Development and Validation of IBSA Photographic Scale for the Assessment of Inner Upper Arm Laxity
Daniel Cassuto,1 Giovanni Pellacani,2 Antonello Tateo,1 Ofir Artzi,3 Fabio Massimo Ingallina,4 Giovanni Salti,5 Elena Rossi,2 Arturo Lanzarotti,6 Malika Laouedj,7 Nicolas Dapis,7 Gilberto Bellia8 1Private Practice, Milan, Italy; 2Department of Dermatology, University of Modena and Reggio Emilia, Mod...
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Format: | Article |
Language: | English |
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Dove Medical Press
2021-10-01
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Series: | Clinical, Cosmetic and Investigational Dermatology |
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Online Access: | https://www.dovepress.com/development-and-validation-of-ibsa-photographic-scale-for-the-assess-2-peer-reviewed-fulltext-article-CCID |
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author | Cassuto D Pellacani G Tateo A Artzi O Ingallina FM Salti G Rossi E Lanzarotti A Laouedj M Dapis N Bellia G |
author_facet | Cassuto D Pellacani G Tateo A Artzi O Ingallina FM Salti G Rossi E Lanzarotti A Laouedj M Dapis N Bellia G |
author_sort | Cassuto D |
collection | DOAJ |
description | Daniel Cassuto,1 Giovanni Pellacani,2 Antonello Tateo,1 Ofir Artzi,3 Fabio Massimo Ingallina,4 Giovanni Salti,5 Elena Rossi,2 Arturo Lanzarotti,6 Malika Laouedj,7 Nicolas Dapis,7 Gilberto Bellia8 1Private Practice, Milan, Italy; 2Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy; 3Department of Dermatology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel; 4Private Practice, Catania, Italy; 5Private Practice, Florence, Italy; 6IBSA Institut Biochimique SA, Lugano, Switzerland; 7Quantificare SA, Valbonne, France; 8IBSA Farmaceutici Italia, Lodi, ItalyCorrespondence: Gilberto BelliaIBSA Farmaceutici Italia, Lodi, ItalyEmail gilberto.bellia@ibsa.itObjective: To describe the development and validation of the 5-grade photographic IBSA inner upper arm scale.Methods: From 2 real-life pictures, a scale made up of 5 morphed images showing increasing severity of inner upper arm laxity was created. For validation, a set of 50 images (half of which real and the other morphed) was developed and sent to 5 trained physicians in two rounds 30 days apart. Raters’ task was to make a selection of each image according to the given scale. Inter-rater and intra-rater reliability were evaluated in both rounds.Results: As to intra-rater reliability, single-rater kappa scores between 0.74 and 1.00 and a global kappa score of 0.846 were observed, while inter-rater agreement was calculated with intra-class correlation coefficient reporting scores higher than 0.91, which indicate excellent reliability.Conclusion: IBSA inner upper arm laxity scale proved to be a validated and reliable tool.Keywords: photographic scale, upper inner arm, laxity, aesthetic medicine, scale validation, scale development |
first_indexed | 2024-12-14T08:44:08Z |
format | Article |
id | doaj.art-bf0a1dc7b63d426db1dbc3399367d3fb |
institution | Directory Open Access Journal |
issn | 1178-7015 |
language | English |
last_indexed | 2024-12-14T08:44:08Z |
publishDate | 2021-10-01 |
publisher | Dove Medical Press |
record_format | Article |
series | Clinical, Cosmetic and Investigational Dermatology |
spelling | doaj.art-bf0a1dc7b63d426db1dbc3399367d3fb2022-12-21T23:09:13ZengDove Medical PressClinical, Cosmetic and Investigational Dermatology1178-70152021-10-01Volume 141465147169677Development and Validation of IBSA Photographic Scale for the Assessment of Inner Upper Arm LaxityCassuto DPellacani GTateo AArtzi OIngallina FMSalti GRossi ELanzarotti ALaouedj MDapis NBellia GDaniel Cassuto,1 Giovanni Pellacani,2 Antonello Tateo,1 Ofir Artzi,3 Fabio Massimo Ingallina,4 Giovanni Salti,5 Elena Rossi,2 Arturo Lanzarotti,6 Malika Laouedj,7 Nicolas Dapis,7 Gilberto Bellia8 1Private Practice, Milan, Italy; 2Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy; 3Department of Dermatology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel; 4Private Practice, Catania, Italy; 5Private Practice, Florence, Italy; 6IBSA Institut Biochimique SA, Lugano, Switzerland; 7Quantificare SA, Valbonne, France; 8IBSA Farmaceutici Italia, Lodi, ItalyCorrespondence: Gilberto BelliaIBSA Farmaceutici Italia, Lodi, ItalyEmail gilberto.bellia@ibsa.itObjective: To describe the development and validation of the 5-grade photographic IBSA inner upper arm scale.Methods: From 2 real-life pictures, a scale made up of 5 morphed images showing increasing severity of inner upper arm laxity was created. For validation, a set of 50 images (half of which real and the other morphed) was developed and sent to 5 trained physicians in two rounds 30 days apart. Raters’ task was to make a selection of each image according to the given scale. Inter-rater and intra-rater reliability were evaluated in both rounds.Results: As to intra-rater reliability, single-rater kappa scores between 0.74 and 1.00 and a global kappa score of 0.846 were observed, while inter-rater agreement was calculated with intra-class correlation coefficient reporting scores higher than 0.91, which indicate excellent reliability.Conclusion: IBSA inner upper arm laxity scale proved to be a validated and reliable tool.Keywords: photographic scale, upper inner arm, laxity, aesthetic medicine, scale validation, scale developmenthttps://www.dovepress.com/development-and-validation-of-ibsa-photographic-scale-for-the-assess-2-peer-reviewed-fulltext-article-CCIDphotographic scaleupper inner armlaxityaesthetic medicinescale validationscale development |
spellingShingle | Cassuto D Pellacani G Tateo A Artzi O Ingallina FM Salti G Rossi E Lanzarotti A Laouedj M Dapis N Bellia G Development and Validation of IBSA Photographic Scale for the Assessment of Inner Upper Arm Laxity Clinical, Cosmetic and Investigational Dermatology photographic scale upper inner arm laxity aesthetic medicine scale validation scale development |
title | Development and Validation of IBSA Photographic Scale for the Assessment of Inner Upper Arm Laxity |
title_full | Development and Validation of IBSA Photographic Scale for the Assessment of Inner Upper Arm Laxity |
title_fullStr | Development and Validation of IBSA Photographic Scale for the Assessment of Inner Upper Arm Laxity |
title_full_unstemmed | Development and Validation of IBSA Photographic Scale for the Assessment of Inner Upper Arm Laxity |
title_short | Development and Validation of IBSA Photographic Scale for the Assessment of Inner Upper Arm Laxity |
title_sort | development and validation of ibsa photographic scale for the assessment of inner upper arm laxity |
topic | photographic scale upper inner arm laxity aesthetic medicine scale validation scale development |
url | https://www.dovepress.com/development-and-validation-of-ibsa-photographic-scale-for-the-assess-2-peer-reviewed-fulltext-article-CCID |
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