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Your search keyword '"Hald, Marianne"' showing total 2 results
Start Over Author "Hald, Marianne" Journal british journal of dermatology
2 results on '"Hald, Marianne"'

1. Delay in medical attention to hand eczema: a follow-up study

Author

Hald, Marianne, Agner, Tove, Blands, J, Johansen, J D, and Andersen, Klaus Ejner

Subjects
Adult, Male, Questionnaires, Pediatrics, medicine.medical_specialty, Time Factors, Adolescent, Denmark, Hand Dermatoses, Dermatology, Logistic regression, Severity of Illness Index, Cohort Studies, Young Adult, immune system diseases, Interquartile range, Surveys and Questionnaires, Severity of illness, otorhinolaryngologic diseases, Odds Ratio, medicine, Humans, Young adult, skin and connective tissue diseases, business.industry, Odds ratio, Middle Aged, Patch Tests, Prognosis, medicine.disease, Confidence interval, Dermatitis, Occupational, Hand eczema, Female, business, Follow-Up Studies, Cohort study
Abstract

Summary Background Hand eczema often runs a chronic course but early medical intervention may be assumed to improve the prognosis. Objectives To follow patients with hand eczema for 6 months after seeing a dermatologist to investigate if delay in medical attention would impair the prognosis. Methods Study participants were 333 patients with hand eczema from nine dermatological clinics in Denmark. Severity of hand eczema was assessed by the patients at baseline and at the 6-month follow up using a self-administered photographic guide. Additional information was obtained by self-administered questionnaires. Results Median patient delay (defined as the period from onset of symptoms until seeing a general practitioner) was 3 months [interquartile range (IQR) 1·5–8·0]. The median healthcare delay (defined as the period from the first visit to a general practitioner until seeing a dermatologist) was 3 months (IQR 1–8). In a logistic regression model, the odds ratio of a poor prognosis increased by a factor of 1·11 [95% confidence interval (CI) 1·02–1·21] per month of patient delay and by 1·05 (95% CI 1·00–1·10) per month of healthcare delay. Conclusions A poorer prognosis of hand eczema was associated with longer delay before medical attention.

Published
2009

2. Severity of hand eczema assessed by patients and dermatologist using a photographic guide.

Author

Hald, Marianne, Veien, N. K., Laurberg, G., and Johansen, J. D.

Subjects
*ECZEMA, *SKIN inflammation, *ETIOLOGY of diseases, *EPIDEMIOLOGICAL research, *MEDICAL photography, *MEDICAL imaging systems, *DIAGNOSTIC imaging
Abstract

Background The severity of hand eczema is of interest in epidemiological studies. Ideally, as no validated methods of self-assessment exist, a dermatologist should examine all subjects. However, this is very resource intensive. Objectives To examine if severity grading performed by patients with hand eczema using a self-administered photographic guide was in agreement with the assessment performed by a trained dermatologist. Furthermore, to measure the correlation between the severity of hand eczema expressed on a visual analogue scale (VAS) and the clinical severity assessment, using the photographic guide. Methods Fifty-three consecutive outpatients with hand eczema were included, a number based on a prestudy statistical calculation. The patients were asked to grade current severity of their hand eczema by choosing one of four groups of photographs representing differing severities of hand eczema. On the same day all patients were examined by an experienced dermatologist, who graded the severity using the same photographic guide. The photographic guide was a modified version of a validated guide for use by physicians. In addition, the patients rated the severity of their hand eczema on a VAS. Results Fifty-one of the respondents completed the full questionnaire. For 37 of the 51 patients (73%) the clinical severity assessments of patient and dermatologist were identical. The measure of agreement, Cohen's kappa coefficient, was 0.61, indicating good inter-rater agreement. The correlation between the dermatologist-rated severity and the corresponding score by the patients on the VAS was only moderate (Spearman's rank correlation coefficient rho = 0.52). Conclusions The photographic guide for the self-assessment of hand eczema is an easy instrument to use, and for research purposes can be a reliable tool for patients with hand eczema to grade severity. A VAS can only be considered as a mediocre tool for estimation of the dermatologist-rated clinical severity, but should be validated as an independent instrument to assess severity of hand eczema. [ABSTRACT FROM AUTHOR]

Published
2007
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