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Scoring of Hand Eczema : Good reliability of the Hand Eeczema Extent Score (HEES)

Carlsson, Annica LU ; Svensson, Åke LU ; Anderson, Chris D.; Baranovskaya, Irina LU ; Hindsén, Monica LU ; Holt, Ingebjörg; Meding, Birgitta; Stenberg, Berndt; Stenlund, Hans and Gånemo, Agneta LU (2017) In Acta Dermato-Venereologica 97(2). p.193-197
Abstract

There is good agreement between dermatological staff and patients using the Hand Eczema Extent Score (HEES). The aim of this study was to assess inter- and intra-observer reliability of the HEES in dermatologists and intra-observer reliability of the HEES in patients with hand eczema. Six dermatologists assessed 18 patients twice. Only the hands of the patients were visible to the assessors. Patients performed a self-assessment twice. Inter- and intra-observer reliability was tested with intraclass correlation coefficient (ICC). The mean HEES score for all dermatologists’ assessments was 21.0 (range 3.6–46.3). The corresponding mean scores for all patients’ own assessments were 24.9 (range 4.0–54.0). Inter-observer reliability in the... (More)

There is good agreement between dermatological staff and patients using the Hand Eczema Extent Score (HEES). The aim of this study was to assess inter- and intra-observer reliability of the HEES in dermatologists and intra-observer reliability of the HEES in patients with hand eczema. Six dermatologists assessed 18 patients twice. Only the hands of the patients were visible to the assessors. Patients performed a self-assessment twice. Inter- and intra-observer reliability was tested with intraclass correlation coefficient (ICC). The mean HEES score for all dermatologists’ assessments was 21.0 (range 3.6–46.3). The corresponding mean scores for all patients’ own assessments were 24.9 (range 4.0–54.0). Inter-observer reliability in the dermatologists’ observations ICC classification was very good, median value 0.82 (range 0.56–0.92). The overall intra-observer reliability for the 6 der matologists’ ICC classification was very good (range 0.88–0.94). Intra-observer reliability in the patients’ 2 self-assessments ICC classification was very good (ICC 0.95). In conclusion, HEES is a reliable tool for both dermatologists and patients to grade the extent of hand eczema.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Dermatitis, Inter-observer reliability, Intra-observer reliability, Self-assessment, Severity
in
Acta Dermato-Venereologica
volume
97
issue
2
pages
5 pages
publisher
Medical Journals Limited
external identifiers
  • scopus:85011999910
  • wos:000393895500006
ISSN
0001-5555
DOI
10.2340/00015555-2521
language
English
LU publication?
yes
id
976b35ae-eb83-45c8-ba3a-077547d7d2ef
date added to LUP
2017-02-27 14:59:56
date last changed
2018-01-07 11:53:01
@article{976b35ae-eb83-45c8-ba3a-077547d7d2ef,
  abstract     = {<p>There is good agreement between dermatological staff and patients using the Hand Eczema Extent Score (HEES). The aim of this study was to assess inter- and intra-observer reliability of the HEES in dermatologists and intra-observer reliability of the HEES in patients with hand eczema. Six dermatologists assessed 18 patients twice. Only the hands of the patients were visible to the assessors. Patients performed a self-assessment twice. Inter- and intra-observer reliability was tested with intraclass correlation coefficient (ICC). The mean HEES score for all dermatologists’ assessments was 21.0 (range 3.6–46.3). The corresponding mean scores for all patients’ own assessments were 24.9 (range 4.0–54.0). Inter-observer reliability in the dermatologists’ observations ICC classification was very good, median value 0.82 (range 0.56–0.92). The overall intra-observer reliability for the 6 der matologists’ ICC classification was very good (range 0.88–0.94). Intra-observer reliability in the patients’ 2 self-assessments ICC classification was very good (ICC 0.95). In conclusion, HEES is a reliable tool for both dermatologists and patients to grade the extent of hand eczema.</p>},
  author       = {Carlsson, Annica and Svensson, Åke and Anderson, Chris D. and Baranovskaya, Irina and Hindsén, Monica and Holt, Ingebjörg and Meding, Birgitta and Stenberg, Berndt and Stenlund, Hans and Gånemo, Agneta},
  issn         = {0001-5555},
  keyword      = {Dermatitis,Inter-observer reliability,Intra-observer reliability,Self-assessment,Severity},
  language     = {eng},
  month        = {02},
  number       = {2},
  pages        = {193--197},
  publisher    = {Medical Journals Limited},
  series       = {Acta Dermato-Venereologica},
  title        = {Scoring of Hand Eczema : Good reliability of the Hand Eeczema Extent Score (HEES)},
  url          = {http://dx.doi.org/10.2340/00015555-2521},
  volume       = {97},
  year         = {2017},
}