Development and validation of a patient-reported outcome measure in vitiligo: The Self Assessment Vitiligo Extent Score (SA-VES)

Background The Vitiligo Extent Score (VES) has recently been introduced as a physicians' score for the clinical assessment of the extent of vitiligo, but a good patient self-assessment score is lacking. Objective The objective is to develop and validate a simplified version of the VES as a pati...

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Veröffentlicht in:Journal of the American Academy of Dermatology 2017-03, Vol.76 (3), p.464-471
Hauptverfasser: van Geel, Nanja, MD, PhD, Lommerts, Janny E., MD, Bekkenk, Marcel W., MD, PhD, Prinsen, Cecilia A.C., MD, PhD, Eleftheriadou, Viktoria, MD, PhD, Taieb, Alain, MD, PhD, Picardo, Mauro, MD, PhD, Ezzedine, Khaled, MD, PhD, Wolkerstorfer, Albert, MD, PhD, Speeckaert, Reinhart, MD, PhD
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container_end_page 471
container_issue 3
container_start_page 464
container_title Journal of the American Academy of Dermatology
container_volume 76
creator van Geel, Nanja, MD, PhD
Lommerts, Janny E., MD
Bekkenk, Marcel W., MD, PhD
Prinsen, Cecilia A.C., MD, PhD
Eleftheriadou, Viktoria, MD, PhD
Taieb, Alain, MD, PhD
Picardo, Mauro, MD, PhD
Ezzedine, Khaled, MD, PhD
Wolkerstorfer, Albert, MD, PhD
Speeckaert, Reinhart, MD, PhD
description Background The Vitiligo Extent Score (VES) has recently been introduced as a physicians' score for the clinical assessment of the extent of vitiligo, but a good patient self-assessment score is lacking. Objective The objective is to develop and validate a simplified version of the VES as a patient-reported outcome measure (PROM). Methods After extensive pilot testing, patients were asked to score their vitiligo extent twice with an interval of 2 weeks using the Self Assessment Vitiligo Extent Score (SA-VES). The scores were compared with the physicians' evaluation (VES). Results The SA-VES demonstrated very good test-retest reliability (intraclass correlation = 0.948, 95% confidence interval [CI]: 0.911-0.970) that was not affected by age, skin type, or vitiligo distribution pattern. According to patients, this evaluation method was easy to use (22% very easy; 49% easy; 29% normal) and required
doi_str_mv 10.1016/j.jaad.2016.09.034
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Objective The objective is to develop and validate a simplified version of the VES as a patient-reported outcome measure (PROM). Methods After extensive pilot testing, patients were asked to score their vitiligo extent twice with an interval of 2 weeks using the Self Assessment Vitiligo Extent Score (SA-VES). The scores were compared with the physicians' evaluation (VES). Results The SA-VES demonstrated very good test-retest reliability (intraclass correlation = 0.948, 95% confidence interval [CI]: 0.911-0.970) that was not affected by age, skin type, or vitiligo distribution pattern. According to patients, this evaluation method was easy to use (22% very easy; 49% easy; 29% normal) and required &lt;5 minutes in the majority of patients (73%, &lt;5 minutes; 24%, 5-10 minutes; 2%, 10-15 minutes). Comparison of the SA-VES and the VES demonstrated excellent correlation (r = 0.986, P &lt;.001). Limitations Few patients had a dark skin type. Conclusion The results demonstrate excellent reliability of the SA-VES and excellent correlation with its investigator-reported counterpart (VES). This patient-oriented evaluation method provides a useful tool for the assessment of vitiligo extent.</description><identifier>ISSN: 0190-9622</identifier><identifier>EISSN: 1097-6787</identifier><identifier>DOI: 10.1016/j.jaad.2016.09.034</identifier><identifier>PMID: 27887798</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Body Surface Area ; Child ; Dermatology ; Diagnostic Self Evaluation ; Feasibility Studies ; Female ; Humans ; Male ; Middle Aged ; outcome measurement ; Patient Reported Outcome Measures ; patient-reported outcomes ; Pilot Projects ; Reproducibility of Results ; severity ; Severity of Illness Index ; vitiligo ; Vitiligo - pathology ; Young Adult</subject><ispartof>Journal of the American Academy of Dermatology, 2017-03, Vol.76 (3), p.464-471</ispartof><rights>American Academy of Dermatology, Inc.</rights><rights>2016 American Academy of Dermatology, Inc.</rights><rights>Copyright © 2016 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c411t-32eb67edd0ae3c9cd1d60002b71ad10caf7a4601e8b765da8b15f15bcd2e3ad33</citedby><cites>FETCH-LOGICAL-c411t-32eb67edd0ae3c9cd1d60002b71ad10caf7a4601e8b765da8b15f15bcd2e3ad33</cites><orcidid>0000-0002-3249-8195</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jaad.2016.09.034$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27887798$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van Geel, Nanja, MD, PhD</creatorcontrib><creatorcontrib>Lommerts, Janny E., MD</creatorcontrib><creatorcontrib>Bekkenk, Marcel W., MD, PhD</creatorcontrib><creatorcontrib>Prinsen, Cecilia A.C., MD, PhD</creatorcontrib><creatorcontrib>Eleftheriadou, Viktoria, MD, PhD</creatorcontrib><creatorcontrib>Taieb, Alain, MD, PhD</creatorcontrib><creatorcontrib>Picardo, Mauro, MD, PhD</creatorcontrib><creatorcontrib>Ezzedine, Khaled, MD, PhD</creatorcontrib><creatorcontrib>Wolkerstorfer, Albert, MD, PhD</creatorcontrib><creatorcontrib>Speeckaert, Reinhart, MD, PhD</creatorcontrib><creatorcontrib>international Vitiligo Score Working Group</creatorcontrib><title>Development and validation of a patient-reported outcome measure in vitiligo: The Self Assessment Vitiligo Extent Score (SA-VES)</title><title>Journal of the American Academy of Dermatology</title><addtitle>J Am Acad Dermatol</addtitle><description>Background The Vitiligo Extent Score (VES) has recently been introduced as a physicians' score for the clinical assessment of the extent of vitiligo, but a good patient self-assessment score is lacking. Objective The objective is to develop and validate a simplified version of the VES as a patient-reported outcome measure (PROM). Methods After extensive pilot testing, patients were asked to score their vitiligo extent twice with an interval of 2 weeks using the Self Assessment Vitiligo Extent Score (SA-VES). The scores were compared with the physicians' evaluation (VES). Results The SA-VES demonstrated very good test-retest reliability (intraclass correlation = 0.948, 95% confidence interval [CI]: 0.911-0.970) that was not affected by age, skin type, or vitiligo distribution pattern. According to patients, this evaluation method was easy to use (22% very easy; 49% easy; 29% normal) and required &lt;5 minutes in the majority of patients (73%, &lt;5 minutes; 24%, 5-10 minutes; 2%, 10-15 minutes). Comparison of the SA-VES and the VES demonstrated excellent correlation (r = 0.986, P &lt;.001). Limitations Few patients had a dark skin type. Conclusion The results demonstrate excellent reliability of the SA-VES and excellent correlation with its investigator-reported counterpart (VES). 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Lommerts, Janny E., MD ; Bekkenk, Marcel W., MD, PhD ; Prinsen, Cecilia A.C., MD, PhD ; Eleftheriadou, Viktoria, MD, PhD ; Taieb, Alain, MD, PhD ; Picardo, Mauro, MD, PhD ; Ezzedine, Khaled, MD, PhD ; Wolkerstorfer, Albert, MD, PhD ; Speeckaert, Reinhart, MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c411t-32eb67edd0ae3c9cd1d60002b71ad10caf7a4601e8b765da8b15f15bcd2e3ad33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Body Surface Area</topic><topic>Child</topic><topic>Dermatology</topic><topic>Diagnostic Self Evaluation</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>outcome measurement</topic><topic>Patient Reported Outcome Measures</topic><topic>patient-reported outcomes</topic><topic>Pilot Projects</topic><topic>Reproducibility of Results</topic><topic>severity</topic><topic>Severity of Illness Index</topic><topic>vitiligo</topic><topic>Vitiligo - pathology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>van Geel, Nanja, MD, PhD</creatorcontrib><creatorcontrib>Lommerts, Janny E., MD</creatorcontrib><creatorcontrib>Bekkenk, Marcel W., MD, PhD</creatorcontrib><creatorcontrib>Prinsen, Cecilia A.C., MD, PhD</creatorcontrib><creatorcontrib>Eleftheriadou, Viktoria, MD, PhD</creatorcontrib><creatorcontrib>Taieb, Alain, MD, PhD</creatorcontrib><creatorcontrib>Picardo, Mauro, MD, PhD</creatorcontrib><creatorcontrib>Ezzedine, Khaled, MD, PhD</creatorcontrib><creatorcontrib>Wolkerstorfer, Albert, MD, PhD</creatorcontrib><creatorcontrib>Speeckaert, Reinhart, MD, PhD</creatorcontrib><creatorcontrib>international Vitiligo Score Working Group</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American Academy of Dermatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>van Geel, Nanja, MD, PhD</au><au>Lommerts, Janny E., MD</au><au>Bekkenk, Marcel W., MD, PhD</au><au>Prinsen, Cecilia A.C., MD, PhD</au><au>Eleftheriadou, Viktoria, MD, PhD</au><au>Taieb, Alain, MD, PhD</au><au>Picardo, Mauro, MD, PhD</au><au>Ezzedine, Khaled, MD, PhD</au><au>Wolkerstorfer, Albert, MD, PhD</au><au>Speeckaert, Reinhart, MD, PhD</au><aucorp>international Vitiligo Score Working Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Development and validation of a patient-reported outcome measure in vitiligo: The Self Assessment Vitiligo Extent Score (SA-VES)</atitle><jtitle>Journal of the American Academy of Dermatology</jtitle><addtitle>J Am Acad Dermatol</addtitle><date>2017-03-01</date><risdate>2017</risdate><volume>76</volume><issue>3</issue><spage>464</spage><epage>471</epage><pages>464-471</pages><issn>0190-9622</issn><eissn>1097-6787</eissn><abstract>Background The Vitiligo Extent Score (VES) has recently been introduced as a physicians' score for the clinical assessment of the extent of vitiligo, but a good patient self-assessment score is lacking. Objective The objective is to develop and validate a simplified version of the VES as a patient-reported outcome measure (PROM). Methods After extensive pilot testing, patients were asked to score their vitiligo extent twice with an interval of 2 weeks using the Self Assessment Vitiligo Extent Score (SA-VES). The scores were compared with the physicians' evaluation (VES). Results The SA-VES demonstrated very good test-retest reliability (intraclass correlation = 0.948, 95% confidence interval [CI]: 0.911-0.970) that was not affected by age, skin type, or vitiligo distribution pattern. According to patients, this evaluation method was easy to use (22% very easy; 49% easy; 29% normal) and required &lt;5 minutes in the majority of patients (73%, &lt;5 minutes; 24%, 5-10 minutes; 2%, 10-15 minutes). Comparison of the SA-VES and the VES demonstrated excellent correlation (r = 0.986, P &lt;.001). Limitations Few patients had a dark skin type. Conclusion The results demonstrate excellent reliability of the SA-VES and excellent correlation with its investigator-reported counterpart (VES). This patient-oriented evaluation method provides a useful tool for the assessment of vitiligo extent.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>27887798</pmid><doi>10.1016/j.jaad.2016.09.034</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-3249-8195</orcidid></addata></record>
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subjects Adolescent
Adult
Body Surface Area
Child
Dermatology
Diagnostic Self Evaluation
Feasibility Studies
Female
Humans
Male
Middle Aged
outcome measurement
Patient Reported Outcome Measures
patient-reported outcomes
Pilot Projects
Reproducibility of Results
severity
Severity of Illness Index
vitiligo
Vitiligo - pathology
Young Adult
title Development and validation of a patient-reported outcome measure in vitiligo: The Self Assessment Vitiligo Extent Score (SA-VES)
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