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    Hand 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. To evaluate the construct validity and reliability of HECSI as a tool for patients based on comparison to HECSI assessments by physicians. Patients 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). This 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. With a strong construct validity and reliability, the patient-HECSI may be used by patients as a patient-reported outcome assessing their personal HE severity. © 2023 European Academy of Dermatology and Venereology.

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    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). Journal of the European Academy of Dermatology and Venereology : JEADV. 2023 Nov;37(11):2349-2354

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    PMID: 37432043

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