Development and Validation of a Photonumeric Scale for Evaluation of Volume Deficit of the Hand.
Dermatol Surg
; 42 Suppl 1: S195-S202, 2016 Oct.
Article
en En
| MEDLINE
| ID: mdl-27661741
ABSTRACT
BACKGROUND:
A validated scale is needed for objective and reproducible comparisons of hand appearance before and after treatment in practice and clinical studies.OBJECTIVE:
To describe the development and validation of the 5-point photonumeric Allergan Hand Volume Deficit Scale.METHODS:
The scale was developed to include an assessment guide, verbal descriptors, morphed images, and real-subject images for each grade. The clinical significance of a 1-point score difference was evaluated in a review of image pairs representing varying differences in severity. Interrater and intrarater reliability was evaluated in a live-subject validation study (N = 296) completed during 2 sessions occurring 3 weeks apart.RESULTS:
A score difference of ≥1 point was shown to reflect a clinically significant difference (mean [95% confidence interval] absolute score difference, 1.12 [0.99-1.26] for clinically different image pairs and 0.45 [0.33-0.57] for not clinically different pairs). Intrarater agreement between the 2 validation sessions was almost perfect (mean weighted kappa = 0.83). Interrater agreement was almost perfect during the second session (0.82, primary end point).CONCLUSION:
The Allergan Hand Volume Deficit Scale is a validated and reliable scale for physician rating of hand volume deficit.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Pesos y Medidas Corporales
/
Fotograbar
/
Mano
Límite:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Dermatol Surg
Asunto de la revista:
DERMATOLOGIA
Año:
2016
Tipo del documento:
Article