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Table 4 Individual ratings and Kappa statistic for the agreement of necrosis depth (SKIN score) for primary clinical, secondary clinical and photographic 1 and 2 raters

From: A randomised controlled feasibility trial to evaluate local heat preconditioning on wound healing after reconstructive breast surgery: the preHEAT trial

Primary clinical

Secondary clinical

Kappa [95% CI]

Kappa interpretation

None

Colour change

Partial thickness

Full thickness

 None

49

2

0

0

  

 Colour change

4

14

1

1

  

 Partial thickness

0

1

8

0

 

Substantial agreement

 Full thickness

0

0

0

1

0.79 [0.58 to 0.99]

Primary clinical

Photographic 1

  

None

Colour change

Partial thickness

Full thickness

  

 None

16

2

1

0

  

 Colour change

3

4

3

0

  

 Partial thickness

0

0

5

1

 

Moderate agreement

 Full thickness

0

0

0

0

0.53 [0.26 to 0.80]

Primary clinical

Photographic 2

  

None

Colour change

Partial thickness

Full thickness

  

 None

17

1

1

0

  

 Colour change

5

3

2

0

  

 Partial thickness

0

2

3

1

 

Fair agreement

 Full thickness

0

0

0

0

0.40 [0.12 to 0.69]

Photographic 1

Photographic 2

  

None

Colour change

Partial thickness

Full thickness

  

 None

30

0

1

0

  

 Colour change

6

6

2

0

  

 Partial thickness

2

4

4

0

 

Moderate agreement

 Full thickness

0

0

3

2

0.50 [0.29 to 0.71]