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The Atopic Dermatitis Quickscore (ADQ): validation of a new parent-administered atopic dermatitis scoring tool.
Ann Allergy Asthma Immunol 2008; 101(5):500-7AA

Abstract

BACKGROUND

Atopic dermatitis (AD) severity is assessed using relatively elaborate scoring systems administered by health care practitioners; modification for parent assessment or self-assessment is limited. For ongoing home-based evaluation of pediatric AD treatment and outcomes, a quick, easy-to-use, parent-administered scoring tool is essential.

OBJECTIVE

To evaluate the validity and responsiveness to change of the Atopic Dermatitis Quickscore (ADQ) compared with the established, widely used Scoring Atopic Dermatitis Severity Index (SCORAD).

METHODS

The ADQ was developed for parent report and was validated against the SCORAD. The SCORAD assesses percentage of body surface area involved, intensity of a "representative area," pruritus, and insomnia. The ADQ assesses involvement and pruritus of 7 body parts. Sixty-eight children entering a pediatric day treatment program for moderate to severe AD were recruited. Skin severity was scored at admission by a physician assistant using the SCORAD and by a parent using the ADQ. Pearson correlations of the 2 scales were assessed.

RESULTS

The ADQ total score correlates with the SCORAD total score (r = 0.64, P < .001). The ADQ pruritus score correlates with the SCORAD pruritus score (r = 0.62, P < .001). Correlation at the end of treatment was also seen for ADQ and SCORAD total and pruritus scores (r = 0.39, P = .02, and r = 0.66, P < .001, respectively). Responsiveness of both scales to change in skin condition was demonstrated, with significant decreases in total and pruritus scores (P < .001).

CONCLUSIONS

The parent-administered ADQ takes 5 minutes to complete. Scores from the ADQ and the SCORAD are well correlated and are responsive to changes in skin condition, supporting the validity of the ADQ.

Authors+Show Affiliations

Division of Pediatric Allergy and Immunology, National Jewish Medical and Research Center, Denver, Colorado 80206, USA. carelk@njc.orgNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Validation Studies

Language

eng

PubMed ID

19055204

Citation

Carel, Kirstin, et al. "The Atopic Dermatitis Quickscore (ADQ): Validation of a New Parent-administered Atopic Dermatitis Scoring Tool." Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology, vol. 101, no. 5, 2008, pp. 500-7.
Carel K, Bratton DL, Miyazawa N, et al. The Atopic Dermatitis Quickscore (ADQ): validation of a new parent-administered atopic dermatitis scoring tool. Ann Allergy Asthma Immunol. 2008;101(5):500-7.
Carel, K., Bratton, D. L., Miyazawa, N., Gyorkos, E., Kelsay, K., Bender, B., ... Klinnert, M. D. (2008). The Atopic Dermatitis Quickscore (ADQ): validation of a new parent-administered atopic dermatitis scoring tool. Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology, 101(5), pp. 500-7. doi:10.1016/S1081-1206(10)60289-X.
Carel K, et al. The Atopic Dermatitis Quickscore (ADQ): Validation of a New Parent-administered Atopic Dermatitis Scoring Tool. Ann Allergy Asthma Immunol. 2008;101(5):500-7. PubMed PMID: 19055204.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The Atopic Dermatitis Quickscore (ADQ): validation of a new parent-administered atopic dermatitis scoring tool. AU - Carel,Kirstin, AU - Bratton,Donna L, AU - Miyazawa,Naomi, AU - Gyorkos,Elizabeth, AU - Kelsay,Kimberly, AU - Bender,Bruce, AU - Strand,Matthew, AU - Atkins,Dan, AU - Gelfand,Erwin W, AU - Klinnert,Mary D, PY - 2008/12/6/pubmed PY - 2008/12/31/medline PY - 2008/12/6/entrez SP - 500 EP - 7 JF - Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology JO - Ann. Allergy Asthma Immunol. VL - 101 IS - 5 N2 - BACKGROUND: Atopic dermatitis (AD) severity is assessed using relatively elaborate scoring systems administered by health care practitioners; modification for parent assessment or self-assessment is limited. For ongoing home-based evaluation of pediatric AD treatment and outcomes, a quick, easy-to-use, parent-administered scoring tool is essential. OBJECTIVE: To evaluate the validity and responsiveness to change of the Atopic Dermatitis Quickscore (ADQ) compared with the established, widely used Scoring Atopic Dermatitis Severity Index (SCORAD). METHODS: The ADQ was developed for parent report and was validated against the SCORAD. The SCORAD assesses percentage of body surface area involved, intensity of a "representative area," pruritus, and insomnia. The ADQ assesses involvement and pruritus of 7 body parts. Sixty-eight children entering a pediatric day treatment program for moderate to severe AD were recruited. Skin severity was scored at admission by a physician assistant using the SCORAD and by a parent using the ADQ. Pearson correlations of the 2 scales were assessed. RESULTS: The ADQ total score correlates with the SCORAD total score (r = 0.64, P < .001). The ADQ pruritus score correlates with the SCORAD pruritus score (r = 0.62, P < .001). Correlation at the end of treatment was also seen for ADQ and SCORAD total and pruritus scores (r = 0.39, P = .02, and r = 0.66, P < .001, respectively). Responsiveness of both scales to change in skin condition was demonstrated, with significant decreases in total and pruritus scores (P < .001). CONCLUSIONS: The parent-administered ADQ takes 5 minutes to complete. Scores from the ADQ and the SCORAD are well correlated and are responsive to changes in skin condition, supporting the validity of the ADQ. SN - 1081-1206 UR - https://www.unboundmedicine.com/medline/citation/19055204/The_Atopic_Dermatitis_Quickscore__ADQ_:_validation_of_a_new_parent_administered_atopic_dermatitis_scoring_tool_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1081-1206(10)60289-X DB - PRIME DP - Unbound Medicine ER -