Scoring systems for Oral Lichen Planus used by differently experienced raters
Med. oral patol. oral cir. bucal (Internet)
; 22(5): e562-e571, sept. 2017. ilus, tab, graf
Article
in English
| IBECS
| ID: ibc-166650
Responsible library:
ES1.1
Localization: BNCS
ABSTRACT
Background:
Scoring systems have been widely used to evaluate the severity and activity of oral lichen planus (OLP). The aim of the present study was to compare two existing (one modified) scoring systems in the evaluation of OLP severity and correlation with pain. Three differently experienced raters were involved. Material andMethods:
Consecutive patients with OLP were assessed for pain using the Visual Analogue Scale and examined at 10 intraoral sites before starting (T0) and three weeks after (T1) steroid therapy (Clobetasol). Three differently experienced raters evaluated photographs using two scoring systems designated White-Erosive-Atrophic (WEA) modified from an older WEA system (WEA-MOD) and Reticular-erythematous-Ulcerative (REU) systems. WEA-MOD Kendall's W and interclass correlation coefficient were calculated and correlation between REU/WEA-MOD and pain was calculated using Spearman coefficient.Results:
Most patients showed lesions on buccal mucosa (85-93,5%) and maxillary/mandibular gingivae (31,8- 31,2%), predominantly reticular. At T0, Kendall-W coefficients of 0.89 and 0.74 were obtained for the REU and WEA respectively. At T1, Kendall-W coefficients of 0.83 and 0.58 were obtained for the REU and WEA respectively. Interclass correlation coefficient ranged from 0.87 to 0.90 for REU and from 0.58 to 0.87 for WEA. REU and WEA scores significantly decreased after therapy (p< 0.000) as well as VAS (p< 0.05). REU score showed correlation with VAS.Conclusions:
All the raters achieved comparable measures using REU whereas WEA and WEA-MOD seem less reproducible. REU seems to correlate to disease activity and pain (AU)RESUMEN
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Full text:
Available
Collection:
National databases
/
Spain
Database:
IBECS
Main subject:
Precancerous Conditions
/
Steroids
/
Clobetasol
/
Lichen Planus, Oral
Type of study:
Observational study
Limits:
Humans
Language:
English
Journal:
Med. oral patol. oral cir. bucal (Internet)
Year:
2017
Document type:
Article
Institution/Affiliation country:
Brigham and Women's Hospital/United States
/
University of Trieste/Italy