Correlation between Objective SCORAD and Three-Item Severity Score Used by Physicians and Objective PO-SCORAD Used by Parents/Patients in Children with Atopic Dermatitis

Abstract

Background: A self-assessment rating scale (SAS) is a good tool to assess the fluctuating disease severity and quality of life (QoL) in children with atopic dermatitis (AD). The European Task Force on Atopic Dermatitis created an SAS based on the Scoring Atopic Dermatitis (SCORAD) index, called the Patient-Oriented SCORAD (PO-SCORAD). Objective: The aim of our study was to measure the correlation between alternative systems such as the Objective SCORAD, the Three-Item Severity (TIS) score and the Objective PO-SCORAD. We also investigated the correlations between the objective severity assessments and QoL. Methods: In a specialized outpatient clinic, an observational prospective study was performed with children ≤16 years with AD. Results: Seventy-five children were included. A good and significant correlation was shown between Objective SCORAD and Objective PO-SCORAD: Spearman's ρ correlation (r_s) = 0.63 (p < 0.001). The correlation with QoL was moderate, but still significant (r_s = 0.41-0.61, p < 0.001). Conclusion: The Objective PO-SCORAD can be used for the evaluation of fluctuating AD and correlates significantly with the Objective SCORAD and the less time-consuming TIS score.

Quality of life and disease severity in patients with atopic dermatitis

“…who proposed a new self‐assessment tool, evaluating the burden of AD before and after treatment, which showed promise by being correlated with disease severity. The similar correlations between self‐reported and healthcare professional‐assessed measures of disease activity found in our study supports the suggestion by Oosterhout et al . comparing SCORAD to PO‐SCORAD, reporting a positive correlation ( r = 0.63, P < 0.001), as well as Baron et al .…”

Children with Dry Skin and Atopic Predisposition: Outcome Measurement with Validated Scores for Atopic Dermatitis

“…3b). However, the appraisement of the symptom sleeplessness by the parents differs between PO-SCORAD and SCORAD in the present study [22]. The sleeplessness score was significantly reduced (fig.…”

“…The Patient-Oriented SCORing Atopic Dermatitis (PO-SCORAD) represents a self-assessment score to involve parents in effective skin monitoring [13,18]. Sharing a comparable analytic factor as the SCORAD, the PO-SCORAD facilitates the communication between parents and physicians [19,20,21,22]. …”

The significance of structured parental educational intervention on childhood atopic dermatitis: a randomized controlled trial

“…The severity of AD was assessed both by the physician and by the participant and there were no significant differences at the first examination either in the intervention or in the control group. Previous studies have shown that assessments of disease severity both by the physician and by the participants (caregivers) tend to be similar …”