Reliability, validity, and the ability to detect change of the Psoriasis Symptom Scale (PSS) in patients with plaque psoriasis

Introduction: The primary objective of the study was to evaluate the measurement properties of the patient-reported four-item Psoriasis Symptom Scale (PSS). Methods: Analysis of phase-III data on the efficacy of risankizumab to assess psychometric characteristics of the PSS in patients with moderate...

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Main Authors: Anne M. Rentz, Anne M. Skalicky, Dirk Esser, Carla Zema, Karin Becker, Amit Bodhani, Dennis A. Revicki
Format: Article
Language:English
Published: Taylor & Francis Group 2020-07-01
Series:Journal of Dermatological Treatment
Subjects:
Online Access:http://dx.doi.org/10.1080/09546634.2019.1709612
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author Anne M. Rentz
Anne M. Skalicky
Dirk Esser
Carla Zema
Karin Becker
Amit Bodhani
Dennis A. Revicki
author_facet Anne M. Rentz
Anne M. Skalicky
Dirk Esser
Carla Zema
Karin Becker
Amit Bodhani
Dennis A. Revicki
author_sort Anne M. Rentz
collection DOAJ
description Introduction: The primary objective of the study was to evaluate the measurement properties of the patient-reported four-item Psoriasis Symptom Scale (PSS). Methods: Analysis of phase-III data on the efficacy of risankizumab to assess psychometric characteristics of the PSS in patients with moderate-to-severe psoriasis. Results: PSS items had a good range of symptom severity coverage. The PSS had good test–retest reliability (ICCs >0.90). Convergent and discriminant validity was indicated by moderate-to-strong correlations between the PSS and Dermatology Life Quality Index (DLQI), PSS pain item and EQ-5D pain/discomfort item at week 12 (0.63), and moderate negative correlation with EQ-Visual Analog Scale score at week 12 (−0.37). Known groups validity demonstrated as mean PSS total scores varied by Psoriasis Area and Severity Index (PASI) and Static Physician’s Global Assessment (sPGA) defined groups (p < .0001). PSS total scores were responsive to changes in PASI score (p < .0001) and sPGA (p < .0001). PSS minimal, clinical, and meaningful change is estimated to be 1 to 2 points; a preliminary responder definition is a total change score of 3 to 4 points. Conclusions: The PSS is a short, valid unidimensional measure of psoriasis symptom severity, well suited for use in clinical trials.
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spelling doaj.art-061b2a99288a4e9d9864075541df1c9b2023-09-15T14:23:04ZengTaylor & Francis GroupJournal of Dermatological Treatment0954-66341471-17532020-07-0131546046910.1080/09546634.2019.17096121709612Reliability, validity, and the ability to detect change of the Psoriasis Symptom Scale (PSS) in patients with plaque psoriasisAnne M. Rentz0Anne M. Skalicky1Dirk Esser2Carla Zema3Karin Becker4Amit Bodhani5Dennis A. Revicki6EvideraEvideraBoehringer Ingelheim GmbHAbbVieBoehringer Ingelheim GmbHAbbVieEvideraIntroduction: The primary objective of the study was to evaluate the measurement properties of the patient-reported four-item Psoriasis Symptom Scale (PSS). Methods: Analysis of phase-III data on the efficacy of risankizumab to assess psychometric characteristics of the PSS in patients with moderate-to-severe psoriasis. Results: PSS items had a good range of symptom severity coverage. The PSS had good test–retest reliability (ICCs >0.90). Convergent and discriminant validity was indicated by moderate-to-strong correlations between the PSS and Dermatology Life Quality Index (DLQI), PSS pain item and EQ-5D pain/discomfort item at week 12 (0.63), and moderate negative correlation with EQ-Visual Analog Scale score at week 12 (−0.37). Known groups validity demonstrated as mean PSS total scores varied by Psoriasis Area and Severity Index (PASI) and Static Physician’s Global Assessment (sPGA) defined groups (p < .0001). PSS total scores were responsive to changes in PASI score (p < .0001) and sPGA (p < .0001). PSS minimal, clinical, and meaningful change is estimated to be 1 to 2 points; a preliminary responder definition is a total change score of 3 to 4 points. Conclusions: The PSS is a short, valid unidimensional measure of psoriasis symptom severity, well suited for use in clinical trials.http://dx.doi.org/10.1080/09546634.2019.1709612psoriasispropsssymptoms
spellingShingle Anne M. Rentz
Anne M. Skalicky
Dirk Esser
Carla Zema
Karin Becker
Amit Bodhani
Dennis A. Revicki
Reliability, validity, and the ability to detect change of the Psoriasis Symptom Scale (PSS) in patients with plaque psoriasis
Journal of Dermatological Treatment
psoriasis
pro
pss
symptoms
title Reliability, validity, and the ability to detect change of the Psoriasis Symptom Scale (PSS) in patients with plaque psoriasis
title_full Reliability, validity, and the ability to detect change of the Psoriasis Symptom Scale (PSS) in patients with plaque psoriasis
title_fullStr Reliability, validity, and the ability to detect change of the Psoriasis Symptom Scale (PSS) in patients with plaque psoriasis
title_full_unstemmed Reliability, validity, and the ability to detect change of the Psoriasis Symptom Scale (PSS) in patients with plaque psoriasis
title_short Reliability, validity, and the ability to detect change of the Psoriasis Symptom Scale (PSS) in patients with plaque psoriasis
title_sort reliability validity and the ability to detect change of the psoriasis symptom scale pss in patients with plaque psoriasis
topic psoriasis
pro
pss
symptoms
url http://dx.doi.org/10.1080/09546634.2019.1709612
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