TY - JOUR
T1 - Assessment of hand eczema severity by patients using the hand eczema severity index (HECSI)
AU - Janstrup, Anne Klose
AU - Nørreslet, Line Brok
AU - Toft-Hansen, Jakob Maarbjerg
AU - Ofenloch, Robert
AU - Agner, Tove
AU - Yüksel, Yasemin Topal
N1 - © 2023 European Academy of Dermatology and Venereology.
PY - 2023/11
Y1 - 2023/11
N2 - BACKGROUND: Hand eczema severity index (HECSI) is a widely used tool for assessment of hand eczema (HE) severity. Generally, HECSI has been used by health care providers, and a validation of the HECSI tool when used by patients is lacking.OBJECTIVES: To evaluate the construct validity and reliability of HECSI as a tool for patients based on comparison to HECSI assessments by physicians.METHODS: Patients with HE, enrolled from the dermatological outpatient clinic, Bispebjerg Hospital, assessed HE severity with a patient version of HECSI (patient-HECSI). Afterwards, HECSI was assessed by a trained physician (physician-HECSI).RESULTS: This study found a strong correlation and very good absolute agreement between patient-HECSI and physician-HECSI assessments with a correlation coefficient of 0.756 and intraclass correlation coefficient (ICC) of 0.844. Cronbach's alpha was 0.861 indicating very good internal consistency.CONCLUSION: With a strong construct validity and reliability, the patient-HECSI may be used by patients as a patient-reported outcome assessing their personal HE severity.
AB - BACKGROUND: Hand eczema severity index (HECSI) is a widely used tool for assessment of hand eczema (HE) severity. Generally, HECSI has been used by health care providers, and a validation of the HECSI tool when used by patients is lacking.OBJECTIVES: To evaluate the construct validity and reliability of HECSI as a tool for patients based on comparison to HECSI assessments by physicians.METHODS: Patients with HE, enrolled from the dermatological outpatient clinic, Bispebjerg Hospital, assessed HE severity with a patient version of HECSI (patient-HECSI). Afterwards, HECSI was assessed by a trained physician (physician-HECSI).RESULTS: This study found a strong correlation and very good absolute agreement between patient-HECSI and physician-HECSI assessments with a correlation coefficient of 0.756 and intraclass correlation coefficient (ICC) of 0.844. Cronbach's alpha was 0.861 indicating very good internal consistency.CONCLUSION: With a strong construct validity and reliability, the patient-HECSI may be used by patients as a patient-reported outcome assessing their personal HE severity.
KW - Humans
KW - Reproducibility of Results
KW - Hand Dermatoses/diagnosis
KW - Severity of Illness Index
KW - Eczema/diagnosis
KW - Physicians
UR - http://www.scopus.com/inward/record.url?scp=85165426316&partnerID=8YFLogxK
U2 - 10.1111/jdv.19329
DO - 10.1111/jdv.19329
M3 - Journal article
C2 - 37432043
SN - 0926-9959
VL - 37
SP - 2349
EP - 2354
JO - Journal of the European Academy of Dermatology and Venereology : JEADV
JF - Journal of the European Academy of Dermatology and Venereology : JEADV
IS - 11
ER -