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Record W4412755825 · doi:10.1038/s44400-025-00015-1

High inter-rater reliability in consensus diagnoses and overall assessment in the Asian Cohort for Alzheimer’s Disease Study

2025· article· en· W4412755825 on OpenAlexaff
Yara Alkhodair, Ging‐Yuek Robin Hsiung, Pei‐Chuan Ho, Wai Haung Yu, Guerry M. Peavy, Victor W. Henderson, Yun‐Beom Choi, Clara Li, Dolly Reyes‐Dumeyer, Haeok Lee, Walter A. Kukull, Howard Feldman, Yian Gu, Lorene Leung, Collin Liu, Richard Mayeux, Ellen C. Wong, Hyunsik Yang, Jennifer S. Yokoyama, Gyungah R Jun, Van Ta Park, Helena C. Chui, Li-San Wang, Tiffany W. Chow, Tatiana Foroud, Joshua D. Grill, Maureen Kirsch, Wan‐Ping Lee, Mingyao Li, Gerard D. Schellenberg, Mina Torres, Marian Tzuang, Badri N. Vardarajan, Rohit Varma, Eugene Yau

Bibliographic record

Venuenpj Dementia · 2025
Typearticle
Languageen
FieldMedicine
TopicDementia and Cognitive Impairment Research
Canadian institutionsCanada Research ChairsUniversity of British ColumbiaUniversity of British Columbia Hospital
FundersNational Institute on AgingUniversity of California, IrvineUniversity of California, San FranciscoUniversity of California, San DiegoNational Eye InstituteUniversity of PennsylvaniaNational Institutes of HealthAlzheimer's AssociationKorea Brain Research InstituteBrigham and Women's Hospital
KeywordsInter-rater reliabilityMedical diagnosisCohortDiseaseMedicineReliability (semiconductor)PsychologyInternal medicinePathologyDevelopmental psychologyRating scale

Abstract

fetched live from OpenAlex

The Asian Cohort for Alzheimer's Disease (ACAD) study is a collaborative investigation of genetic and non-genetic risk factors for AD among Asian Americans and Canadians. Harmonization of diagnostic procedures across recruiting sites will be key to the dataset's efficacy. Forty-two participants who completed the consensus process across seven ACAD recruiting sites were re-reviewed by two further impartial raters. Cohen's Kappa coefficient was used to evaluate inter-rater agreement. The findings reveal the highest level of observed agreement at 88% and a Cohen's Kappa of 0.835, among site consensus participants and two levels of external review, affirming the reliability of our protocol. ACAD has developed a data collection and diagnostic process that allows consistency among sites that serve Asians speaking Korean, Chinese, and Vietnamese languages.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.158
metaresearch head score (Gemma)0.131
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.158
Threshold uncertainty score0.836

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.1580.131
Meta-epidemiology (narrow)0.0000.001
Meta-epidemiology (broad)0.0010.002
Bibliometrics0.0020.002
Science and technology studies0.0020.002
Scholarly communication0.0020.001
Open science0.0020.003
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0010.001

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.022
GPT teacher head0.370
Teacher spread0.348 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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