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. 2024 Oct 30;18(4):378–383. doi: 10.22074/ijfs.2024.2008339.1510

Table 3.

Cohen’s Kappa coefficients from the evaluation by five embryologists of the three features of blastocysts (grade of expansion, inner cell mass and trophectoderm)


Morphological feature Class 2 Class 3 Class 4 Average

Blastocyst expansion
Kappa 0.422 (0.381-0.464) 0.222 (0.181-0.264) 0.508 (0.466-0.549) 0.371(0.342-0.400)
P value <0.001 <0.001 <0.001 <0.001
Inner cell mass Grade A Grade B Grade C Average
Kappa 0.404(0.363-0.446) 0.178 (0.137-0.220) 0.285 (0.243-0.326) 0.267 (0.236-0.298)
P value <0.001 <0.001 <0.001 <0.001
Trophectoderm Grade A Grade B Grade C Average
Kappa 0.353 (0.312-0.395) 0.209 (0.167-0.250) 0.376(0.334-0.417) 0.299(0.268-0.331)
P value <0.001 <0.001 <0.001 <0.001

Kappa values are expressed with confidence intervals (CI) 95% between brackets. Class 2; Early blastocyst, Class 3; Full blastocyst, and Class 4; Expanded blastocyst.