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Towards an international language for incontinence-associated dermatitis (IAD): design and evaluation of psychometric properties of the Ghent Global IAD Categorization Tool (GLOBIAD) in 30 countries

2018-06Journal article Open access
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dc.contributor.authorBeeckman, D.
dc.contributor.authorVan den Bussche, K.
dc.contributor.authorAlves, Paulo
dc.contributor.authorArnold Long, M.C.
dc.contributor.authorBeele, H.
dc.contributor.authorCiprandi, G.
dc.contributor.authorCoyer, F.
dc.contributor.authorGroot, T. de
dc.contributor.authorMeyer, D. de
dc.contributor.authorDeschepper, E.
dc.contributor.authorDunk, A. M.
dc.contributor.authorFourie, A.
dc.contributor.authorGarcía-Molina, P.
dc.contributor.authorGray, M.
dc.contributor.authorIblasi, A.
dc.contributor.authorJelnes, R.
dc.contributor.authorJohansen, E.
dc.contributor.authorKaradağ, A.
dc.contributor.authorLeblanc, K.
dc.contributor.authorDadara, Z. Kis
dc.contributor.authorMeaume, S.
dc.contributor.authorPokorna, A.
dc.contributor.authorRomanelli, M.
dc.contributor.authorRuppert, S.
dc.contributor.authorSchoonhoven, L.
dc.contributor.authorSmet, S.
dc.contributor.authorSmith, C.
dc.contributor.authorSteininger, A.
dc.contributor.authorStockmayr, M.
dc.contributor.authorDamme, N. Van
dc.contributor.authorVoegeli, D.
dc.contributor.authorHecke, A. Van
dc.contributor.authorVerhaeghe, S.
dc.contributor.authorWoo, K.
dc.contributor.authorKottner, J.
dc.date.accessioned2018-10-25T16:28:32Z
dc.date.available2018-10-25T16:28:32Z
dc.date.issued2018-06
dc.description.abstractBackground Incontinence-associated dermatitis (IAD) is a specific type of irritant contact dermatitis with different severity levels. An internationally accepted instrument to assess the severity of IAD in adults, with established diagnostic accuracy, agreement and reliability, is needed to support clinical practice and research. Objectives To design the Ghent Global IAD Categorization Tool (GLOBIAD) and evaluate its psychometric properties. Methods The design was based on expert consultation using a three-round Delphi procedure with 34 experts from 13 countries. The instrument was tested using IAD photographs, which reflected different severity levels, in a sample of 823 healthcare professionals from 30 countries. Measures for diagnostic accuracy (sensitivity and specificity), agreement, interrater reliability (multirater Fleiss kappa) and intrarater reliability (Cohen’s kappa) were assessed. Results The GLOBIAD consists of two categories based on the presence of persistent redness (category 1) and skin loss (category 2), both of which are subdivided based on the presence of clinical signs of infection. The agreement for differentiating between category 1 and category 2 was 0 86 [95% confidence interval (CI) 0 86–0 87], with a sensitivity of 90% and a specificity of 84%. The overall agreement was 0 55 (95% CI 0 55–0 56). The Fleiss kappa for differentiating between category 1 and category 2 was 0 65 (95% CI 0 65–0 65). The overall Fleiss kappa was 0 41 (95% CI 0 41–0 41). The Cohen’s kappa for differentiating between category 1 and category 2 was 0 76 (95% CI 0 75–0 77). The overall Cohen’s kappa was 0 61 (95% CI 0 59–0 62). Conclusions The development of the GLOBIAD is a major step towards a better systematic assessment of IAD in clinical practice and research worldwide. However, further validation is needed.pt_PT
dc.description.versioninfo:eu-repo/semantics/acceptedVersionpt_PT
dc.identifier.citationBeeckman, D., Van den Bussche, K., Alves, P., Arnold Long, M.C., Beele, H., Ciprandi, G., Kottner, J. (2018). Towards an international language for incontinence-associated dermatitis (IAD): design and evaluation of psychometric properties of the Ghent Global IAD Categorization Tool (GLOBIAD) in 30 countries. British Journal of Dermatology, 178(6), 1331-1340pt_PT
dc.identifier.doi10.1111/bjd.16327
dc.identifier.eid85041517712
dc.identifier.eissn1365-2133
dc.identifier.issn0007-0963
dc.identifier.pmid29315488
dc.identifier.urihttp://hdl.handle.net/10400.14/25834
dc.identifier.wos000435078600118
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherJohn Wiley & Sons
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.titleTowards an international language for incontinence-associated dermatitis (IAD): design and evaluation of psychometric properties of the Ghent Global IAD Categorization Tool (GLOBIAD) in 30 countriespt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage1340
oaire.citation.issue6
oaire.citation.startPage1331
oaire.citation.titleBritish Journal of Dermatologypt_PT
oaire.citation.volume178
person.familyNameBeeckman
person.familyNameVan den Bussche
person.familyNameAlves
person.familyNameCIPRANDI
person.familyNameKottner
person.givenNameDimitri
person.givenNameKaren
person.givenNamePaulo
person.givenNameGUIDO
person.givenNameJan
person.identifier.ciencia-id1216-FE56-6E85
person.identifier.orcid0000-0003-3080-8716
person.identifier.orcid0000-0001-5308-8729
person.identifier.orcid0000-0002-6348-3316
person.identifier.orcid0000-0003-0125-5534
person.identifier.orcid0000-0003-0750-3818
person.identifier.ridN-2365-2013
person.identifier.scopus-author-id23018278600
person.identifier.scopus-author-id12797458600
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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