Standardizing the classification of skin tears: validity and
reliability testing of the International Skin Tear Advisory
Panel Classification System in 44 countries

J 2020

Standardizing the classification of skin tears: validity and reliability testing of the International Skin Tear Advisory Panel Classification System in 44 countries

VAN TIGGELEN, H., K. LEBLANC, K. CAMPBELL, K. WOO, S. BARANOSKI et. al.

Basic information

Original name

Standardizing the classification of skin tears: validity and reliability testing of the International Skin Tear Advisory Panel Classification System in 44 countries

Authors

VAN TIGGELEN, H. (56 Belgium), K. LEBLANC (124 Canada), K. CAMPBELL (124 Canada), K. WOO (124 Canada), S. BARANOSKI (840 United States of America), Y. Y. CHANG (702 Singapore), A. M. DUNK (36 Australia), M. GLOECKNER (840 United States of America), H. HEVIA (152 Chile), S. HOLLOWAY (826 United Kingdom of Great Britain and Northern Ireland), P. IDENSOHN (710 South Africa), P. KARADAG (792 Turkey), E. KOREN (376 Israel), J. KOTTNER (56 Belgium), D. LANGEMO (840 United States of America), K. OUSEY (826 United Kingdom of Great Britain and Northern Ireland), Andrea POKORNÁ (203 Czech Republic, belonging to the institution), M. ROMANELLI (380 Italy), V. L. C. G. SANTOS (76 Brazil), S. SMET (56 Belgium), G. TARIQ (784 United Arab Emirates), K. VAN DEN BUSSCHE (56 Belgium), A. VAN HECKE (56 Belgium), S. VERHAEGHE (56 Belgium), H. VUAGNAT (756 Switzerland), A. WILLIAMS (840 United States of America) and D. BEECKMAN (56 Belgium, guarantor)

Edition

British Journal of Dermatology, Hoboken, Wiley-Blackwell, 2020, 0007-0963

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30216 Dermatology and venereal diseases

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 9.302

RIV identification code

RIV/00216224:14110/20:00115640

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1111/bjd.18604

UT WoS

000499061900001

Keywords in English

PRESSURE-ULCER; RISK-FACTORS; PREVALENCE; CARE; TRANSLATION; EXTREMITIES; VALIDATION; PREVENTION; AGREEMENT

Abstract

V originále

Background Skin tears are acute wounds that are frequently misdiagnosed and under-reported. A standardized and globally adopted skin tear classification system with supporting evidence for diagnostic validity and reliability is required to allow assessment and reporting in a consistent way. Objectives To measure the validity and reliability of the International Skin Tear Advisory Panel (ISTAP) Classification System internationally. Methods A multicountry study was set up to validate the content of the ISTAP Classification System through expert consultation in a two-round Delphi procedure involving 17 experts from 11 countries. An online survey including 24 skin tear photographs was conducted in a convenience sample of 1601 healthcare professionals from 44 countries to measure diagnostic accuracy, agreement, inter-rater reliability and intrarater reliability of the instrument. Results A definition for the concept of a 'skin flap' in the area of skin tears was developed and added to the initial ISTAP Classification System consisting of three skin tear types. The overall agreement with the reference standard was 0 center dot 79 [95% confidence interval (CI) 0 center dot 79-0 center dot 80] and sensitivity ranged from 0 center dot 74 (95% CI 0 center dot 73-0 center dot 75) to 0 center dot 88 (95% CI 0 center dot 87-0 center dot 88). The inter-rater reliability was 0 center dot 57 (95% CI 0 center dot 57-0 center dot 57). The Cohen's Kappa measuring intrarater reliability was 0 center dot 74 (95% CI 0 center dot 73-0 center dot 75). Conclusions The ISTAP Classification System is supported by evidence for validity and reliability. The ISTAP Classification System should be used for systematic assessment and reporting of skin tears in clinical practice and research globally. What's already known about this topic? Skin tears are common acute wounds that are misdiagnosed and under-reported too often. A skin tear classification system is needed to standardize documentation and description for clinical practice, audit and research. What does this study add? The International Skin Tear Advisory Panel Classification System was psychometrically tested in 1601 healthcare professionals from 44 countries. Diagnostic accuracy was high when differentiating between type 1, 2 and 3 skin tears using a set of validated photographs.

Citovat

VAN TIGGELEN, H., K. LEBLANC, K. CAMPBELL, K. WOO, S. BARANOSKI, Y. Y. CHANG, A. M. DUNK, M. GLOECKNER, H. HEVIA, S. HOLLOWAY, P. IDENSOHN, P. KARADAG, E. KOREN, J. KOTTNER, D. LANGEMO, K. OUSEY, Andrea POKORNÁ, M. ROMANELLI, V. L. C. G. SANTOS, S. SMET, G. TARIQ, K. VAN DEN BUSSCHE, A. VAN HECKE, S. VERHAEGHE, H. VUAGNAT, A. WILLIAMS and D. BEECKMAN. Standardizing the classification of skin tears: validity and reliability testing of the International Skin Tear Advisory Panel Classification System in 44 countries. British Journal of Dermatology. Hoboken: Wiley-Blackwell, 2020, vol. 183, No 1, p. 146-154. ISSN 0007-0963. Available from: https://dx.doi.org/10.1111/bjd.18604.

@article{1655456,
   author = {van Tiggelen, H. and LeBlanc, K. and Campbell, K. and Woo, K. and Baranoski, S. and Chang, Y. Y. and Dunk, A. M. and Gloeckner, M. and Hevia, H. and Holloway, S. and Idensohn, P. and Karadag, P. and Koren, E. and Kottner, J. and Langemo, D. and Ousey, K. and Pokorná, Andrea and Romanelli, M. and Santos, V. L. C. G. and Smet, S. and Tariq, G. and van den Bussche, K. and van Hecke, A. and Verhaeghe, S. and Vuagnat, H. and Williams, A. and Beeckman, D.},
   article_location = {Hoboken},
   article_number = {1},
   doi = {http://dx.doi.org/10.1111/bjd.18604},
   keywords = {PRESSURE-ULCER; RISK-FACTORS; PREVALENCE; CARE; TRANSLATION; EXTREMITIES; VALIDATION; PREVENTION; AGREEMENT},
   language = {eng},
   issn = {0007-0963},
   journal = {British Journal of Dermatology},
   title = {Standardizing the classification of skin tears: validity and reliability testing of the International Skin Tear Advisory Panel Classification System in 44 countries},
   url = {https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/bjd.18604},
   volume = {183},
   year = {2020}
}

TY  - JOUR
ID  - 1655456
AU  - van Tiggelen, H. - LeBlanc, K. - Campbell, K. - Woo, K. - Baranoski, S. - Chang, Y. Y. - Dunk, A. M. - Gloeckner, M. - Hevia, H. - Holloway, S. - Idensohn, P. - Karadag, P. - Koren, E. - Kottner, J. - Langemo, D. - Ousey, K. - Pokorná, Andrea - Romanelli, M. - Santos, V. L. C. G. - Smet, S. - Tariq, G. - van den Bussche, K. - van Hecke, A. - Verhaeghe, S. - Vuagnat, H. - Williams, A. - Beeckman, D.
PY  - 2020
TI  - Standardizing the classification of skin tears: validity and reliability testing of the International Skin Tear Advisory Panel Classification System in 44 countries
JF  - British Journal of Dermatology
VL  - 183
IS  - 1
SP  - 146-154
EP  - 146-154
PB  - Wiley-Blackwell
SN  - 00070963
KW  - PRESSURE-ULCER
KW  - RISK-FACTORS
KW  - PREVALENCE
KW  - CARE
KW  - TRANSLATION
KW  - EXTREMITIES
KW  - VALIDATION
KW  - PREVENTION
KW  - AGREEMENT
UR  - https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/bjd.18604
L2  - https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/bjd.18604
N2  - Background Skin tears are acute wounds that are frequently misdiagnosed and under-reported. A standardized and globally adopted skin tear classification system with supporting evidence for diagnostic validity and reliability is required to allow assessment and reporting in a consistent way. Objectives To measure the validity and reliability of the International Skin Tear Advisory Panel (ISTAP) Classification System internationally. Methods A multicountry study was set up to validate the content of the ISTAP Classification System through expert consultation in a two-round Delphi procedure involving 17 experts from 11 countries. An online survey including 24 skin tear photographs was conducted in a convenience sample of 1601 healthcare professionals from 44 countries to measure diagnostic accuracy, agreement, inter-rater reliability and intrarater reliability of the instrument. Results A definition for the concept of a 'skin flap' in the area of skin tears was developed and added to the initial ISTAP Classification System consisting of three skin tear types. The overall agreement with the reference standard was 0 center dot 79 [95% confidence interval (CI) 0 center dot 79-0 center dot 80] and sensitivity ranged from 0 center dot 74 (95% CI 0 center dot 73-0 center dot 75) to 0 center dot 88 (95% CI 0 center dot 87-0 center dot 88). The inter-rater reliability was 0 center dot 57 (95% CI 0 center dot 57-0 center dot 57). The Cohen's Kappa measuring intrarater reliability was 0 center dot 74 (95% CI 0 center dot 73-0 center dot 75). Conclusions The ISTAP Classification System is supported by evidence for validity and reliability. The ISTAP Classification System should be used for systematic assessment and reporting of skin tears in clinical practice and research globally. What's already known about this topic? Skin tears are common acute wounds that are misdiagnosed and under-reported too often. A skin tear classification system is needed to standardize documentation and description for clinical practice, audit and research. What does this study add? The International Skin Tear Advisory Panel Classification System was psychometrically tested in 1601 healthcare professionals from 44 countries. Diagnostic accuracy was high when differentiating between type 1, 2 and 3 skin tears using a set of validated photographs.
ER  -

VAN TIGGELEN, H., K. LEBLANC, K. CAMPBELL, K. WOO, S. BARANOSKI, Y. Y. CHANG, A. M. DUNK, M. GLOECKNER, H. HEVIA, S. HOLLOWAY, P. IDENSOHN, P. KARADAG, E. KOREN, J. KOTTNER, D. LANGEMO, K. OUSEY, Andrea POKORNÁ, M. ROMANELLI, V. L. C. G. SANTOS, S. SMET, G. TARIQ, K. VAN DEN BUSSCHE, A. VAN HECKE, S. VERHAEGHE, H. VUAGNAT, A. WILLIAMS and D. BEECKMAN. Standardizing the classification of skin tears: validity and reliability testing of the International Skin Tear Advisory Panel Classification System in 44 countries. \textit{British Journal of Dermatology}. Hoboken: Wiley-Blackwell, 2020, vol.~183, No~1, p.~146-154. ISSN~0007-0963. Available from: https://dx.doi.org/10.1111/bjd.18604.

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