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HIDRAdisk: validation of an innovative visual tool to assess the burden of hidradenitis suppurativa
Author(s) -
Peris K.,
Lo Schiavo A.,
Fabbrocini G.,
Dini V.,
Patrizi A.,
Fusano M.,
Bianchi L.,
Guanziroli E.,
Guarneri C.,
Parodi A.,
Bertoldi A.,
Musumeci M.L.,
Offidani A.,
Rongioletti F.,
Pistone G.,
Malara G.,
Potenza C.,
Casari A.,
Franchi C.,
Ardigò M.,
Cusano F.,
Stingeni L.,
Amerio P.,
Mancini L.L.,
Prignano F.,
Deboli T.,
Gualberti G.,
Saragaglia V.,
Bettoli V.
Publication year - 2019
Publication title -
journal of the european academy of dermatology and venereology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.655
H-Index - 107
eISSN - 1468-3083
pISSN - 0926-9959
DOI - 10.1111/jdv.15425
Subject(s) - hidradenitis suppurativa , medicine , intraclass correlation , dermatology life quality index , quality of life (healthcare) , visual analogue scale , cronbach's alpha , psoriasis , apocrine , observational study , dermatology , severity of illness , physical therapy , disease , psychometrics , pathology , clinical psychology , nursing
Background Hidradenitis suppurativa ( HS ) is a chronic, relapsing, inflammatory skin disease characterized by painful inflamed nodules, recurrent abscesses and fistulas located in apocrine gland–bearing body sites. The negative impact of HS on patient's quality of life (QoL) has been reported to be greater than other dermatologic conditions as psoriasis and atopic eczema, and its improvement is an important goal in disease management. Nowadays, there are no specific validated QoL instruments available for HS and generic dermatologic questionnaires are used. Objective The objective of this study was to demonstrate the validity, reliability and responsiveness of HIDRA disk, a new innovative tool designed for rapid assessment of HS burden and, at the same time, an intuitive graphic visualization of the measurement outcome. Methods A multicentre, longitudinal, observational study was conducted to validate the HIDRA disk compared with other validated questionnaires [Skindex‐16, Dermatology Life Quality Index ( DLQI ), Work Productivity and Activity Impairment–General Health (WPAI:GH)] and to evaluate its correlation with disease severity in Italian patients with any degree of HS severity, as measured by Hurley stage and HS Physician Global Assessment ( HS ‐ PGA ). Results A total of 140 patients (59% women; mean age 34.9 ± 11.0 years) were enrolled in 27 dermatologic centres. HIDRA disk showed a strong correlation with Skindex‐16 and DLQI , and a good one with WPAI:GH (correlation coefficient: 0.7568, 0.6651 and 0.5947, respectively) and a statistically significant correlation with both Hurley stage and HS ‐ PGA . Very good internal consistency (Cronbach coefficient >0.80; intraclass correlation coefficient >0.6), with correlation between the 10 items, good test–retest reliability (Spearman correlation coefficient, 0.8331; P < 0.0001) and responsiveness to changes were demonstrated. Conclusion Our study shows that HIDRA disk, a short and innovative visual HS QoL instrument, has been psychometrically validated in Italian language and it may help improve the management of HS once implemented in routine clinical practice.