Spine journals: is reviewer agreement on publication recommendations greater than would be expected by chance?
Received 8 July 2009; received in revised form 16 September 2009; accepted 2 December 2009.
Abstract
Background context
It is commonly believed that the peer-review process is reliable and consistent. It appears, however, that depending on the journal and the editorial leadership, agreement by reviewers on whether to publish submitted articles varies widely; from substantial to slightly greater than one would expect with random assignments of acceptance or rejection.
Purpose
The purpose was to assess peer-review agreement in major spine journals.
Study design/Setting
This study is for the assessment of reviewer agreement.
Samples
The study consisted of consecutive reviews of 200 submitted articles.
Outcome measures
Agreement via Kappa statistics.
Methods
Group A consisted of 200 consecutive article reviews for which the senior author was involved in the review or editorial process over the past 8 years for two major spine journals. Reviewers' recommendations were placed into one of two groups: accept/minimal revisions or major revision/reject. Standard Kappa statistics were used to assess reviewer agreement. Group B consisted of a similar set, but with wholly randomly generated recommendations. Again, Kappa statistics were used.
Results
Kappa for Group A was 0.155 with a range of 0.017 to 0.294 at 95% confidence interval and agreement at 0.6; suggesting “slight” reviewer agreement. Kappa for Group B behaved as expected, with “poor” agreement.
Conclusions
Agreement regarding peer-review recommendations for publication in spine journals appears to be better than would be expected in the random situation; but still only “slight.” This suggests that review methodology varies considerably among reviewers and that further study should be undertaken to determine “ideal” agreement levels and ways to increase review consistency/quality commensurate with the editorial missions of the journals.
bDepartment of Orthopaedic Surgery, The Methodist Hospital, Houston, TX, USA
Corresponding author. Department of Orthopaedic Surgery, The Methodist Hospital, 6550 Fannin St, Suite 2500, Houston, TX 7730, USA. Tel.: (1) 713-441-3595; fax: (1) 713-441-6614.