دورية أكاديمية

A simple tool with which to study the course of chronic hand eczema in clinical practice: a reduced-item score.

التفاصيل البيبلوغرافية
العنوان: A simple tool with which to study the course of chronic hand eczema in clinical practice: a reduced-item score.
المؤلفون: van der Valk PG; Department of Dermatology, Radboud University Nijmegen Medical Centre, 6500 HB Nijmegen, The Netherlands. P.vanderValk@derma.umcn.nl, van Gils RF, Boot CR, Evers AW, Donders R, Alkemade HA, Coenraads PJ, Rustemeyer T, van Mechelen W, Anema JR
المصدر: Contact dermatitis [Contact Dermatitis] 2013 Aug; Vol. 69 (2), pp. 112-7.
نوع المنشور: Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Wiley Country of Publication: England NLM ID: 7604950 Publication Model: Print Cited Medium: Internet ISSN: 1600-0536 (Electronic) Linking ISSN: 01051873 NLM ISO Abbreviation: Contact Dermatitis Subsets: MEDLINE
أسماء مطبوعة: Publication: <2005-> : Oxford : Wiley
Original Publication: Copenhagen, Munksgaard.
مواضيع طبية MeSH: Hand Dermatoses/*diagnosis, Chronic Disease ; Cohort Studies ; Disease Progression ; Hand Dermatoses/pathology ; Hand Dermatoses/therapy ; Humans ; Severity of Illness Index
مستخلص: Background: Physicians need a simple, disease-specific tool with which to assess disease severity and the effect of therapeutic intervention in patients with chronic hand eczema. The currently available clinical scoring systems include numerous items, which makes them laborious to complete and limit their use in daily practice.
Objective: To develop a simple tool with which to assess disease severity of patients with chronic hand eczema.
Methods: We evaluated two tools, the Hand Eczema Severity Index (HECSI) and the Hand Eczema Area and Severity score, to determine their ability to predict the Investigator's Global Assessment (IGA) of disease severity in patients with moderate to severe hand eczema. We used a stepwise reduction analysis to determine a minimal set of significantly contributing items for predicting IGA.
Results: A three-item score, based on the highest observed value of induration, fissuring, and scaling, predicted IGA with a correlation of 0.667. The HECSI predicted the IGA with a correlation of 0.675.
Conclusion: On the basis of this analysis, we propose a simple tool for clinical decision-making and evaluation of therapeutic intervention in daily practice.
(© 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)
فهرسة مساهمة: Keywords: chronic hand eczema; clinical severity; reduced item score
تواريخ الأحداث: Date Created: 20130723 Date Completed: 20140318 Latest Revision: 20130722
رمز التحديث: 20231215
DOI: 10.1111/cod.12041
PMID: 23869731
قاعدة البيانات: MEDLINE