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Inter-rater reliability of cutaneous sarcoidosis assessment tools via remote photographic assessment.
Berg, Sara A; Yeung, Howa; English, Joseph C; Keimig, Emily L; Kim, Ellen J; Micheletti, Robert G; Wanat, Karolyn A; Judson, Marc A; Baughman, Robert P; Rosenbach, Misha.
Afiliação
  • Berg SA; University of Pennsylvania, Department of Dermatology, Philadelphia, PA.
  • Yeung H; Emory University School of Medicine, Department of Dermatology, Atlanta, GA.
  • English JC; University of Pittsburgh, Department of Dermatology, Pittsburgh, PA.
  • Keimig EL; Northwestern University, Department of Dermatology, Chicago, IL.
  • Kim EJ; University of Pennsylvania, Department of Dermatology, Philadelphia, PA.
  • Micheletti RG; University of Pennsylvania, Department of Dermatology, Philadelphia, PA.
  • Wanat KA; University of Iowa Carver College of Medicine, Department of Dermatology and Pathology, Iowa City, IA.
  • Judson MA; Albany Medical College, Albany, NY.
  • Baughman RP; University of Cincinnati Medical Center, Cincinnati, OH.
  • Rosenbach M; University of Pennsylvania, Department of Dermatology, Philadelphia, PA.
Sarcoidosis Vasc Diffuse Lung Dis ; 34(2): 165-169, 2017.
Article em En | MEDLINE | ID: mdl-32476838
Background: Recently two outcome instruments have been developed and validated for assessing cutaneous sarcoidosis in a live, in-person setting. Teledermatology is a rapidly growing field; yet, to date, no instrument has been validated for use in a remote setting, which could ultimately impact clinical trial design. Objective: To assess the interrater reliability of these outcome instruments for store-and-forward teledermatology. Methods: Seven sarcoidosis experts, including both pulmonologists and dermatologists, scored photographs of cutaneous sarcoidosis lesions in 13 patients utilizing the Cutaneous Sarcoidosis Activity and Morphology Index (CSAMI), the Sarcoidosis Activity and Severity Index (SASI) and the Physician Global Assessment (PGA). Interrater reliability was assessed for each instrument and was compared to results obtained from a prior study involving sarcoidosis experts evaluating the same patient population in an in-person setting. Results: Interrater reliability (presented as ICC [95%CI]) was poor for the CSAMI Activity scale (0.36 [0.16 - 0.65]) and the CSAMI Damage scale (0.17 [0.04 - 0.43]) and was fair for the Modified Facial SASI (0.59 [0.36 - 0.82]) and the PGA (0.47 [0.23 - 0.74]). All results were inferior to those obtained from the prior studies validating these instruments for in-person use. Conclusions: Given the superiority of these instruments when utilized in person, it is recommended to have an on-site sarcoidosis expert evaluate cutaneous sarcoidosis lesions whenever possible. (Sarcoidosis Vasc Diffuse Lung Dis 2017; 34: 165-169).
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Sarcoidosis Vasc Diffuse Lung Dis Assunto da revista: ALERGIA E IMUNOLOGIA / ANGIOLOGIA Ano de publicação: 2017 Tipo de documento: Article País de publicação: Itália
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Sarcoidosis Vasc Diffuse Lung Dis Assunto da revista: ALERGIA E IMUNOLOGIA / ANGIOLOGIA Ano de publicação: 2017 Tipo de documento: Article País de publicação: Itália