey approach with Medical Doctors (MDs) and Registered Nurses (RNs). Inter-rater reliability and criterion validity were examined between forms for each group (RNs and MDs), on individual forms between groups (RNs and MDs), and overall between all users and forms using Intraclass Correlation Coefficients (ICCs). ICCs for all analyses varied from 0.976-0.996, suggesting very high validity and inter-rater reliability. This suggests the M-KPS is an excellent alternative for the KPS.
|School:||California State University, Long Beach|
|School Location:||United States -- California|
|Source:||MAI 50/03M, Masters Abstracts International|
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