Intrarater and interrater reliability of pulse examination in traditional Indian Ayurvedic medicine
Background: In Ayurveda, pulse examination (nadipariksha) is an important tool to assess the status of three doshas: vata, pitta, and kapha. Long historical use has been seen as a documentation of its efficacy; however, there is a lack of a quantitative measure of the reliability of the pulse examin...
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| Language: | English |
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Elsevier
2013-09-01
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| Series: | Integrative Medicine Research |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213422013000498 |
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| author | Vrinda Kurande Rasmus Waagepetersen Egon Toft Ramjee Prasad |
| author_facet | Vrinda Kurande Rasmus Waagepetersen Egon Toft Ramjee Prasad |
| author_sort | Vrinda Kurande |
| collection | DOAJ |
| description | Background: In Ayurveda, pulse examination (nadipariksha) is an important tool to assess the status of three doshas: vata, pitta, and kapha. Long historical use has been seen as a documentation of its efficacy; however, there is a lack of a quantitative measure of the reliability of the pulse examination method. The objective of this study was to test the intrarater and interrater reliability of pulse examination in Ayurveda.
Methods: Fifteen registered Ayurvedic doctors with 3–15 years of experience examined the pulse of 20 healthy volunteers twice, for a total of 600 examinations. The examinations were performed blind and in a random order. Only the current status of dosha-specific methods of pulse examination were considered. Cohen's weighted κ statistic was used as a measure of intrarater and interrater reliability, and a hypothesis of homogeneous diagnosis (random rating) was tested. Following this, we tested whether proportions of ratings were equal between doctors.
Results: According to the Landis and Koch scale, the level of reliability ranged from poor to moderate. It was observed that the doctors more frequently diagnosed a combination of two doshas than a single dosha. The κ values were generally larger for experienced doctors (p = 0.04).
Conclusion: Experience and proper training have important roles in pulse examination. |
| format | Article |
| id | doaj-art-227eefac5ade4df48a481cfb5f80e415 |
| institution | OA Journals |
| issn | 2213-4220 |
| language | English |
| publishDate | 2013-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Integrative Medicine Research |
| spelling | doaj-art-227eefac5ade4df48a481cfb5f80e4152025-08-20T02:04:13ZengElsevierIntegrative Medicine Research2213-42202013-09-0123899810.1016/j.imr.2013.07.001Intrarater and interrater reliability of pulse examination in traditional Indian Ayurvedic medicineVrinda Kurande0Rasmus Waagepetersen1Egon Toft2Ramjee Prasad3Department of Health Science and Technology, Aalborg University, Aalborg, DenmarkDepartment of Mathematical Sciences, Aalborg University, Aalborg, DenmarkMedical faculty, Aalborg University, Aalborg, DenmarkCenter for TeleInFrastruktur, Department of Electronic Systems, Aalborg University, Aalborg, DenmarkBackground: In Ayurveda, pulse examination (nadipariksha) is an important tool to assess the status of three doshas: vata, pitta, and kapha. Long historical use has been seen as a documentation of its efficacy; however, there is a lack of a quantitative measure of the reliability of the pulse examination method. The objective of this study was to test the intrarater and interrater reliability of pulse examination in Ayurveda. Methods: Fifteen registered Ayurvedic doctors with 3–15 years of experience examined the pulse of 20 healthy volunteers twice, for a total of 600 examinations. The examinations were performed blind and in a random order. Only the current status of dosha-specific methods of pulse examination were considered. Cohen's weighted κ statistic was used as a measure of intrarater and interrater reliability, and a hypothesis of homogeneous diagnosis (random rating) was tested. Following this, we tested whether proportions of ratings were equal between doctors. Results: According to the Landis and Koch scale, the level of reliability ranged from poor to moderate. It was observed that the doctors more frequently diagnosed a combination of two doshas than a single dosha. The κ values were generally larger for experienced doctors (p = 0.04). Conclusion: Experience and proper training have important roles in pulse examination.http://www.sciencedirect.com/science/article/pii/S2213422013000498AyurvedaDoshainterrater reliabilityintrarater reliabilitypulse examination |
| spellingShingle | Vrinda Kurande Rasmus Waagepetersen Egon Toft Ramjee Prasad Intrarater and interrater reliability of pulse examination in traditional Indian Ayurvedic medicine Integrative Medicine Research Ayurveda Dosha interrater reliability intrarater reliability pulse examination |
| title | Intrarater and interrater reliability of pulse examination in traditional Indian Ayurvedic medicine |
| title_full | Intrarater and interrater reliability of pulse examination in traditional Indian Ayurvedic medicine |
| title_fullStr | Intrarater and interrater reliability of pulse examination in traditional Indian Ayurvedic medicine |
| title_full_unstemmed | Intrarater and interrater reliability of pulse examination in traditional Indian Ayurvedic medicine |
| title_short | Intrarater and interrater reliability of pulse examination in traditional Indian Ayurvedic medicine |
| title_sort | intrarater and interrater reliability of pulse examination in traditional indian ayurvedic medicine |
| topic | Ayurveda Dosha interrater reliability intrarater reliability pulse examination |
| url | http://www.sciencedirect.com/science/article/pii/S2213422013000498 |
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