Zusammenfassung
Self-assessment of general health status has a signifi-cant influence on patient-related outcomes. The aims of this study were to investigate and compare the level of agreement between patients' and dermatologists' as-sessments of the severity of chronic hand eczema. From the German registry "German Chronic Hand Eczema Pa-tient Long-Term Management Registry" (CARPE), 1,281 pairs of patients with ...
Zusammenfassung
Self-assessment of general health status has a signifi-cant influence on patient-related outcomes. The aims of this study were to investigate and compare the level of agreement between patients' and dermatologists' as-sessments of the severity of chronic hand eczema. From the German registry "German Chronic Hand Eczema Pa-tient Long-Term Management Registry" (CARPE), 1,281 pairs of patients with chronic hand eczema and their dermatologists were included. Of these, 788 pairs ser-ved as a comparison 2 years after baseline. Concordance analyses found that complete concordance between pa-tients' and dermatologists' assessments were 16.62% at baseline and 11.47% at follow-up. Overall, patients assessed their chronic eczema at baseline as more se-vere than did the dermatologists; whereas, at follow-up, patients assessed their condition as less severe than the dermatologists' assessment. Bangdiwala's B sho-wed lower values of concordance for womens' and ol-der patients' self-assessment with the dermatologists' assessments. In conclusion, dermatologists should consider the patient's perspective and the individual's assessment of their chronic hand eczema in order to provide effective care in clinical practice.
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