지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 284 - 289 (6page)
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초록· 키워드
오류제보하기
Background: Accurate assessment of the severity of psoriasis is important in daily practice and clinical studies. However, the assessment of psoriasis area and severity index (PASI) reflects the physician’s experience, and thus evaluations by physicians are inherently subjective, with intra-rater and inter- rater variability. Objective: To elucidate the effectiveness of PASI educational lectures and the use of reference photographs on the improvement of accuracy and reliability in PASI assessments and to develop effective educational programs for PASI assessments. Methods: We performed a before- and-after comparison study during nation-wide PASI educational workshops. The participants were asked to assess the severity components of PASI (erythema, thickness, scale, and affected area) three times: in the test administered before an educational lecture, the test immediately after the lecture, and lastly the test with the use of reference photographs. The improvement of accuracy and reliability was analyzed by comparing the results of three tests. Results: Ninety-six board-certified dermatologists and residents participated and 72 participants completed all three tests. The accuracy and reliability of the assessment of severity components of PASI increased significantly after the educational lecture and the use of reference photographs. Use of reference photographs resulted in limited improvements when the recognition of three-dimensional structures was required, such as in the assessment of thickness or scale. Conclusion: Our study confirmed that the combination of standardized educational training and reference photographs can improve the accuracy and reliability of PASI assessments. Understanding how to evaluate three-dimensional psoriatic lesions can help with proper assessment of the severity of psoriasis.
목차
등록된 정보가 없습니다.
참고문헌 (8)
참고문헌 신청
Faria JR / 2010 / Inter-rater concordance study of the PASI (Psoriasis Area and Severity Index) / An Bras Dermatol 85:625~629
Armstrong AW / 2013 / Standardizing training for psoriasis measures: effectiveness of an online training video on Psoriasis Area and Severity Index assessment by physician and patient raters / JAMA Dermatol 149:577~582
Robinson A / 2012 / Physician Global Assessment (PGA) and Psoriasis Area and Severity Index (PASI): why do both? A systematic analysis of randomized controlled trials of biologic agents for moderate to severe plaque psoriasis / J Am Acad Dermatol 66:369~375
Puzenat E / 2010 / What are the best outcome measures for assessing plaque psoriasis severity? A systematic review of the literature / J Eur Acad Dermatol Venereol 24(Suppl 2):10~16
윤상웅 / 2015 / Reduction of Inter-Rater and Intra-Rater Variability in Psoriasis Area and Severity Index Assessment by Photographic Training / Annals of Dermatology 27(5):557~562
Armstrong AW / 2013 / Standardizing training for psoriasis measures: effectiveness of an online training video on Psoriasis Area and Severity Index assessment by physician and patient raters / JAMA Dermatol 149:577~582
Robinson A / 2012 / Physician Global Assessment (PGA) and Psoriasis Area and Severity Index (PASI): why do both? A systematic analysis of randomized controlled trials of biologic agents for moderate to severe plaque psoriasis / J Am Acad Dermatol 66:369~375
Puzenat E / 2010 / What are the best outcome measures for assessing plaque psoriasis severity? A systematic review of the literature / J Eur Acad Dermatol Venereol 24(Suppl 2):10~16
윤상웅 / 2015 / Reduction of Inter-Rater and Intra-Rater Variability in Psoriasis Area and Severity Index Assessment by Photographic Training / Annals of Dermatology 27(5):557~562
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