Validation of remote atopic dermatitis severity assessment with the Eczema Area and Severity Ondex in children using caregiver-provided photos and videos.

Autor: Croce EA; Dell Children's Medical Group, Ascension Seton, Austin, Texas, USA.; The University of Texas at Austin School of Nursing, Austin, Texas, USA., Rathouz PJ; Department of Population Health, Dell Medical School at The University of Texas at Austin, Austin, Texas, USA., Lopes FCPS; Department of Internal Medicine, Dell Medical School at The University of Texas at Austin, Austin, Texas, USA., Leszczynska M; Dell Children's Medical Group, Ascension Seton, Austin, Texas, USA., Diaz LZ; Dell Children's Medical Group, Ascension Seton, Austin, Texas, USA.; Department of Internal Medicine, Dell Medical School at The University of Texas at Austin, Austin, Texas, USA.; Department of Pediatrics, Dell Medical School at The University of Texas at Austin, Austin, Texas, USA., Levy ML; Dell Children's Medical Group, Ascension Seton, Austin, Texas, USA.; Department of Internal Medicine, Dell Medical School at The University of Texas at Austin, Austin, Texas, USA.; Department of Pediatrics, Dell Medical School at The University of Texas at Austin, Austin, Texas, USA., Ruth JS; Dell Children's Medical Group, Ascension Seton, Austin, Texas, USA.; Department of Internal Medicine, Dell Medical School at The University of Texas at Austin, Austin, Texas, USA.; Department of Pediatrics, Dell Medical School at The University of Texas at Austin, Austin, Texas, USA., Varshney P; Dell Children's Medical Group, Ascension Seton, Austin, Texas, USA.; Department of Pediatrics, Dell Medical School at The University of Texas at Austin, Austin, Texas, USA., Rew L; The University of Texas at Austin School of Nursing, Austin, Texas, USA., Matsui EC; Dell Children's Medical Group, Ascension Seton, Austin, Texas, USA.; Department of Population Health, Dell Medical School at The University of Texas at Austin, Austin, Texas, USA.; Department of Pediatrics, Dell Medical School at The University of Texas at Austin, Austin, Texas, USA.
Jazyk: angličtina
Zdroj: Pediatric dermatology [Pediatr Dermatol] 2022 Jul; Vol. 39 (4), pp. 547-552. Date of Electronic Publication: 2022 May 06.
DOI: 10.1111/pde.15003
Abstrakt: Background/objectives: We sought to quantify the reliability and validity of remote atopic dermatitis (AD) severity assessment using the Eczema Area and Severity Index (EASI) applied to caregiver-provided photos (p-EASI) and videos (v-EASI).
Methods: Children (0-17 years) with a physician diagnosis of AD were recruited. Caregivers took photos and a video of their child's skin. A clinician scored in-person EASI on the same day, then p-EASI and v-EASI for each participant 10 days or more between ratings. Two additional clinicians scored p-EASI and v-EASI. Lin's concordance correlation coefficient (CCC) was employed to assess criterion validity using in-person EASI as the gold standard. Intraclass correlation coefficients (ICCs) were calculated to assess interrater reliability of p-EASI and v-EASI.
Results: Fifty racially and ethnically diverse children (age [mean ± SD]: 4.3 ± 4.4 years; 42% female) with a range of AD severity (EASI: 6.3 ± 6.4) and Fitzpatrick skin types (1-2: 9%; 3-4: 60%; 5-6: 31%) were enrolled and received in-person EASI assessment. Fifty had p-EASI and 49 had v-EASI by the same in-person rater, and by two additional raters. The CCC and ICC for p-EASI were 0.89, 95% CI [0.83, 0.95] and 0.81, 95% CI [0.71, 0.89], respectively. The CCC and ICC for v-EASI were 0.75, 95% CI [0.63, 0.88] and 0.69, 95% CI [0.51, 0.81], respectively.
Conclusions: In this diverse population with a range of skin tones, p-EASI showed good criterion validity and good interrater reliability. v-EASI showed moderate to good criterion validity and moderate interrater reliability. Both may be reliable and valid options for remote AD severity assessment.
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Databáze: MEDLINE