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Objectives : We performed a pilot study to investigate inter- and intra-r ater reliability of pattern identification using nasal endoscopy for allergic rhinitis(AR). Methods : Eight experts of ophthalmology, otolaryngology and dermatolo gy of Korean medicine evaluated 20 nasal endoscopy photograph cases of AR patients with pattern id entification index using nasal endoscopy for AR including the nasal membrane color(pale / hyperemia), nasal mem brane humidity(dryness / dampness), rhinorrhea(watery / yellow), and membrane edema (atrophic / ede matous) on nasal endoscopy. Results : Intra-rater agreement(%) and Kappa coefficient was generally from 'moderate' to 'good'(% agreement: 73.13-90% / Kappa coefficient: 0.547-0.748). Inter-rater agreement(%) and Kappa coefficient was also from 'moderate' to 'good' (% agreement: 65-85% / Kappa: 0.475-0.778) except 'humidity(dryness / dampness)' item (% agreement: 55.98% / Kappa: 0.340). In findings of subgroup anal ysis according to affiliation of raters, Inter-rater agreement(%) and Kappa coefficient of raters in same affiliatio n was higher than inter-rater agreement(%) and Kappa coefficient of raters in different affiliation except 'dr yness / dampness' item. Conclusions : It is necessary to improve objectivity and reproducibility o f pattern identification using nasal endoscopy for allergic rhinitis(AR) through the development of detail-oriented criteria and enhanced training of clinicians with development of standard operating procedures(SO Ps).Key words : Allergic Rhinitis; Nasal Endoscopy; Pattern Identification

Inter- and Intra-rater Reliability of Pattern Identification Using Nasal Endoscopy for Allergic Rhinitis