The correlation between self-reported hand eczema and clinically based diagnosis in professional cleaners

IF 4.8 1区医学 Q2 ALLERGY

Contact Dermatitis Pub Date : 2024-06-06 DOI:10.1111/cod.14611

Farnam Barati Sedeh, Anna Glenn Ullum, Thórunn Elísabet Michaelsdóttir, Karl Bang Christensen, Sarah Gharabaghi Stückler, Gregor Borut Ernst Jemec, Ole Steen Mortensen, Kristina Sophie Ibler

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Abstract

Background

Most studies investigating the prevalence of hand eczema (HE) in professional cleaners use self-reported questionnaire-based data. However, no validation studies of self-reporting of HE among professional cleaners have previously been conducted.

Objectives

To investigate (1) the point prevalence of self-reported HE, (2) the point prevalence of HE estimated by physical examination of the hands and (3) the sensitivity and specificity of self-reporting of HE compared with the diagnosis based on physical examination among professional cleaners.

Methods

Professional cleaners at three different hospitals in Region Zealand were invited to fill out a questionnaire. The point prevalence of self-reported HE was estimated based on questions from the Nordic Occupational Skin Questionnaire. After completing the questionnaire, each cleaner underwent a physical examination of the hands by a dermatologist on the same day.

Results

In total, 234 cleaners were invited to participate in the study, and 224 (response rate = 96.0%) agreed to take part. Based on the self-reported questionnaires, 5.3% (n = 12) of the cleaners had current HE. Based on an examination by a physician, 19.2% (n = 43) of the cleaners had current HE. The sensitivity of self-reported HE was found to be 28.0%, while the specificity was found to be 100.0%. The positive predictive value was found to be 100.0%, while the negative predictive value was 85.0%.

Conclusion

The true point prevalence of HE among professional cleaners is underestimated when based on self-reporting.

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专业清洁工自我报告的手部湿疹与临床诊断之间的相关性。

背景：大多数调查职业清洁工手部湿疹（HE）患病率的研究都使用自我报告的问卷数据。然而，此前尚未对专业清洁人员自我报告的手部湿疹情况进行过验证研究：调查 (1) 自我报告的 HE 点患病率；(2) 通过手部物理检查估计的 HE 点患病率；(3) 与基于物理检查的诊断相比，职业清洁工自我报告 HE 的敏感性和特异性：方法：邀请新西兰地区三家不同医院的专业清洁工填写调查问卷。根据北欧职业皮肤问卷中的问题估算出自我报告的 HE 点流行率。填写完问卷后，每位清洁工在同一天接受了皮肤科医生的手部体检：共有 234 名清洁工受邀参加研究，其中 224 人（回复率 = 96.0%）同意参加。根据自我报告的调查问卷，5.3%（n = 12）的清洁工目前患有高血压。根据医生的检查结果，19.2%（n = 43）的清洁工目前患有高血压。自我报告 HE 的敏感性为 28.0%，特异性为 100.0%。阳性预测值为 100.0%，阴性预测值为 85.0%：结论：如果以自我报告为基础，则会低估专业清洁人员中高血压的真实发病率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Contact Dermatitis 医学-过敏

CiteScore

4.60

自引率

30.90%

发文量

227

审稿时长

4-8 weeks

期刊介绍： Contact Dermatitis is designed primarily as a journal for clinicians who are interested in various aspects of environmental dermatitis. This includes both allergic and irritant (toxic) types of contact dermatitis, occupational (industrial) dermatitis and consumers" dermatitis from such products as cosmetics and toiletries. The journal aims at promoting and maintaining communication among dermatologists, industrial physicians, allergists and clinical immunologists, as well as chemists and research workers involved in industry and the production of consumer goods. Papers are invited on clinical observations, diagnosis and methods of investigation of patients, therapeutic measures, organisation and legislation relating to the control of occupational and consumers".