title: 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 (rs) = 0.63 (p < 0.001). The correlation with QoL was moderate, but still significant (rs = 0.41-0.61, p < 0.001).
  
  
  CONCLUSIONS
  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.
authors: Division of Paediatric Dermatology, KinderHaven, Haven Hospital, University Medical Centre, Erasmus MC, Rotterdam, The Netherlands.
authors: Marleen
authors: M
authors: van Oosterhout
authors: Sherief R
authors: SR
authors: Janmohamed
authors: Magda
authors: M
authors: Spierings
authors: Jantine
authors: J
authors: Hiddinga
authors: Flora B
authors: FB
authors: de Waard-van der Spek
authors: Arnold P
authors: AP
authors: Oranje
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003876:Dermatitis, Atopic / Q000473:pathology*; D059026:Diagnostic Self Evaluation; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D010290:Parents; D011446:Prospective Studies; D011788:Quality of Life; D012720:Severity of Illness Index