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Comment
. 2018 Nov;15(6):578-579.
doi: 10.1177/1479164118794901. Epub 2018 Aug 23.

Respond to the letter on 'Interobserver reliability of the ankle brachial index, toe-brachial index and distal pulse palpation in patients with diabetes: a methodological issue'

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Respond to the letter on 'Interobserver reliability of the ankle brachial index, toe-brachial index and distal pulse palpation in patients with diabetes: a methodological issue'

Francisco Javier Álvaro Afonso et al. Diab Vasc Dis Res. 2018 Nov.
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Abstract

We respond to the letter of Nadery and Shahsavari regarding our paper entitled 'Interobserver reliability of the ankle brachial index, toe -brachial index and distal pulse palpation in patients with diabetes. In this letter, we concluded that despite some limitations, the kappa coefficient is an informative measure of agreement in most circumstances that we can use in this type of clinical research.

Keywords: Ankle–brachial index; distal pulses palpation; interobserver reliability; kappa coefficient; toe–brachial index.

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