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...

Full description

Bibliographic Details
Main Authors: Cassuto D, Pellacani G, Tateo A, Artzi O, Ingallina FM, Salti G, Rossi E, Lanzarotti A, Laouedj M, Dapis N, Bellia G
Format: Article
Language:English
Published: Dove Medical Press 2021-10-01
Series:Clinical, Cosmetic and Investigational Dermatology
Subjects:
Online Access:https://www.dovepress.com/development-and-validation-of-ibsa-photographic-scale-for-the-assess-2-peer-reviewed-fulltext-article-CCID
_version_ 1818404688797630464
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
work_keys_str_mv AT cassutod developmentandvalidationofibsaphotographicscalefortheassessmentofinnerupperarmlaxity
AT pellacanig developmentandvalidationofibsaphotographicscalefortheassessmentofinnerupperarmlaxity
AT tateoa developmentandvalidationofibsaphotographicscalefortheassessmentofinnerupperarmlaxity
AT artzio developmentandvalidationofibsaphotographicscalefortheassessmentofinnerupperarmlaxity
AT ingallinafm developmentandvalidationofibsaphotographicscalefortheassessmentofinnerupperarmlaxity
AT saltig developmentandvalidationofibsaphotographicscalefortheassessmentofinnerupperarmlaxity
AT rossie developmentandvalidationofibsaphotographicscalefortheassessmentofinnerupperarmlaxity
AT lanzarottia developmentandvalidationofibsaphotographicscalefortheassessmentofinnerupperarmlaxity
AT laouedjm developmentandvalidationofibsaphotographicscalefortheassessmentofinnerupperarmlaxity
AT dapisn developmentandvalidationofibsaphotographicscalefortheassessmentofinnerupperarmlaxity
AT belliag developmentandvalidationofibsaphotographicscalefortheassessmentofinnerupperarmlaxity