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Patient-Oriented SCORAD (PO-SCORAD): a new self-assessment scale in atopic dermatitis validated in Europe

Background:Patient-oriented medicine is an emerging concept, encouraged by the WorldHealth Organization, to greater involvement of the patient in the management of chronicdiseases. The Patient-Oriented SCORing Atopic Dermatitis (PO-SCORAD) index is aself-assessment score allowing the patient to comp...

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Main Authors: Stalder, Jean François (Author) , Barbarot, S. (Author) , Wollenberg, A. (Author) , Holm, E. A. (Author) , De Raeve, L. (Author) , Seidenari, S. (Author) , Oranje, A. (Author) , Deleuran, M. (Author) , Cambazard, F. (Author) , Svensson, A. (Author) , Simon, D. (Author) , Benfeldt, E. (Author) , Reunala, T. (Author) , Mazereeuv, J. (Author) , Boralevi, F. (Author) , Kunz, B. (Author) , Misery, L. (Author) , Mortz, C. G. (Author) , Darsow, Ulf (Author) , Gelmetti, C. (Author) , Diepgen, Thomas L. (Author) , Ring, Johannes (Author) , Moehrenschlager, M. (Author) , Gieler, U. (Author) , Taïeb, A. (Author)
Format: Article (Journal)
Language:English
Published: 18 March 2011
In: Allergy
Year: 2011, Volume: 66, Issue: 8, Pages: 1114-1121
ISSN:1398-9995
DOI:10.1111/j.1398-9995.2011.02577.x
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1111/j.1398-9995.2011.02577.x
Verlag, lizenzpflichtig, Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1398-9995.2011.02577.x
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Author Notes:J.-F. Stalder, S. Barbarot, A. Wollenberg, E.A. Holm, L. De Raeve, S. Seidenari, A. Oranje, M. Deleuran, F. Cambazard, A. Svensson, D. Simon, E. Benfeldt, T. Reunala, J. Mazereeuv, F. Boralevi, B. Kunz, L. Misery, C.G. Mortz, U. Darsow, C. Gelmetti, T. Diepgen, J. Ring, M. Moehrenschlager, U. Gieler & A. Taïeb, for the PO-SCORAD Investigators Group

MARC

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520 |a Background:Patient-oriented medicine is an emerging concept, encouraged by the WorldHealth Organization, to greater involvement of the patient in the management of chronicdiseases. The Patient-Oriented SCORing Atopic Dermatitis (PO-SCORAD) index is aself-assessment score allowing the patient to comprehensively evaluate the actual courseof atopic dermatitis (AD), using subjective and objective criteria derived mainly from theSCORAD, a validated AD severity clinical assessment tool.Objectives:To validate the PO-SCORAD index in a large European population ofpatients exhibiting all forms of AD severity by assessing its correlation with theSCORAD index.Patients/methods:Four hundred and seventy-one patients (185 adults, 286 children) con-sulting for AD in hospitals from 9 European countries were recruited. The investigatorsand the patients used the SCORAD and PO-SCORAD scales, respectively, to assess ADseverity at inclusion (D0) and 28 ± 7 days later (D28).Results:Patient-Oriented SCORing Atopic Dermatitis and SCORAD scores were signifi-cantly correlated at D0 [r= 0.67 (95% CI: 0.62; 0.72),P< 0.0001]. Consistency was con-firmed at D28, with a stronger linear correlation between both scales [r= 0.79 (95% CI:0.75; 0.83),P< 0.0001]. Absolute changes from baseline in SCORAD and PO-SCORADscores were also significantly correlated [r= 0.71 (95% CI: 0.64; 0.76),P< 0.0001].Although no specific intervention was investigated, AD improved over the study, with adecrease of PO-SCORAD and SCORAD scores from D0 to D28 by)19.19% and)24.39%,respectively. The consistency of the correlations was similar in the adult and children groups.Conclusions:This study validated the use of PO-SCORAD to self-assess AD severityand demonstrated its good correlation with SCORAD. 
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