Evaluation of diagnostic criteria for atopic dermatitis: validity of the criteria of Williams et al. in a hospital-based setting

Gu, Hong‐Feng; Chen, X.S.; Chen, K.; Yan, Yi-Shang; Hao, Jing; Chen, X.Q.; Shao, Changgeng; Ye, G.Y.

doi:10.1046/j.1365-2133.2001.04379.x

Cited by 53 publications

(35 citation statements)

References 16 publications

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“…It is worthwhile to note that a previous report from a hospital-based setting has suggested that the UKWP criteria may be adequate for Chinese patients among all ages. 24 However, in their report, the number of adult patients included was small (17 patients with AD aged [ 16 years) and may not adequately reflect the validity of the UKWP criteria for adults.…”

Section: Discussionmentioning

confidence: 95%

Prevalence of adult atopic dermatitis among nursing staff in a Taiwanese medical center: A pilot study on validation of diagnostic questionnaires

Lan

Lee

et al. 2009

Journal of the American Academy of Dermatology

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Section: Discussionmentioning

confidence: 95%

Prevalence of adult atopic dermatitis among nursing staff in a Taiwanese medical center: A pilot study on validation of diagnostic questionnaires

Lan

Lee

et al. 2009

Journal of the American Academy of Dermatology

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“…7 The criteria of Hanifin and Rajka 7 have been considered as a gold standard for AD diagnosis for the last 20 years. 18 Its simplified version, the UK Working Party's criteria, is more suitable for epidemiologic studies, and has been validated in large investigations with both high sensitivity and specifity. 8,18,19 Apparently, there is no problem in detecting early-onset AD according to these criteria.…”

Section: Discussionmentioning

confidence: 99%

“…18 Its simplified version, the UK Working Party's criteria, is more suitable for epidemiologic studies, and has been validated in large investigations with both high sensitivity and specifity. 8,18,19 Apparently, there is no problem in detecting early-onset AD according to these criteria. However, this study showed that approximately one fourth of patients could not be given the diagnosis of adult-onset AD according to UK Working Party's criteria in its current form.…”

Section: Discussionmentioning

confidence: 99%

Adult-onset atopic dermatitis

Özkaya¹

2005

Journal of the American Academy of Dermatology

117

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“…[4] These criteria have been used worldwide for the last 30 years in diagnosing AD. [5] Hanifin and Rajka require the assessment of 27 separate criteria (4 major and 23 minor). This results in a complex daily practice.…”

Section: Introductionmentioning

confidence: 99%

“…In addition, the sensitivity and specificity of the UK Working Party's criteria are in good agreement with those of Hanifin and Rajka. [5]…”

Section: Introductionmentioning

confidence: 99%

Clinical Application of the UK Working Party's Criteria for the Diagnosis of Atopic Dermatitis in the Chinese Population by Age Group

Wang

2016

Chinese Medical Journal

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Background:Atopic dermatitis (AD) is a common inflammatory skin disease with an increasingly significant prevalence. The prevalence of AD depends greatly on how its diagnosis is done. The UK Working Party's diagnostic criteria for AD are simple and easy to apply without invasive laboratory tests. This study assessed the clinical utility of these criteria in China.Methods:Data were collected from 6208 patients at 31 tertiary hospitals in 13 Chinese provinces/municipalities from March 2014 to May 2014. The agreement between the UK diagnostic criteria and the clinical records for AD was assessed by Cohen's kappa.Results:The overall agreement between the UK diagnostic criteria and clinical diagnosis was fair (kappa = 0.40). A slightly better agreement was found in patients aged between 4 and 9 years (kappa = 0.48), while fair agreement was found in the group <4 years and the group ≥10 years (kappa = 0.27 and 0.39, respectively). Using the UK party's criteria as the standard, the sensitivity, specificity, positive predictive value, and negative predictive value of the clinical diagnosis of AD were 62.3%, 89.2%, 38.0%, and 95.7%, respectively.Conclusions:Our study indicates a modest ability among Chinese dermatologists to apply the UK Working Party's diagnostic criteria for AD, especially in patients aged <4 years and ≥10 years. Since there is no gold standard for AD diagnosis, it is important to determine how AD is identified when evaluating a diagnostic tool.

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Evaluation of diagnostic criteria for atopic dermatitis: validity of the criteria of Williams et al. in a hospital-based setting

Abstract: The diagnostic efficiency of the criteria of Williams et al. was basically similar to those of Hanifin and Rajka and of Kang and Tian in our out-patient settings. However, those of Williams et al. were easier to apply and required no invasive tests.

Cited by 53 publications

References 16 publications

Prevalence of adult atopic dermatitis among nursing staff in a Taiwanese medical center: A pilot study on validation of diagnostic questionnaires

Prevalence of adult atopic dermatitis among nursing staff in a Taiwanese medical center: A pilot study on validation of diagnostic questionnaires

Adult-onset atopic dermatitis

Clinical Application of the UK Working Party's Criteria for the Diagnosis of Atopic Dermatitis in the Chinese Population by Age Group

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