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Scoring of hand eczema: Good agreement between patients and dermatological staff.

Carlsson, Annica LU ; Gånemo, Agneta LU ; Anderson, C D; Meding, B; Stenberg, B and Svensson, Åke LU (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)
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author
organization
publishing date
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
ISSN
1365-2133
DOI
10.1111/j.1365-2133.2011.10312.x
language
English
LU publication?
yes
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
2011-04-01 16:22:03
date last changed
2017-06-04 04:33:13
@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},
  volume       = {165},
  year         = {2011},
}