Assessment of hand eczema severity by patients using the hand eczema severity index (HECSI)

Anne Klose Janstrup; Line Brok Nørreslet; Jakob Maarbjerg Toft-Hansen; Robert Ofenloch; Tove Agner; Yasemin Topal Yüksel

doi:10.1111/jdv.19329

Assessment of hand eczema severity by patients using the hand eczema severity index (HECSI)

Anne Klose Janstrup, Line Brok Nørreslet, Jakob Maarbjerg Toft-Hansen, Robert Ofenloch, Tove Agner, Yasemin Topal Yüksel^*

^*Corresponding author for this work

Research output: Contribution to journal › Journal article › Research › peer-review

2 Citations (Scopus)

14 Downloads (Pure)

Abstract

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.

Original language	English
Journal	Journal of the European Academy of Dermatology and Venereology
Volume	37
Issue number	11
Pages (from-to)	2349-2354
Number of pages	6
ISSN	0926-9959
DOIs	https://doi.org/10.1111/jdv.19329
Publication status	Published - 2023

Bibliographical note

Publisher Copyright:
© 2023 European Academy of Dermatology and Venereology.

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Cite this

Assessment of hand eczema severity by patients using the hand eczema severity index (HECSI). / Janstrup, Anne Klose; Nørreslet, Line Brok; Toft-Hansen, Jakob Maarbjerg; Ofenloch, Robert; Agner, Tove; Yüksel, Yasemin Topal.

In: Journal of the European Academy of Dermatology and Venereology, Vol. 37, No. 11, 2023, p. 2349-2354.

Research output: Contribution to journal › Journal article › Research › peer-review

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abstract = "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.",

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AU - Janstrup, Anne Klose

AU - Nørreslet, Line Brok

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AU - Ofenloch, Robert

AU - Agner, Tove

AU - Yüksel, Yasemin Topal

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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.

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