Scoring of hand eczema: Good agreement between patients and dermatological staff.
(2011) In British Journal of Dermatology 165. p.123-128- Abstract
- Introduction: Assessment of hand eczema in a clinical study has been achieved using a scoring system which documents extent of eczema on different areas of the hand. Objective: To investigate whether the same scoring system could be used by patients to communicate actual status of hand eczema. Method: In a study of 62 patients (36 females 26 males, age 18-75), the patient's own assessment was compared to the assessment by a dermatologist and a dermatological nurse. Standardized information was given to the patient and the form was filled in independently by the patient, the nurse and the dermatologist, during the patient's visit to the clinic. Individual area scores were summated to a total score. Results: The overall agreement was good,... (More)
- Introduction: Assessment of hand eczema in a clinical study has been achieved using a scoring system which documents extent of eczema on different areas of the hand. Objective: To investigate whether the same scoring system could be used by patients to communicate actual status of hand eczema. Method: In a study of 62 patients (36 females 26 males, age 18-75), the patient's own assessment was compared to the assessment by a dermatologist and a dermatological nurse. Standardized information was given to the patient and the form was filled in independently by the patient, the nurse and the dermatologist, during the patient's visit to the clinic. Individual area scores were summated to a total score. Results: The overall agreement was good, with an interclass correlation (ICC) of 0.61 between patient and dermatologist for the total score. The ICC between nurse and dermatologist was 0.78. Differences between observers were more pronounced for the more severe cases - those with higher numerical scores as assessed by the dermatologist. There was a tendency for female patients and for patients over the median age of 44 to set a lower point score than the dermatologist. The concordance of observations from individual anatomical areas was higher for fingertips and nails and lower for the palm and dorsum of the hand. Conclusion: Patients are able to report the extent of hand eczema with good accuracy. Self-assessment protocols for hand eczema may well have a place in the monitoring of hand eczema extent over time. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1883889
- author
- Carlsson, Annica LU ; Gånemo, Agneta LU ; Anderson, C D ; Meding, B ; Stenberg, B and Svensson, Åke LU
- organization
- publishing date
- 2011
- type
- Contribution to journal
- publication status
- published
- subject
- in
- British Journal of Dermatology
- volume
- 165
- pages
- 123 - 128
- publisher
- Wiley-Blackwell
- external identifiers
-
- wos:000292111200019
- pmid:21410676
- scopus:79959730166
- pmid:21410676
- ISSN
- 1365-2133
- DOI
- 10.1111/j.1365-2133.2011.10312.x
- language
- English
- LU publication?
- yes
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Department of Dermatology and Venerology (013241320), Occupational and Environmental Dermatology Unit (013241310)
- id
- 768d6788-e6b9-4d96-a4d5-5ad4cf3ba4e0 (old id 1883889)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/21410676?dopt=Abstract
- date added to LUP
- 2016-04-04 08:35:58
- date last changed
- 2022-03-15 08:29:41
@article{768d6788-e6b9-4d96-a4d5-5ad4cf3ba4e0,
abstract = {{Introduction: Assessment of hand eczema in a clinical study has been achieved using a scoring system which documents extent of eczema on different areas of the hand. Objective: To investigate whether the same scoring system could be used by patients to communicate actual status of hand eczema. Method: In a study of 62 patients (36 females 26 males, age 18-75), the patient's own assessment was compared to the assessment by a dermatologist and a dermatological nurse. Standardized information was given to the patient and the form was filled in independently by the patient, the nurse and the dermatologist, during the patient's visit to the clinic. Individual area scores were summated to a total score. Results: The overall agreement was good, with an interclass correlation (ICC) of 0.61 between patient and dermatologist for the total score. The ICC between nurse and dermatologist was 0.78. Differences between observers were more pronounced for the more severe cases - those with higher numerical scores as assessed by the dermatologist. There was a tendency for female patients and for patients over the median age of 44 to set a lower point score than the dermatologist. The concordance of observations from individual anatomical areas was higher for fingertips and nails and lower for the palm and dorsum of the hand. Conclusion: Patients are able to report the extent of hand eczema with good accuracy. Self-assessment protocols for hand eczema may well have a place in the monitoring of hand eczema extent over time.}},
author = {{Carlsson, Annica and Gånemo, Agneta and Anderson, C D and Meding, B and Stenberg, B and Svensson, Åke}},
issn = {{1365-2133}},
language = {{eng}},
pages = {{123--128}},
publisher = {{Wiley-Blackwell}},
series = {{British Journal of Dermatology}},
title = {{Scoring of hand eczema: Good agreement between patients and dermatological staff.}},
url = {{http://dx.doi.org/10.1111/j.1365-2133.2011.10312.x}},
doi = {{10.1111/j.1365-2133.2011.10312.x}},
volume = {{165}},
year = {{2011}},
}