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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

Self-assessment of general health status has a significant influence on patient-related outcomes. The aims of this study were to investigate and compare the level of agreement between patients’ and dermatologists’ assessments of the severity of chronic hand eczema. From the German registry “German C...

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Bibliographic Details
Main Authors: Bentz, Philipp (Author) , Apfelbacher, Christian (Author) , Akst, Wilhelm (Author) , Molin, Sonja (Author) , Bauer, Andrea (Author) , Elsner, Peter (Author) , Mahler, Vera (Author) , Kiedrowski, Ralph von (Author) , Schmitt, Jochen Maximilian (Author) , Weisshaar, Elke (Author)
Format: Article (Journal)
Language:English
Published: Mar 9, 2023
In: Acta dermato-venereologica
Year: 2023, Volume: 103, Pages: 1-6
ISSN:1651-2057
DOI:10.2340/actadv.v103.5383
Online Access:Resolving-System, kostenfrei: https://dx.doi.org/10.2340/actadv.v103.5383
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Author Notes:Philipp Bentz, Christian Apfelbacher, Wilhelm Akst, Sonja Molin, Andrea Bauer, Peter Elsner, Vera Mahler, Ralph von Kiedrowski, Jochen Schmitt and Elke Weisshaar
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Summary:Self-assessment of general health status has a significant influence on patient-related outcomes. The aims of this study were to investigate and compare the level of agreement between patients’ and dermatologists’ assessments of the severity of chronic hand eczema. From the German registry “German Chronic Hand Eczema Patient Long-Term Management Registry” (CARPE), 1,281 pairs of patients with chronic hand eczema and their dermatologists were included. Of these, 788 pairs served as a comparison 2 years after baseline. Concordance analyses found that complete concordance between patients’ and dermatologists’ assessments were 16.62% at baseline and 11.47% at follow-up. Overall, patients assessed their chronic eczema at baseline as more severe than did the dermatologists; whereas, at follow-up, patients assessed their condition as less severe than the dermatologists’ assessment. Bangdiwala’s B showed lower values of concordance for womens’ and older 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.
Physical Description:Online Resource
ISSN:1651-2057
DOI:10.2340/actadv.v103.5383

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