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Table 2 Classification by medical students and a resident as compared to classification by the expert panel (n = 30)

From: Classifying the diagnosis of study participants in clinical trials: a structured and efficient approach

Diagnostic label(s) expert panel

Number of cases

Diagnostic labels(s) medical students and resident

Agreement

19

 

 Single-label cases

8

 

  Extrathoracic pathology

3

 

  Healthcare-associated pneumonia

2

 

  Cardiac failure

1

 

  Other thoracic pathology

1

 

  Other upper respiratory tract infection

1

 

 Multiple label cases

11

 

  Community-acquired pneumonia, influenza A or B

3

 

  Community-acquired pneumonia, exacerbated asthma

1

 

  Community-acquired pneumonia, interstitial lung disease

1

 

  Community-acquired pneumonia, other thoracic pathology

1

 

  Cardiac failure, cardiac arrhythmia

1

 

  Fever of unknown origin, other thoracic pathology

1

 

  Other lower respiratory tract infection, exacerbated asthma

1

 

  Other lower respiratory tract infection, exacerbated chronic obstructive pulmonary disease

1

 

  Sinusitis, exacerbated asthma

1

 

Partial agreement

7

 

 Single-label cases

2

 

  Extrathoracic pathology

1

Extrathoracic pathology, thoracic pain of unknown origina

  Pulmonary embolism

1

Pulmonary embolism, community-acquired pneumonia

 Multiple label cases

5

 

  Exacerbated asthma, exacerbated chronic obstructive pulmonary disease

1

Exacerbated asthma, exacerbated chronic obstructive pulmonary disease, other upper respiratory tract infection

  Exacerbated asthma, thoracic pain of unknown origin

1

Exacerbated asthma, other upper respiratory tract infection

  Influenza A or B, other thoracic pathology

1

Influenza A or B

  Other lower respiratory tract infection, influenza A or B

1

Influenza A or Ba

  Other upper respiratory tract infection

1

Other upper respiratory tract infection, extrathoracic pathologya

Disagreement

4

 

 Single-label cases

3

 

  Dyspnoea of unknown origin

1

Other upper respiratory tract infection

  Fever of unknown origin

1

Other upper respiratory tract infection

  Other thoracic pathology

1

Thoracic pain of unknown origina

 Multiple label cases

1

 

  Community-acquired pneumonia, extrathoracic pathology

1

Other lower respiratory tract infection, extrathoracic pathology

  1. Within categories of agreement, rows are sorted first by prevalence and then alphabetically
  2. aDisagreement on the diagnosis was based on discordance on a procedural error or labels from the additional diagnostic categories only. These are considered agreement cases