A platform for research: civil engineering, architecture and urbanism
A platform for research: civil engineering, architecture and urbanism
Remote rating of atopic dermatitis severity using photo-based assessments:Proof-of-concept and reliability evaluation
Background: Digital imaging of dermatological patients is a novel approach to remote assessment and has recently become more relevant since telehealth and remote decentralized clinical trials are gaining ground. Objective: We aimed to investigate whether photographs taken by a smartphone are of adequate quality to allow severity assessments to be made and to explore the usefulness of an established atopic dermatitis severity assessment instrument on photograph evaluation. Methods: During scheduled visits in a previously published study, the investigating doctor evaluated the severity of atopic dermatitis using the Scoring AD (SCORAD) index and took photographs of the most representative lesions (target lesions) with both a smartphone and a digital single-lens reflex camera (DSLR). The photographs were then assessed by 5 dermatologists using the intensity items of the SCORAD (iSCORAD), which consists of erythema, oedema/papulation, excoriations, lichenification, oozing/crusts, and dryness (scale 0-3, maximum score 18). The mean iSCORAD of the photographs was calculated and compared with in-person assessments using Pearson correlation and Bland-Altman plots. Intraclass correlation coefficients were used for interrater reliability. Results: A total of 942 photographs from 95 patients were assessed. The iSCORAD based on smartphone photographs correlated strongly with the evaluations performed in person (iSCORAD: r=0.78, P<.001; objective SCORAD: r=0.81, P<.001; and total SCORAD: r=0.78, P<.001). For iSCORAD specifically, a Bland-Altman plot showed a difference in mean score of 1.31 for in-person and remote iSCORAD. In addition, the interrater agreement between the 5 rating dermatologists was 0.93 (95% CI 0.911-0.939). A total of 170 lesions were photographed, and the difference in mean scores was 1.32, 1.13, and 1.43 between in-person and remote evaluations based on photographs taken by a DSLR camera, a smartphone without flash, and a smartphone with flash, respectively. Conclusions: In terms of quality, ...
Remote rating of atopic dermatitis severity using photo-based assessments:Proof-of-concept and reliability evaluation
Background: Digital imaging of dermatological patients is a novel approach to remote assessment and has recently become more relevant since telehealth and remote decentralized clinical trials are gaining ground. Objective: We aimed to investigate whether photographs taken by a smartphone are of adequate quality to allow severity assessments to be made and to explore the usefulness of an established atopic dermatitis severity assessment instrument on photograph evaluation. Methods: During scheduled visits in a previously published study, the investigating doctor evaluated the severity of atopic dermatitis using the Scoring AD (SCORAD) index and took photographs of the most representative lesions (target lesions) with both a smartphone and a digital single-lens reflex camera (DSLR). The photographs were then assessed by 5 dermatologists using the intensity items of the SCORAD (iSCORAD), which consists of erythema, oedema/papulation, excoriations, lichenification, oozing/crusts, and dryness (scale 0-3, maximum score 18). The mean iSCORAD of the photographs was calculated and compared with in-person assessments using Pearson correlation and Bland-Altman plots. Intraclass correlation coefficients were used for interrater reliability. Results: A total of 942 photographs from 95 patients were assessed. The iSCORAD based on smartphone photographs correlated strongly with the evaluations performed in person (iSCORAD: r=0.78, P<.001; objective SCORAD: r=0.81, P<.001; and total SCORAD: r=0.78, P<.001). For iSCORAD specifically, a Bland-Altman plot showed a difference in mean score of 1.31 for in-person and remote iSCORAD. In addition, the interrater agreement between the 5 rating dermatologists was 0.93 (95% CI 0.911-0.939). A total of 170 lesions were photographed, and the difference in mean scores was 1.32, 1.13, and 1.43 between in-person and remote evaluations based on photographs taken by a DSLR camera, a smartphone without flash, and a smartphone with flash, respectively. Conclusions: In terms of quality, ...
Remote rating of atopic dermatitis severity using photo-based assessments:Proof-of-concept and reliability evaluation
Ali, Zarqa (author) / Joergensen, Kristina Melbardis (author) / Andersen, Anders Daniel (author) / Chiriac, Andrei (author) / Bjerre-Christensen, Theis (author) / Manole, Ionela (author) / Dutei, Ana Maria (author) / Deaconescu, Irina (author) / Suru, Alina (author) / Serban, Adina (author)
2021-01-01
Ali , Z , Joergensen , K M , Andersen , A D , Chiriac , A , Bjerre-Christensen , T , Manole , I , Dutei , A M , Deaconescu , I , Suru , A , Serban , A , Isberg , A P , Dahiya , P , Thomsen , S F & Zibert , J R 2021 , ' Remote rating of atopic dermatitis severity using photo-based assessments : Proof-of-concept and reliability evaluation ' , JMIR Formative Research , vol. 5 , no. 5 , e24766 . https://doi.org/10.2196/24766
Article (Journal)
Electronic Resource
English
Photographs , Atopic dermatitis , Photo , SCORAD , Agreement , EASI , Eczema , Severity , Assessment , Remote assessment
DDC:
710
Reliability testing of the Six Area. Six Sign Atopic Dermatitis (SASSAD) severity score
| British Library Conference Proceedings | 2000
Review of atopic dermatitis: epidemiological, physiopathological and therapeutic aspects
| British Library Online Contents | 2016
Successful treatment of atopic dermatitis with the JAK1 inhibitor oclacitinib
| British Library Online Contents | 2018
Novel Formable PVA-Based Gel as a Potential for Atopic Dermatitis Treatment
| British Library Online Contents | 2014