Change search
ReferencesLink to record
Permanent link

Direct link
Scoring of hand eczema: good agreement between patients and dermatological staff
Show others and affiliations
2011 (English)In: British Journal of Dermatology, ISSN 0007-0963, E-ISSN 1365-2133, ISSN 0007-0963, Vol. 165, no 1, 123-128 p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: 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.

OBJECTIVES: To investigate whether the same scoring system could be used by patients to communicate current status of hand eczema.

METHODS: In a study of 62 patients (36 women and 26 men, age range 19-75 years), the patient's own assessment was compared with 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 summed 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 women and for patients over the median age of 44 years 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.

CONCLUSIONS: 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.

Place, publisher, year, edition, pages
2011. Vol. 165, no 1, 123-128 p.
National Category
Medical and Health Sciences Dermatology and Venereal Diseases
URN: urn:nbn:se:umu:diva-51089DOI: 10.1111/j.1365-2133.2011.10312.xPubMedID: 21410676OAI: diva2:475010
Available from: 2012-01-10 Created: 2012-01-10 Last updated: 2012-07-05Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Stenberg, Berndt
By organisation
Dermatology and Venerology
In the same journal
British Journal of Dermatology
Medical and Health SciencesDermatology and Venereal Diseases

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 36 hits
ReferencesLink to record
Permanent link

Direct link