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The refined Hurley classification: the inter‐rater and intrarater reliability and face validity
Author(s) -
Prens L.M.,
Rondags A.,
Volkering R.J.,
Janse I.C.,
Politiek K.,
Zuidema Y.S.,
Turcan I.,
Hasselt J.,
Zee H.H.,
Horváth B.
Publication year - 2019
Publication title -
british journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.304
H-Index - 179
eISSN - 1365-2133
pISSN - 0007-0963
DOI - 10.1111/bjd.18235
Subject(s) - intra rater reliability , reliability (semiconductor) , face (sociological concept) , inter rater reliability , medicine , psychology , developmental psychology , confidence interval , rating scale , philosophy , physics , power (physics) , quantum mechanics , linguistics
Hidradenitis suppurativa (HS) is a common, debilitating, chronic inflammatory skin disease, predominantly staged according to the Hurley classification. However, this classification was only intended to describe symptoms in one anatomical region and to guide surgical treatment options. With typically multiple areas affected by HS, this is not a valid instrument to classify the entire patient.1 Because HS is a heterogeneous disease, the Dutch HS expert group proposed a modification, the "refined Hurley classification".2 It consists of seven stages, subdividing stage I and II into A (mild), B (moderate) and C (severe) based on extent of the disease and degree of inflammation. Stage III (severe) is not sub-categorized. This classification aims for a more detailed staging of HS patients in daily practice and in clinical trials, ultimately to refine treatment strategies. The aim of this study was to assess the interrater and intrarater reliability and face validity of the refined Hurley classification. This article is protected by copyright. All rights reserved.