Bentz, Philipp and Apfelbacher, Christian and Akst, Wilhelm and Molin, Sonja and Bauer, Andrea and Elsner, Peter and Mahler, Vera and Von Kiedrowski, Ralph and Schmitt, Jochen and Weisshaar, Elke (2023) Self-reported Versus Physician-reported Severity of Chronic Hand Eczema: Concordance Analysis Based on Data from the German Chronic Hand Eczema Patient Long-Term Management Registry. ACTA DERMATO-VENEREOLOGICA, 103: adv00884. ISSN 0001-5555, 1651-2057
Full text not available from this repository. (Request a copy)Abstract
Self-assessment of general health status has a signifi-cant influence on patient-related outcomes. The aims of this study were to investigate and compare the level of agreement between patients' and dermatologists' as-sessments of the severity of chronic hand eczema. From the German registry "German Chronic Hand Eczema Pa-tient Long-Term Management Registry" (CARPE), 1,281 pairs of patients with chronic hand eczema and their dermatologists were included. Of these, 788 pairs ser-ved as a comparison 2 years after baseline. Concordance analyses found that complete concordance between pa-tients' and dermatologists' assessments were 16.62% at baseline and 11.47% at follow-up. Overall, patients assessed their chronic eczema at baseline as more se-vere than did the dermatologists; whereas, at follow-up, patients assessed their condition as less severe than the dermatologists' assessment. Bangdiwala's B sho-wed lower values of concordance for womens' and ol-der patients' self-assessment with the dermatologists' assessments. In conclusion, dermatologists should consider the patient's perspective and the individual's assessment of their chronic hand eczema in order to provide effective care in clinical practice.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | ATOPIC-DERMATITIS; DISEASE SEVERITY; GENERAL HEALTH; RATED HEALTH; DISCORDANCE; CARPE; GENDER; ADULTS; PAIN; SEX; concordance; self-reported health; hand eczema |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Institut für Epidemiologie und Präventivmedizin |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 26 Mar 2024 13:29 |
| Last Modified: | 26 Mar 2024 13:29 |
| URI: | https://pred.uni-regensburg.de/id/eprint/60589 |
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