• Jessica Steenson, Angela Vivanti, and Elizabeth Isenring.
• Gold Coast Campus, Griffith University, Gold Coast, Queensland, Australia.
• Nutrition. 2013 Jan 1;29(1):350-2.

ObjectivesMalnutrition continues to be under-recognized and undertreated in the hospitalized setting. Although no "gold standard" for the diagnosis of malnutrition exists, the Subjective Global Assessment (SGA) is a commonly used malnutrition assessment tool. The study aim was to explore the reporting of inter-rater reliability (IRR) of the SGA when used as a nutritional assessment tool in the published literature.MethodsA comprehensive literature review was performed identifying 119 articles using the SGA once exclusion criteria were applied. Articles were examined for use of IRR and the Cohen κ agreement between examiners.ResultsThe IRR of the SGA was reported in only 13% of articles where the SGA was used for nutritional assessment. The κ agreement was highest when examiners were experienced.ConclusionsThe IRR is rarely reported in the published literature and has not yet been reported across experience levels.Copyright © 2013 Elsevier Inc. All rights reserved.

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