首页> 中文期刊>世界核心医学期刊文摘:皮肤病学分册 >评估银屑病表型的标准化问卷的制定及可靠性测试

评估银屑病表型的标准化问卷的制定及可靠性测试

     

摘要

Background: Psoriasis genetics researchers have utilized separate and widely differing survey instruments to capture clinical data to be utilized in genotype-phenotype studies, which make comparison and collaboration studies among these researchers difficult. Objective: The purpose of this study was to develop and validate a clinical survey instrument to facilitate future collaborative genotype-phenotype studies among psoriasis genetics researchers. Methods: The Delphi method was employed to obtain international consensus on components of the novel survey instrument. The survey was pretested for acceptability purposes, and then formally tested for reliability using 3 independent raters interviewing 48 subjects with psoriasis. Results: Data showed high or moderately high agreement for questions relating to place of birth (85% to 100% in agreement), family origin (κ = 0.48 - 1.0), psoriasis history (κ = 0.66- 1.0), patient medical history (κ = 0.76- 1.0), distribution of lesions (κ = 0.73- 1.0), precipitating factors (κ = 0.79- 1.0), joint involvement (κ = 0.74- .91), and treatment history, including use of oral retinoids, methotrexate, and etanercept (κ = 0.73- 1.0). Other parameters had lower degrees of agreement. Limitations: The time involved and the need for the rater to be a clinician with knowledge of psoriasis may preclude widespread use of this survey instrument. Conclusion: We developed a novel, reliable survey instrument that can be used to gather clinical information in a standardized manner from psoriasis patients participating in clinical and genetics research studies.

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