Valid screening questions useful to diagnose hand and forearm eczema are available in the Spanish language, a new tool for global research

Hand eczema is an impacting cutaneous disease. Globally valid tools that help to diagnose hand and forearm eczema are required. Objective To validate the questions to detect hand and/or forearm eczema included in the “Nordic Occupational Skin Questionnaire” (NOSQ-2002) in the Spanish language. Mater...

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Bibliographic Details
Published in:EJD. European journal of dermatology 2015-04, Vol.25 (2), p.145-155
Main Authors: Martí-Margarit, Anna, Manresa, Josep M., Herdman, Mike, Pujol, Ramon, Serra, Consol, Flyvholm, Mary-Ann, Giménez-Arnau, Ana M.
Format: Article
Language:English
Subjects:
Adult
Aged
Clinical Report
Dermatology
Eczema - diagnosis
Eczema - epidemiology
Female
Forearm
Hand Dermatoses - diagnosis
Hand Dermatoses - epidemiology
Housekeeping
Humans
Language
Male
Medicine
Medicine & Public Health
Middle Aged
Occupational Diseases - diagnosis
Pilot Projects
Predictive Value of Tests
Prevalence
Prospective Studies
Quality of Life
Retrospective Studies
Sensitivity and Specificity
Spain - epidemiology
Surveys and Questionnaires
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Summary:Hand eczema is an impacting cutaneous disease. Globally valid tools that help to diagnose hand and forearm eczema are required. Objective To validate the questions to detect hand and/or forearm eczema included in the “Nordic Occupational Skin Questionnaire” (NOSQ-2002) in the Spanish language. Materials and methods Aprospective pilot studywas conducted with 80 employees of a cleaning company and a retrospective one involving 2,546 individuals. The responses were analysed for sensitivity, specificity and positive and negative predictive values. The final diagnosis according to the patients’ hospital records, the specialty care records and the physical examination was taken as gold standard. The Dermatology Life Quality Index (DLQI) was also evaluated. Results Sensitivity and specificity, in a worst case scenario (WC) combining both questions, were 96.5% and 66.7%, respectively, and in a per protocol (PP) analysis, were 96.5% and 75.2%. Conclusion The questions validated detected eczema effectively, making this tool suitable for use e.g. in multicentre epidemiological studies or clinical trials.
ISSN:1167-1122
1952-4013
DOI:10.1684/ejd.2014.2485