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Development and validation of an electronic medical record-based disease activity index for Behçet's disease

, , , , ,

Department of Dermatology and Cutaneous Biology Research Institute, Yonsei University College of Medicine, Seoul, Korea. cutaneous@naver.com

CER6703 Submission on line
2014 Vol.32, N°4 ,Suppl.84 - PI 0040, PF 0044
Full Papers

Rheumatology Article

 

Abstract

OBJECTIVES:
The disease activity of Behçet`s disease is inadequately defined, and there is no consensus on how it should be measured. The aim of this study was to verify the usefulness of a simplified electronic medical record (EMR)-based activity index (EMRAI) for Behçet`s disease.
METHODS:
A total of 73 Korean patients with Behçet`s disease participated in this study. Two dermatologists interviewed each participant independently using two activity scoring systems: the EMRAI and the Behçet`s Disease Current Activity Form (BDCAF). Overall agreement between raters, correlation between activity scoring indices, and total interview run-time were evaluated.
RESULTS:
The EMRAI significantly correlated with the BDCAF (Spearman`s correlation coefficient, r=0.835), physician-assessed overall activity score (r=0.782), erythrocyte sedimentation rate (r=0.520) and C-reactive protein level (r=0.422). The weighted kappa score for inter-rater agreement of EMRAI showed very good reliability compared with that of BDCAF (0.894 and 0.693, respectively). The mean total run-time for the EMRAI was shorter than that required to administer the BDCAF (95 s and 115 s, respectively).
CONCLUSIONS:
The EMRAI, an EMR-based simplified activity index of Behçet`s disease, facilitates rapid and simple gathering of disease activity data and clinical information.

PMID: 25268661 [PubMed]

Received: 18/06/2013 - Accepted : 03/12/2013 - In Press: 30/09/2014 - Published: 30/09/2014