Anne Klose Janstrup, Line Brok Nørreslet, Jakob Maarbjerg Toft‐Hansen, Robert Ofenloch, Tove Agner, Yasemin Topal Yüksel

Assessment of hand eczema severity by patients using the hand eczema severity index (HECSI)

  • Infectious Diseases
  • Dermatology
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AbstractBackgroundHand eczema severity index (HECSI) is a widely used tool for assessment of hand eczema (HE) severity. Generally, HECSI has been used by health care providers, and a validation of the HECSI tool when used by patients is lacking.ObjectivesTo evaluate the construct validity and reliability of HECSI as a tool for patients based on comparison to HECSI assessments by physicians.MethodsPatients with HE, enrolled from the dermatological outpatient clinic, Bispebjerg Hospital, assessed HE severity with a patient version of HECSI (patient‐HECSI). Afterwards, HECSI was assessed by a trained physician (physician‐HECSI).ResultsThis study found a strong correlation and very good absolute agreement between patient‐HECSI and physician‐HECSI assessments with a correlation coefficient of 0.756 and intraclass correlation coefficient (ICC) of 0.844. Cronbach's alpha was 0.861 indicating very good internal consistency.ConclusionWith a strong construct validity and reliability, the patient‐HECSI may be used by patients as a patient‐reported outcome assessing their personal HE severity.

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