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          "en" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">HSQoL-24 questionnaire&#46; The English in the figure is a literal&#44; nonvalidated translation for information purposes only&#46;</p>"
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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">Hidradenitis suppurativa &#40;HS&#41; is a chronic inflammatory skin disease with negative physical and psychosocial effects&#46;<a class="elsevierStyleCrossRefs" href="#bib0110"><span class="elsevierStyleSup">1&#44;2</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">HS affects quality of life&#46;<a class="elsevierStyleCrossRef" href="#bib0120"><span class="elsevierStyleSup">3</span></a> Matusiak et al&#46;<a class="elsevierStyleCrossRef" href="#bib0125"><span class="elsevierStyleSup">4</span></a> analyzed areas of quality of life that were altered in patients with HS and found a marked effect on the patient-partner relationship&#44; sexual relations&#44; and family life&#46; Suicidal ideation was recorded in some cases&#44; and loss of work because of the disease was frequent&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">The recent advent of new noninvasive procedures for early diagnosis of the disease<a class="elsevierStyleCrossRef" href="#bib0130"><span class="elsevierStyleSup">5</span></a> and novel therapeutic targets will revolutionize our approach to HS&#46;<a class="elsevierStyleCrossRef" href="#bib0135"><span class="elsevierStyleSup">6</span></a> Therefore&#44; given that HS is a very specific disease&#44; this new scenario requires an instrument for measuring the quality of life of affected patients&#46; However&#44; our literature review showed that there was no such instrument in Spanish&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">The objective of the present study was to develop a new psychometric questionnaire&#8212;the HSQoL-24&#8212;to evaluate the quality of life of patients with HS according to current development standards&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Material and Methods</span><p id="par0025" class="elsevierStylePara elsevierViewall">The study population comprised 30 adults with HS&#44; all of whom signed the informed consent document&#46; The study &#40;PI16&#47;020&#41; was approved by the Clinical Research Ethics Committee of Aragon &#40;CEICA&#41; on February 10&#44; 2016 and by the corresponding committees in the other hospitals&#46; Patients were recruited at Hospital Royo Villanova &#40;Zaragoza&#41;&#44; Hospital Infanta Sof&#237;a &#40;Madrid&#41;&#44; Hospital Santa Creu i Sant Pau &#40;Barcelona&#41;&#44; and Hospital Doctor Negr&#237;n &#40;Las Palmas de Gran Canaria&#41;&#46;</p><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Generation of Items</span><p id="par0030" class="elsevierStylePara elsevierViewall">First&#44; we performed a literature review in PubMed in order to identify relevant psychosocial determinants in HS&#46; These were used to identify areas for assessment in the interviews&#46; Second&#44; semistructured interviews were held with 12 patients &#40;5 women and 7 men aged 18-61 years&#41; who had been diagnosed with HS by a dermatologist&#46; Third&#44; once the interviews had been transcribed and coded&#44; an expert panel was formed by 20 experts with broad clinical experience in order to generate new items&#46; A 24-item psychometric instrument &#40;HSQoL-24&#41; was then drafted&#46; The questions referred to the 4-week period preceding completion of the questionnaire&#44; since the clinical course of HS is relatively stable over time compared with other skin conditions&#46; The items were grouped into 6 domains&#58; psychosocial&#44; economic&#44; occupational&#44; relationships&#44; personal&#44; and clinical&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Psychometric Evaluation</span><p id="par0035" class="elsevierStylePara elsevierViewall">The psychometric validation of HSQoL-24 was based on the Dermatology Life Quality Index &#40;DLQI&#41;&#44;<a class="elsevierStyleCrossRef" href="#bib0140"><span class="elsevierStyleSup">7</span></a> which is a specific questionnaire for evaluating the quality of life of patients with skin conditions&#44; and the Skindex-29 questionnaire&#44; which had been adapted and validated in Spanish by Jones-Caballero et al&#46;<a class="elsevierStyleCrossRef" href="#bib0145"><span class="elsevierStyleSup">8</span></a> This is also used to evaluate the quality of life of patients with skin diseases&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">Reliability was evaluated using internal consistency analysis with the Cronbach &#945; &#40;acceptable if<span class="elsevierStyleHsp" style=""></span>&#62; 0&#46;7&#41; and reproducibility analysis with the intraclass correlation coefficient &#40;ICC&#41; &#40;adequate if<span class="elsevierStyleHsp" style=""></span>&#62; 0&#46;7&#41;&#46; Content validity was assessed based on the critical opinion of the 20 experts&#46; Construct validity was assessed using a correlation and regression analysis with DLQI and Skindex-29&#46; The cut points were calculated using receiver operating characteristic &#40;ROC&#41; curve analysis and comparison with the Skindex-29 categories&#46; Sensitivity to change was analyzed based on correlations between differences in the scores for the 3 questionnaires and on effect size&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">HSQoL-24 was developed by a group of experts from the Grupo Aragon&#233;s de Investigaci&#243;n en Psicodermatolog&#237;a &#40;GAI<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>PD&#44; Aragon Group for Research in Psychodermatology&#41; and the Grupo Espa&#241;ol de Investigaci&#243;n en Dermatolog&#237;a y Psiquiatr&#237;a &#40;GEDEPSI&#44; Spanish Group for Research in Dermatology and Psychiatry&#41; of the Academia Espa&#241;ola de Dermatolog&#237;a y Venereolog&#237;a &#40;AEDV&#44; Spanish Academy of Dermatology and Venereology&#41;&#46; An initial development phase was proposed in 30 patients&#8212;the object of the present study&#8212;with subsequent confirmation in 100 patients&#46; The resulting questionnaire&#44; HsQoL-24&#44; with 24 items and 5 possible replies for each one &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#44; proved to be feasible and easy to use by patients&#44; who took approximately 10<span class="elsevierStyleHsp" style=""></span>minutes to answer the questions&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Results</span><p id="par0050" class="elsevierStylePara elsevierViewall">The HSQoL-24 was validated in the sample of 30 patients&#46; The questionnaire was completed on 2 occasions with an interval of 30 &#177; 10 days between them&#46; Eleven of the patients &#40;36&#46;7&#37;&#41; were men&#44; mean &#40;SD&#41; age was 36&#46;8 &#40;11&#46;2&#41; years&#44; age at onset was 22&#46;8 &#40;10&#46;9&#41; years&#44; and time since onset was 13&#46;6 &#40;11&#46;3&#41; years&#46; Six patients &#40;20&#37;&#41; were in Hurley stage <span class="elsevierStyleSmallCaps">III</span>&#44; 14 &#40;46&#46;7&#37;&#41; in Hurley stage <span class="elsevierStyleSmallCaps">II&#44;</span> and 10 &#40;33&#46;3&#37;&#41; in Hurley <span class="elsevierStyleSmallCaps">I</span>&#46;</p><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Properties of HSQoL-24</span><p id="par0055" class="elsevierStylePara elsevierViewall">The various items were grouped into 6 domains&#44; as follows&#58; psychosocial&#44; items 1&#44; 3&#44; 5&#44; 7&#44; 10&#44; 12&#44; 15&#44; 17&#44; 20&#44; 22&#44; 23&#44; and 24&#59; economic&#44; item 2&#59; occupation&#44; items 4 and 8&#59; relationships&#44; items 6&#44; 9&#44; 13&#44; and 18&#59; personal&#44; items 11 and 14&#59; and clinical&#44; items 16&#44; 19&#44; and 21&#46; When calculating the scores&#44; it is necessary to remember that&#44; as a rule&#44; each item is scored from 0 to 4&#44; as follows&#58; 0&#44; never&#59; 1&#44; rarely&#59; 2&#44; sometimes&#59; 3&#44; often&#59; and 4&#44; always&#46; Items 9&#44; 12&#44; and 16 are scored inversely with respect to the others&#46; Finally&#44; the scores for each domain and the total score must be adjusted to 100&#44; which is done by multiplying the value obtained by a constant &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia></span></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Reliability&#58; Internal Consistency and Reproducibility</span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Internal Consistency</span><p id="par0060" class="elsevierStylePara elsevierViewall">The values for internal consistency &#40;Cronbach &#945;&#41; were 0&#46;920 in the initial evaluation &#40;test&#41; and 0&#46;917 in the subsequent evaluation &#40;retest&#41;&#46;</p></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Reproducibility</span><p id="par0065" class="elsevierStylePara elsevierViewall">Reproducibility was measured using the ICC in a test-retest intervention&#46; The evaluation was for total score and for the scores in the individual domains&#46; The values of the ICC for DLQI and Skindex-29 were 0&#46;698 &#40;95&#37; CI&#44; 0&#46;456-0&#46;844&#41; and 0&#46;900 &#40;95&#37; CI&#44; 0&#46;801-0&#46;951&#41;&#44; respectively&#46; The results are presented in <a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a>&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia></span></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Validity Analysis</span><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0115">Correlation and Regression Analysis</span><p id="par0070" class="elsevierStylePara elsevierViewall">Construct validity was assessed using a correlation and regression analysis with DLQI and Skindex-29&#46; <a class="elsevierStyleCrossRef" href="#tbl0015">Table 3</a> shows the values for the correlation between HSQoL-24 and DLQI and between HSQoL-24 and Skindex-29&#44; both for the initial evaluation &#40;test&#41; and the subsequent evaluation &#40;retest&#41;&#46; The table shows how the correlation values are greater in the comparison with Skindex-29 and that they are close to 0&#46;9 &#40;0&#46;863 and 0&#46;898 for test and retest&#44; respectively&#41;&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><p id="par0075" class="elsevierStylePara elsevierViewall">A regression analysis was performed for HSQoL-24 with respect to DLQI and Skindex-29 in the initial and subsequent evaluation&#46; <a class="elsevierStyleCrossRef" href="#tbl0020">Table 4</a> shows the results of the initial evaluation &#40;test&#41;&#46; The R<span class="elsevierStyleSup">2</span> values for Skindex-29 revealed an adequate goodness of fit for the model &#40;0&#46;7452 and 0&#46;7548 for test and retest&#44; respectively&#41;&#46; Therefore&#44; DLQI makes it possible to predict 47&#37;-50&#37; of the value of variance in HSQoL-24&#59; Skindex-29 shows a greater fit for the model&#44; accounting for 75&#37;-80&#37; of the variance in HSQoL-24&#46;</p><elsevierMultimedia ident="tbl0020"></elsevierMultimedia></span><span id="sec0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0120">Cut Points</span><p id="par0080" class="elsevierStylePara elsevierViewall">The cut points were delimited by comparing the range of values for HSQoL-24 and Skindex-29&#44; since the latter yielded the best correlation and regression values&#46; <a class="elsevierStyleCrossRef" href="#tbl0025">Table 5</a> shows the results of the descriptive study of the HSQoL-24 values in the different categories of Skindex-29&#46; We can see that quality of life was not affected in only 8 and 10 patients and that it was severely affected in 14 and 13 patients&#46;</p><elsevierMultimedia ident="tbl0025"></elsevierMultimedia><p id="par0085" class="elsevierStylePara elsevierViewall">ROC curve analysis showed that values of between 0 and 32 in HSQoL-24 correspond to patients whose health-related quality of life &#40;HRQoL&#41; is not affected&#44; with a sensitivity of 0&#46;909 and a specificity of 0&#46;5&#46; The area under the curve was 0&#46;943 &#40;95&#37; CI&#44; 0&#46;865-1&#46;000&#41;&#46; As for patients whose HRQoL was severely affected&#44; the cut point of the proposed curve was 42&#44; with a sensitivity of 0&#46;933 and a specificity of 0&#46;867&#46; The area under the curve was 0&#46;967 &#40;95&#37; CI&#44; 0&#46;909-1&#46;000&#41;&#46; The separation between the categories <span class="elsevierStyleItalic">mild</span> and <span class="elsevierStyleItalic">moderate</span> was proposed at a cut point of 36&#44; with a sensitivity of 0&#46;810 and specificity of 0&#46;889 and an area under the curve of 0&#46;910 &#40;95&#37; CI&#44; 0&#46;807-1&#46;000&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41;&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span><span id="sec0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0125">Sensitivity to Change</span><p id="par0090" class="elsevierStylePara elsevierViewall">Sensitivity to change was assessed by calculating the variation in the 3 questionnaires and analyzing the correlations between them&#46; The results revealed a statistically significant correlation between the change in HSQoL-24 and Skindex-29 &#40;Pearson r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;504&#44; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#46;004&#41; and no statistically significant correlation for DLQI&#44; although a tendency was observed &#40;Pearson r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;355&#44; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#46;055&#41;&#46; The effect size for the variation in HSQoL-24&#44; calculated as the difference in means divided by the deviation at baseline was 0&#46;33 &#40;50&#46;87-47&#46;60&#47;20&#46;695&#41;&#44; thus indicating a reduced variation in HRQoL&#46; Similar conclusions were reached for Skindex-29&#44; with a value of 0&#46;17 &#40;43&#46;2-38&#46;6&#47;25&#46;865&#41;&#44; thus indicating in both cases a slight variation in HRQoL in this type of patient in both questionnaires&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">The values for the 3 questionnaires revealed differences in the total score and the final score&#46; The mean values are shown in <a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>&#46; We can see how these 3 mean values decreased&#46;</p><elsevierMultimedia ident="fig0015"></elsevierMultimedia></span></span><span id="sec0070" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0130">Discussion</span><p id="par0100" class="elsevierStylePara elsevierViewall">The present article analyzes the characteristics of the HSQoL-24 questionnaire as a predictor of quality of life in patients with HS&#46; During the drafting process&#44; both the conceptual framework and awareness of the patient&#39;s situation were taken into account by means of a literature review&#44; meetings between specialists from different areas&#44; and interviews with patients&#46; This working methodology is consistent with that of other authors and standard practice in the development of quality of life questionnaires&#46;<a class="elsevierStyleCrossRefs" href="#bib0150"><span class="elsevierStyleSup">9&#44;10</span></a></p><p id="par0105" class="elsevierStylePara elsevierViewall">The relevance of evaluating quality of life in HS has been highlighted in several studies&#46; Patients see their quality of life affected beyond their clinical manifestations&#44; and this decline should be analyzed&#44;<a class="elsevierStyleCrossRefs" href="#bib0160"><span class="elsevierStyleSup">11&#44;12</span></a> as should associated factors&#46;<a class="elsevierStyleCrossRef" href="#bib0170"><span class="elsevierStyleSup">13</span></a> In addition to relevance&#44; it is also important to generate questionnaires that are applicable to specific populations&#44; in this case patients with HS in Spain&#44; thus justifying the need for such research in the study of this disease today&#46; Currently available questionnaires on HS are not applicable to the Spanish population until they are translated and validated&#46; Moreover&#44; instruments of this type had not been published at the time of the design of and subsequent data collection in the present study&#46; Consequently&#44; we did not envisage a translation of these questionnaires but instead opted to draft a completely new one<span class="elsevierStyleItalic">&#46;</span><a class="elsevierStyleCrossRefs" href="#bib0150"><span class="elsevierStyleSup">9&#44;14&#44;15</span></a></p><p id="par0110" class="elsevierStylePara elsevierViewall">The psychometric characteristics analyzed in the present study were reliability&#44; validity&#44; and prognostic ability&#44; which are equally well accepted in diseases that affect quality of life in Spain&#46;<a class="elsevierStyleCrossRef" href="#bib0185"><span class="elsevierStyleSup">16</span></a></p><p id="par0115" class="elsevierStylePara elsevierViewall">Reliability was measured in terms of internal consistency and&#47;or reproducibility&#47;repeatability&#46; Internal consistency was measured using the Cronbach &#945;&#46;<a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">17</span></a> The results revealed a value of<span class="elsevierStyleHsp" style=""></span>&#62; 0&#46;9&#44; thus indicating excellent internal consistency&#44; which was maintained even when some of the questions were eliminated&#46; Similar values were reported by McLellan et al&#46;&#44;<a class="elsevierStyleCrossRef" href="#bib0185"><span class="elsevierStyleSup">16</span></a> namely&#44; 0&#46;955 in physical function and 0&#46;900 in the symptom domain in a quality of life questionnaire in HS&#46; Pinnard et al&#46;<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">15</span></a> also reported high values &#40;0&#46;936&#41;&#46;</p><p id="par0120" class="elsevierStylePara elsevierViewall">Reproducibility&#44; or repeatability&#44; was measured using the ICC in a test-retest intervention&#44; assuming that values<span class="elsevierStyleHsp" style=""></span>&#62; 0&#46;7 were adequate&#46; This evaluation was performed for the total score and for the scores in the individual domains&#46; The ICC values exceeded 0&#46;7 in all domains except for occupation &#40;0&#46;68&#41;&#46; These values are similar to those in other questionnaires or methods used in dermatology&#44; for example&#44; the computer-guided calculation of the Psoriasis Area and Severity Index &#40;PASI&#41;&#44; which reached values of 0&#46;86 &#40;95&#37; CI&#44; 0&#46;80-0&#46;90&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">18</span></a></p><p id="par0125" class="elsevierStylePara elsevierViewall">The different ICC values in the DLQI and Skindex-29 overlapped considerably with the 95&#37; CI of the ICC in HSQoL-24&#46; Therefore&#44; we can deduce that the ICC values of the 3 questionnaires were similar&#46;</p><p id="par0130" class="elsevierStylePara elsevierViewall">Construct validity was determined using correlation and regression analysis with DLQI and Skindex-29&#46; High correlation coefficient values and appropriate fit of regression models revealed adequate validity&#44; with a greater correlation &#40;r<span class="elsevierStyleHsp" style=""></span>&#62; 0&#46;85&#41; and better goodness-of-fit &#40;R<span class="elsevierStyleSup">2</span><span class="elsevierStyleHsp" style=""></span>&#62; 0&#46;7&#41;&#46; As reported elsewhere&#44;<a class="elsevierStyleCrossRefs" href="#bib0180"><span class="elsevierStyleSup">15&#44;16</span></a> HSQoL-24<span class="elsevierStyleHsp" style=""></span>showed adequate correlations with these questionnaires&#44; thus indicating adequate validity&#46;</p><p id="par0135" class="elsevierStylePara elsevierViewall">The cut points had adequate sensitivity &#40;0&#46;88 and 0&#46;90&#41; and a high area under the curve &#40;&#62; 0&#46;9&#41; in the ROC curve analysis&#44; thus indicating adequate predictive capacity for detecting individuals with altered HRQoL&#46; These values were similar to those reported by other authors for other HS and dermatology questionnaires&#46;<a class="elsevierStyleCrossRefs" href="#bib0200"><span class="elsevierStyleSup">19&#44;20</span></a> Nevertheless&#44; it was not possible to calculate specificity values appropriately&#44; probably because of the small sample size&#59; therefore&#44; in the next stage of the evaluation&#44; we will be able to perform a more coherent analysis of the sensitivity and specificity values of HSQoL-24&#46;</p><p id="par0140" class="elsevierStylePara elsevierViewall">In addition to the parallel variations in test and retest quality of life scales commented on above&#44; sensitivity to change was analyzed based on the study of correlations between differences in the questionnaire scores and on effect size&#46; The results showed a statistically significant correlation between change in HSQoL-24 with respect to Skindex-29&#44; although not DLQI&#44; with a low <span class="elsevierStyleItalic">P</span> value &#40;&#46;055&#41;&#46; Correlation values of around 0&#46;5 were significant and slightly lower than in other dermatology questionnaires such as the Urticaria Activity Score&#44; which&#44; in its validation phase reached 0&#46;6-0&#46;7 with respect to other questionnaires&#46;<a class="elsevierStyleCrossRef" href="#bib0210"><span class="elsevierStyleSup">21</span></a> Nevertheless&#44; the results for HSQoL-24 were considered indicators of good sensitivity to change&#46;</p></span><span id="sec0075" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0135">Conclusions</span><p id="par0145" class="elsevierStylePara elsevierViewall">The results of the analysis of the psychometric properties of HSQoL-24&#44; the first specific self-administered test in Spanish for evaluation of quality of life in patients with HS&#44; revealed adequate reliability and validity values&#46; Therefore&#44; while awaiting the validation results for 100 patients&#44; these findings make HSQoL-24 a very clinically valid instrument in terms of the results perceived by patients&#46;</p></span><span id="sec0080" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0140">Conflicts of Interest</span><p id="par0150" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflicts of interest&#46;</p></span></span>"
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          "clase" => "keyword"
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          "identificador" => "xpalclavsec1149017"
          "palabras" => array:5 [
            0 => "Hidradenitis supurativa"
            1 => "Calidad de vida"
            2 => "Resultados informados por los pacientes"
            3 => "Dise&#241;o de cuestionario"
            4 => "Validaci&#243;n psicom&#233;trica"
          ]
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    "resumen" => array:2 [
      "en" => array:3 [
        "titulo" => "Abstract"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Introduction and objectives</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Hidradenitis suppurativa &#40;HS&#41; is a chronic inflammatory disease of the skin with a negative impact on quality of life&#46; Up to now&#44; there are no disease specific instruments in Spanish to assess quality of life in HS&#46; The objective of this study was to develop and validate a questionnaire to evaluate the quality of life in patients with HS&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Material and methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A multicentre study was carried out in Spain between 2016 and 2017 to develop the questionnaire&#46; Both the conceptual framework and understanding of the patient&#39;s situation were considered through a review of the literature&#44; consensus of professionals from different related health areas&#44; and in-depth interviews with patients&#46; The resulting questionnaire was passed to a group of 30 patients with 30&#177;10 days of interval between both assessments&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">The reliability analysis shows a good internal consistency and reproducibility with Cronbach&#39;s alpha score of 0&#46;920 &#40;test&#41; and 0&#46;917 &#40;retest&#41; and intraclass correlation coefficient with DLQI and Skindex-29 of 0&#46;698 95&#37; CI &#40;0&#46;456-0&#46;844&#41; and 0&#46;900 95&#37; CI &#40;0&#46;801-0&#46;951&#41; respectively&#46; Cut-off points were established for its use and the instrument was found to be sensitive to change&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The HSQoL-24 is the first disease-specific self-administered instrument to assess quality of life in patients with HS in Spanish&#46; It is user friendly&#44; and easy to score&#46; This study shows that the instrument is reliable&#44; valid and sensitive to change&#44; pending confirmatory study with a larger sample of 100 patients with HS&#46;</p></span>"
        "secciones" => array:4 [
          0 => array:2 [
            "identificador" => "abst0005"
            "titulo" => "Introduction and objectives"
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          1 => array:2 [
            "identificador" => "abst0010"
            "titulo" => "Material and methods"
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          2 => array:2 [
            "identificador" => "abst0015"
            "titulo" => "Results"
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          3 => array:2 [
            "identificador" => "abst0020"
            "titulo" => "Conclusions"
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      "es" => array:3 [
        "titulo" => "Resumen"
        "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Introducci&#243;n y objetivos</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">La hidradenitis supurativa &#40;HS&#41; es una enfermedad inflamatoria cr&#243;nica de la piel que influencia negativamente la calidad de vida&#46; En la actualidad no existen escalas en espa&#241;ol que la eval&#250;en&#46; El objetivo del presente estudio fue desarrollar y validar un cuestionario espec&#237;fico para evaluar la calidad de vida en pacientes con HS&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Material y m&#233;todos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Se desarroll&#243; un estudio multic&#233;ntrico en Espa&#241;a entre 2016 y 2017 para elaborar un cuestionario&#46; Para ello se consider&#243; tanto el marco conceptual como el conocimiento de la situaci&#243;n del paciente mediante la revisi&#243;n de la bibliograf&#237;a&#44; reuniones de profesionales de diferentes &#225;reas y entrevistas con pacientes&#46; El cuestionario resultante se pas&#243; a un grupo de 30 pacientes con 30 &#177; 10 d&#237;as de intervalo entre uno y otro&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">El an&#225;lisis de fiabilidad muestra una buena consistencia interna y reproductibilidad con puntuaci&#243;n alfa de Cronbach de 0&#44;920 &#40;test&#41; y 0&#44;917 &#40;retest&#41; y coeficiente de correlaci&#243;n intraclase con DLQI y Skindex-29 de 0&#44;698 IC 95&#37; &#40;0&#44;456-0&#44;844&#41; y 0&#44;900 IC 95&#37; &#40;0&#44;801-0&#44;951&#41; respectivamente&#46; Se establecieron puntos de corte para su uso y se comprob&#243; que el instrumento es sensible al cambio&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclusiones</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">El cuestionario HSQoL-24 es la primera prueba autoadministrada espec&#237;fica para evaluar la calidad de vida en HS en espa&#241;ol&#46; Sencillo de usar y puntuar por los profesionales&#46; Este estudio demuestra que el instrumento es fiable&#44; v&#225;lido y sensible al cambio&#44; pendiente de realizar estudio confirmatorio con una muestra mayor con 100 pacientes con HS&#46;</p></span>"
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            "titulo" => "Introducci&#243;n y objetivos"
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            "identificador" => "abst0030"
            "titulo" => "Material y m&#233;todos"
          ]
          2 => array:2 [
            "identificador" => "abst0035"
            "titulo" => "Resultados"
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          3 => array:2 [
            "identificador" => "abst0040"
            "titulo" => "Conclusiones"
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    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0020">Please cite this article as&#58; Marr&#243;n SE&#44; G&#243;mez-Barrera M&#44; Tom&#225;s-Aragon&#233;s L&#44; D&#237;az D&#237;az RM&#44; Vilarrasa Rull E&#44; Madrid &#193;lvarez MB&#44; et al&#46; Desarrollo y validaci&#243;n preliminar del instrumento HSQoL-24 para evaluar calidad de vida en pacientes con hidradenitis supurativa&#46; Actas Dermosifiliogr&#46; 2019&#59;110&#58;554&#8211;560&#46;</p>"
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                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
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                  \t\t\t\t\ttable-head\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Domain&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Constant Value&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;04166&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Psychosocial&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#46;08333&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Economic&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">25&#46;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Occupation&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Relationships&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&#46;25&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Personal&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">12&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Clinical&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">8&#46;33&nbsp;\t\t\t\t\t\t\n
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                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Domain&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t\ttable-head\n
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                  \t\t\t\t\ttable-head\n
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                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">P</span> Value&#44; Test-Retest<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;842 &#40;0&#46;694-0&#46;921&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">50&#46;87 &#40;20&#46;695&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">47&#46;60 &#40;19&#46;866&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#46;098&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Psychosocial&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;872 &#40;0&#46;750-0&#46;937&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">49&#46;38 &#40;22&#46;346&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">45&#46;76 &#40;21&#46;949&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">&#46;088&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Economic&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;709 &#40;0&#46;474-0&#46;850&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">40&#46;00 &#40;40&#46;258&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">40&#46;00 &#40;40&#46;258&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#46;546&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Occupation&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;682 &#40;0&#46;431-0&#46;835&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">51&#46;67 &#40;34&#46;072&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">46&#46;25 &#40;30&#46;469&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#46;259&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Relationships&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;760 &#40;0&#46;555-0&#46;878&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">63&#46;33 &#40;25&#46;360&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">59&#46;79 &#40;23&#46;309&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#46;260&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Personal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;718 &#40;0&#46;487-0&#46;855&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">27&#46;92 &#40;24&#46;715&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">29&#46;17 &#40;24&#46;197&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#46;712&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Clinical&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;702 &#40;0&#46;462-0&#46;846&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">58&#46;61 &#40;19&#46;013&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">55&#46;28 &#40;19&#46;264&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#46;227&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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          "en" => "<p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">Intraclass Correlation Coefficient&#46;</p>"
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                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Analysis&#44; Test</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Analysis&#44; Retest</th></tr><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Correlation With DLQI &#40;<span class="elsevierStyleItalic">P</span>&#160;Value&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Correlation With Skindex-29 &#40;<span class="elsevierStyleItalic">P</span>&#160;Value&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Correlation With DLQI &#40;<span class="elsevierStyleItalic">P</span>&#160;Value&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Correlation With Skindex-29 &#40;<span class="elsevierStyleItalic">P</span>&#160;Value&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;708 &#40;&#60;&#46;001&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;863 &#40;&#60;&#46;001&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;691 &#40;&#60;&#46;001&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;898 &#40;&#60;&#46;001&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Comparison&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Test Model &#40;R<span class="elsevierStyleSup">2</span>&#41;<a class="elsevierStyleCrossRef" href="#tblfn0015"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Retest Model &#40;R<span class="elsevierStyleSup">2</span>&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">HSQoL-24 and DLQI&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">HSQoL<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;5732&#215;DLQI<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>34&#46;372 &#40;0&#46;5018&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">HSQoL<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;615&#215;DLQI<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>32&#46;604 &#40;0&#46;4745&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">HSQoL-24 and Skindex-29&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">HSQoL<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;6907<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>Skindex<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>21&#46;057 &#40;0&#46;7452&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">HSQoL<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;7548<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>Skindex<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>18&#46;418 &#40;0&#46;8057&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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          "en" => "<p id="spar0085" class="elsevierStyleSimplePara elsevierViewall">Regression Models&#46;</p>"
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                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td-with-role" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">Category&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Test</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Retest</th></tr><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Cases&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Mean &#40;SD&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Range&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Cases&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Mean &#40;SD&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Range&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Not at all &#40;0-24&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">29&#46;82 &#40;6&#46;51&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">16-35&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">27&#46;90 &#40;10&#46;35&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13-41&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">A little &#40;25-31&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">44&#46;79&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">45&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">40&#46;00 &#40;14&#46;14&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">30-50&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">A lot &#40;32-43&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">37&#46;33 &#40;6&#46;12&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">31-47&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">39&#46;00 &#40;5&#46;65&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">35-43&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Very much &#40;&#8805;44&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">14&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">67&#46;63 &#40;20&#46;67&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">35-83&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">66&#46;31 &#40;11&#46;09&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">45-83&nbsp;\t\t\t\t\t\t\n
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                  """
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          "en" => "<p id="spar0090" class="elsevierStyleSimplePara elsevierViewall">Values of HSQoL-24 in Skindex-29 Categories&#46;</p>"
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        0 => array:2 [
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                          "etal" => true
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                            0 => "M&#46; Jones-Caballero"
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                            0 => "M&#46; Sisic"
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                      "doi" => "10.1177/1203475416677721"
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                0 => array:2 [
                  "contribucion" => array:1 [
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
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                            1 => "M&#46; Tornel Abell&#225;n"
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                  "host" => array:1 [
                    0 => array:1 [
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                  "contribucion" => array:1 [
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Original Article
Development and Preliminary Validation of the HSQoL-24 Tool to Assess Quality of Life in Patients With Hidradenitis Suppurativa
Desarrollo y validación preliminar del instrumento HSQoL-24 para evaluar calidad de vida en pacientes con hidradenitis supurativa
S.E. Marróna,h,i,
Corresponding author
semarron@aedv.es

Corresponding author.
, M. Gómez-Barrerab,c, L. Tomás-Aragonésg,h,i, R.M. Díaz Díazd,i, E. Vilarrasa Rulle, M.B. Madrid Álvarezf,i, L. Puige
a Servicio de Dermatología, Hospital Royo Villanova, Zaragoza, España
b Universidad San Jorge, Villanueva de Gallego, Zaragoza, España
c Pharmacoeconomics & Outcomes Research Iberia, Pozuelo de Alarcón, Madrid, España
d Servicio de Dermatología, Hospital Infanta Sofía, San Sebastián de los Reyes, Madrid, España
e Servicio de Dermatología, Hospital de la Santa Creu i Sant Pau, Barcelona, España
f Servicio de Dermatología, Hospital Dr. Negrín, Las Palmas de Gran Canaria, España
g Departamento de Psicología, Universidad de Zaragoza, Zaragoza, España
h Grupo Aragonés de Investigación en Psicodermatología (GAI+PD), Zaragoza, España
i Grupo Español de Investigación en Dermatología y Psiquiatría (GEDEPSI) de la Academia Española de Dermatología y Venereología (AEDV), Madrid, España
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and loss of work because of the disease was frequent&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">The recent advent of new noninvasive procedures for early diagnosis of the disease<a class="elsevierStyleCrossRef" href="#bib0130"><span class="elsevierStyleSup">5</span></a> and novel therapeutic targets will revolutionize our approach to HS&#46;<a class="elsevierStyleCrossRef" href="#bib0135"><span class="elsevierStyleSup">6</span></a> Therefore&#44; given that HS is a very specific disease&#44; this new scenario requires an instrument for measuring the quality of life of affected patients&#46; However&#44; our literature review showed that there was no such instrument in Spanish&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">The objective of the present study was to develop a new psychometric questionnaire&#8212;the HSQoL-24&#8212;to evaluate the quality of life of patients with HS according to current development standards&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Material and Methods</span><p id="par0025" class="elsevierStylePara elsevierViewall">The study population comprised 30 adults with HS&#44; all of whom signed the informed consent document&#46; The study &#40;PI16&#47;020&#41; was approved by the Clinical Research Ethics Committee of Aragon &#40;CEICA&#41; on February 10&#44; 2016 and by the corresponding committees in the other hospitals&#46; Patients were recruited at Hospital Royo Villanova &#40;Zaragoza&#41;&#44; Hospital Infanta Sof&#237;a &#40;Madrid&#41;&#44; Hospital Santa Creu i Sant Pau &#40;Barcelona&#41;&#44; and Hospital Doctor Negr&#237;n &#40;Las Palmas de Gran Canaria&#41;&#46;</p><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Generation of Items</span><p id="par0030" class="elsevierStylePara elsevierViewall">First&#44; we performed a literature review in PubMed in order to identify relevant psychosocial determinants in HS&#46; These were used to identify areas for assessment in the interviews&#46; Second&#44; semistructured interviews were held with 12 patients &#40;5 women and 7 men aged 18-61 years&#41; who had been diagnosed with HS by a dermatologist&#46; Third&#44; once the interviews had been transcribed and coded&#44; an expert panel was formed by 20 experts with broad clinical experience in order to generate new items&#46; A 24-item psychometric instrument &#40;HSQoL-24&#41; was then drafted&#46; The questions referred to the 4-week period preceding completion of the questionnaire&#44; since the clinical course of HS is relatively stable over time compared with other skin conditions&#46; The items were grouped into 6 domains&#58; psychosocial&#44; economic&#44; occupational&#44; relationships&#44; personal&#44; and clinical&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Psychometric Evaluation</span><p id="par0035" class="elsevierStylePara elsevierViewall">The psychometric validation of HSQoL-24 was based on the Dermatology Life Quality Index &#40;DLQI&#41;&#44;<a class="elsevierStyleCrossRef" href="#bib0140"><span class="elsevierStyleSup">7</span></a> which is a specific questionnaire for evaluating the quality of life of patients with skin conditions&#44; 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with 24 items and 5 possible replies for each one &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#44; proved to be feasible and easy to use by patients&#44; who took approximately 10<span class="elsevierStyleHsp" style=""></span>minutes to answer the questions&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Results</span><p id="par0050" class="elsevierStylePara elsevierViewall">The HSQoL-24 was validated in the sample of 30 patients&#46; The questionnaire was completed on 2 occasions with an interval of 30 &#177; 10 days between them&#46; Eleven of the patients &#40;36&#46;7&#37;&#41; were men&#44; mean &#40;SD&#41; age was 36&#46;8 &#40;11&#46;2&#41; years&#44; age at onset was 22&#46;8 &#40;10&#46;9&#41; years&#44; and time since onset was 13&#46;6 &#40;11&#46;3&#41; years&#46; Six patients &#40;20&#37;&#41; were in Hurley stage <span class="elsevierStyleSmallCaps">III</span>&#44; 14 &#40;46&#46;7&#37;&#41; in Hurley stage <span class="elsevierStyleSmallCaps">II&#44;</span> and 10 &#40;33&#46;3&#37;&#41; in Hurley <span class="elsevierStyleSmallCaps">I</span>&#46;</p><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Properties of HSQoL-24</span><p id="par0055" class="elsevierStylePara elsevierViewall">The various items were grouped into 6 domains&#44; as follows&#58; psychosocial&#44; items 1&#44; 3&#44; 5&#44; 7&#44; 10&#44; 12&#44; 15&#44; 17&#44; 20&#44; 22&#44; 23&#44; and 24&#59; economic&#44; item 2&#59; occupation&#44; items 4 and 8&#59; relationships&#44; items 6&#44; 9&#44; 13&#44; and 18&#59; personal&#44; items 11 and 14&#59; and clinical&#44; items 16&#44; 19&#44; and 21&#46; When calculating the scores&#44; it is necessary to remember that&#44; as a rule&#44; each item is scored from 0 to 4&#44; as follows&#58; 0&#44; never&#59; 1&#44; rarely&#59; 2&#44; sometimes&#59; 3&#44; often&#59; and 4&#44; always&#46; Items 9&#44; 12&#44; and 16 are scored inversely with respect to the others&#46; Finally&#44; the scores for each domain and the total score must be adjusted to 100&#44; which is done by multiplying the value obtained by a constant &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia></span></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Reliability&#58; Internal Consistency and Reproducibility</span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Internal Consistency</span><p id="par0060" class="elsevierStylePara elsevierViewall">The values for internal consistency &#40;Cronbach &#945;&#41; were 0&#46;920 in the initial evaluation &#40;test&#41; and 0&#46;917 in the subsequent evaluation &#40;retest&#41;&#46;</p></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Reproducibility</span><p id="par0065" class="elsevierStylePara elsevierViewall">Reproducibility was measured using the ICC in a test-retest intervention&#46; The evaluation was for total score and for the scores in the individual domains&#46; The values of the ICC for DLQI and Skindex-29 were 0&#46;698 &#40;95&#37; CI&#44; 0&#46;456-0&#46;844&#41; and 0&#46;900 &#40;95&#37; CI&#44; 0&#46;801-0&#46;951&#41;&#44; respectively&#46; The results are presented in <a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a>&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia></span></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Validity Analysis</span><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0115">Correlation and Regression Analysis</span><p id="par0070" class="elsevierStylePara elsevierViewall">Construct validity was assessed using a correlation and regression analysis with DLQI and Skindex-29&#46; <a class="elsevierStyleCrossRef" href="#tbl0015">Table 3</a> shows the values for the correlation between HSQoL-24 and DLQI and between HSQoL-24 and Skindex-29&#44; both for the initial evaluation &#40;test&#41; and the subsequent evaluation &#40;retest&#41;&#46; The table shows how the correlation values are greater in the comparison with Skindex-29 and that they are close to 0&#46;9 &#40;0&#46;863 and 0&#46;898 for test and retest&#44; respectively&#41;&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><p id="par0075" class="elsevierStylePara elsevierViewall">A regression analysis was performed for HSQoL-24 with respect to DLQI and Skindex-29 in the initial and subsequent evaluation&#46; <a class="elsevierStyleCrossRef" href="#tbl0020">Table 4</a> shows the results of the initial evaluation &#40;test&#41;&#46; The R<span class="elsevierStyleSup">2</span> values for Skindex-29 revealed an adequate goodness of fit for the model &#40;0&#46;7452 and 0&#46;7548 for test and retest&#44; respectively&#41;&#46; Therefore&#44; DLQI makes it possible to predict 47&#37;-50&#37; of the value of variance in HSQoL-24&#59; Skindex-29 shows a greater fit for the model&#44; accounting for 75&#37;-80&#37; of the variance in HSQoL-24&#46;</p><elsevierMultimedia ident="tbl0020"></elsevierMultimedia></span><span id="sec0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0120">Cut Points</span><p id="par0080" class="elsevierStylePara elsevierViewall">The cut points were delimited by comparing the range of values for HSQoL-24 and Skindex-29&#44; since the latter yielded the best correlation and regression values&#46; <a class="elsevierStyleCrossRef" href="#tbl0025">Table 5</a> shows the results of the descriptive study of the HSQoL-24 values in the different categories of Skindex-29&#46; We can see that quality of life was not affected in only 8 and 10 patients and that it was severely affected in 14 and 13 patients&#46;</p><elsevierMultimedia ident="tbl0025"></elsevierMultimedia><p id="par0085" class="elsevierStylePara elsevierViewall">ROC curve analysis showed that values of between 0 and 32 in HSQoL-24 correspond to patients whose health-related quality of life &#40;HRQoL&#41; is not affected&#44; with a sensitivity of 0&#46;909 and a specificity of 0&#46;5&#46; The area under the curve was 0&#46;943 &#40;95&#37; CI&#44; 0&#46;865-1&#46;000&#41;&#46; As for patients whose HRQoL was severely affected&#44; the cut point of the proposed curve was 42&#44; with a sensitivity of 0&#46;933 and a specificity of 0&#46;867&#46; The area under the curve was 0&#46;967 &#40;95&#37; CI&#44; 0&#46;909-1&#46;000&#41;&#46; The separation between the categories <span class="elsevierStyleItalic">mild</span> and <span class="elsevierStyleItalic">moderate</span> was proposed at a cut point of 36&#44; with a sensitivity of 0&#46;810 and specificity of 0&#46;889 and an area under the curve of 0&#46;910 &#40;95&#37; CI&#44; 0&#46;807-1&#46;000&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41;&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span><span id="sec0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0125">Sensitivity to Change</span><p id="par0090" class="elsevierStylePara elsevierViewall">Sensitivity to change was assessed by calculating the variation in the 3 questionnaires and analyzing the correlations between them&#46; The results revealed a statistically significant correlation between the change in HSQoL-24 and Skindex-29 &#40;Pearson r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;504&#44; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#46;004&#41; and no statistically significant correlation for DLQI&#44; although a tendency was observed &#40;Pearson r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;355&#44; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#46;055&#41;&#46; The effect size for the variation in HSQoL-24&#44; calculated as the difference in means divided by the deviation at baseline was 0&#46;33 &#40;50&#46;87-47&#46;60&#47;20&#46;695&#41;&#44; thus indicating a reduced variation in HRQoL&#46; Similar conclusions were reached for Skindex-29&#44; with a value of 0&#46;17 &#40;43&#46;2-38&#46;6&#47;25&#46;865&#41;&#44; thus indicating in both cases a slight variation in HRQoL in this type of patient in both questionnaires&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">The values for the 3 questionnaires revealed differences in the total score and the final score&#46; The mean values are shown in <a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>&#46; We can see how these 3 mean values decreased&#46;</p><elsevierMultimedia ident="fig0015"></elsevierMultimedia></span></span><span id="sec0070" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0130">Discussion</span><p id="par0100" class="elsevierStylePara elsevierViewall">The present article analyzes the characteristics of the HSQoL-24 questionnaire as a predictor of quality of life in patients with HS&#46; During the drafting process&#44; both the conceptual framework and awareness of the patient&#39;s situation were taken into account by means of a literature review&#44; meetings between specialists from different areas&#44; and interviews with patients&#46; This working methodology is consistent with that of other authors and standard practice in the development of quality of life questionnaires&#46;<a class="elsevierStyleCrossRefs" href="#bib0150"><span class="elsevierStyleSup">9&#44;10</span></a></p><p id="par0105" class="elsevierStylePara elsevierViewall">The relevance of evaluating quality of life in HS has been highlighted in several studies&#46; Patients see their quality of life affected beyond their clinical manifestations&#44; and this decline should be analyzed&#44;<a class="elsevierStyleCrossRefs" href="#bib0160"><span class="elsevierStyleSup">11&#44;12</span></a> as should associated factors&#46;<a class="elsevierStyleCrossRef" href="#bib0170"><span class="elsevierStyleSup">13</span></a> In addition to relevance&#44; it is also important to generate questionnaires that are applicable to specific populations&#44; in this case patients with HS in Spain&#44; thus justifying the need for such research in the study of this disease today&#46; Currently available questionnaires on HS are not applicable to the Spanish population until they are translated and validated&#46; Moreover&#44; instruments of this type had not been published at the time of the design of and subsequent data collection in the present study&#46; Consequently&#44; we did not envisage a translation of these questionnaires but instead opted to draft a completely new one<span class="elsevierStyleItalic">&#46;</span><a class="elsevierStyleCrossRefs" href="#bib0150"><span class="elsevierStyleSup">9&#44;14&#44;15</span></a></p><p id="par0110" class="elsevierStylePara elsevierViewall">The psychometric characteristics analyzed in the present study were reliability&#44; validity&#44; and prognostic ability&#44; which are equally well accepted in diseases that affect quality of life in Spain&#46;<a class="elsevierStyleCrossRef" href="#bib0185"><span class="elsevierStyleSup">16</span></a></p><p id="par0115" class="elsevierStylePara elsevierViewall">Reliability was measured in terms of internal consistency and&#47;or reproducibility&#47;repeatability&#46; Internal consistency was measured using the Cronbach &#945;&#46;<a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">17</span></a> The results revealed a value of<span class="elsevierStyleHsp" style=""></span>&#62; 0&#46;9&#44; thus indicating excellent internal consistency&#44; which was maintained even when some of the questions were eliminated&#46; Similar values were reported by McLellan et al&#46;&#44;<a class="elsevierStyleCrossRef" href="#bib0185"><span class="elsevierStyleSup">16</span></a> namely&#44; 0&#46;955 in physical function and 0&#46;900 in the symptom domain in a quality of life questionnaire in HS&#46; Pinnard et al&#46;<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">15</span></a> also reported high values &#40;0&#46;936&#41;&#46;</p><p id="par0120" class="elsevierStylePara elsevierViewall">Reproducibility&#44; or repeatability&#44; was measured using the ICC in a test-retest intervention&#44; assuming that values<span class="elsevierStyleHsp" style=""></span>&#62; 0&#46;7 were adequate&#46; This evaluation was performed for the total score and for the scores in the individual domains&#46; The ICC values exceeded 0&#46;7 in all domains except for occupation &#40;0&#46;68&#41;&#46; These values are similar to those in other questionnaires or methods used in dermatology&#44; for example&#44; the computer-guided calculation of the Psoriasis Area and Severity Index &#40;PASI&#41;&#44; which reached values of 0&#46;86 &#40;95&#37; CI&#44; 0&#46;80-0&#46;90&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">18</span></a></p><p id="par0125" class="elsevierStylePara elsevierViewall">The different ICC values in the DLQI and Skindex-29 overlapped considerably with the 95&#37; CI of the ICC in HSQoL-24&#46; Therefore&#44; we can deduce that the ICC values of the 3 questionnaires were similar&#46;</p><p id="par0130" class="elsevierStylePara elsevierViewall">Construct validity was determined using correlation and regression analysis with DLQI and Skindex-29&#46; High correlation coefficient values and appropriate fit of regression models revealed adequate validity&#44; with a greater correlation &#40;r<span class="elsevierStyleHsp" style=""></span>&#62; 0&#46;85&#41; and better goodness-of-fit &#40;R<span class="elsevierStyleSup">2</span><span class="elsevierStyleHsp" style=""></span>&#62; 0&#46;7&#41;&#46; As reported elsewhere&#44;<a class="elsevierStyleCrossRefs" href="#bib0180"><span class="elsevierStyleSup">15&#44;16</span></a> HSQoL-24<span class="elsevierStyleHsp" style=""></span>showed adequate correlations with these questionnaires&#44; thus indicating adequate validity&#46;</p><p id="par0135" class="elsevierStylePara elsevierViewall">The cut points had adequate sensitivity &#40;0&#46;88 and 0&#46;90&#41; and a high area under the curve &#40;&#62; 0&#46;9&#41; in the ROC curve analysis&#44; thus indicating adequate predictive capacity for detecting individuals with altered HRQoL&#46; These values were similar to those reported by other authors for other HS and dermatology questionnaires&#46;<a class="elsevierStyleCrossRefs" href="#bib0200"><span class="elsevierStyleSup">19&#44;20</span></a> Nevertheless&#44; it was not possible to calculate specificity values appropriately&#44; probably because of the small sample size&#59; therefore&#44; in the next stage of the evaluation&#44; we will be able to perform a more coherent analysis of the sensitivity and specificity values of HSQoL-24&#46;</p><p id="par0140" class="elsevierStylePara elsevierViewall">In addition to the parallel variations in test and retest quality of life scales commented on above&#44; sensitivity to change was analyzed based on the study of correlations between differences in the questionnaire scores and on effect size&#46; The results showed a statistically significant correlation between change in HSQoL-24 with respect to Skindex-29&#44; although not DLQI&#44; with a low <span class="elsevierStyleItalic">P</span> value &#40;&#46;055&#41;&#46; Correlation values of around 0&#46;5 were significant and slightly lower than in other dermatology questionnaires such as the Urticaria Activity Score&#44; which&#44; in its validation phase reached 0&#46;6-0&#46;7 with respect to other questionnaires&#46;<a class="elsevierStyleCrossRef" href="#bib0210"><span class="elsevierStyleSup">21</span></a> Nevertheless&#44; the results for HSQoL-24 were considered indicators of good sensitivity to change&#46;</p></span><span id="sec0075" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0135">Conclusions</span><p id="par0145" class="elsevierStylePara elsevierViewall">The results of the analysis of the psychometric properties of HSQoL-24&#44; the first specific self-administered test in Spanish for evaluation of quality of life in patients with HS&#44; revealed adequate reliability and validity values&#46; Therefore&#44; while awaiting the validation results for 100 patients&#44; these findings make HSQoL-24 a very clinically valid instrument in terms of the results perceived by patients&#46;</p></span><span id="sec0080" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0140">Conflicts of Interest</span><p id="par0150" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflicts of interest&#46;</p></span></span>"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Introduction and objectives</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Hidradenitis suppurativa &#40;HS&#41; is a chronic inflammatory disease of the skin with a negative impact on quality of life&#46; Up to now&#44; there are no disease specific instruments in Spanish to assess quality of life in HS&#46; The objective of this study was to develop and validate a questionnaire to evaluate the quality of life in patients with HS&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Material and methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A multicentre study was carried out in Spain between 2016 and 2017 to develop the questionnaire&#46; Both the conceptual framework and understanding of the patient&#39;s situation were considered through a review of the literature&#44; consensus of professionals from different related health areas&#44; and in-depth interviews with patients&#46; The resulting questionnaire was passed to a group of 30 patients with 30&#177;10 days of interval between both assessments&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">The reliability analysis shows a good internal consistency and reproducibility with Cronbach&#39;s alpha score of 0&#46;920 &#40;test&#41; and 0&#46;917 &#40;retest&#41; and intraclass correlation coefficient with DLQI and Skindex-29 of 0&#46;698 95&#37; CI &#40;0&#46;456-0&#46;844&#41; and 0&#46;900 95&#37; CI &#40;0&#46;801-0&#46;951&#41; respectively&#46; Cut-off points were established for its use and the instrument was found to be sensitive to change&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The HSQoL-24 is the first disease-specific self-administered instrument to assess quality of life in patients with HS in Spanish&#46; It is user friendly&#44; and easy to score&#46; This study shows that the instrument is reliable&#44; valid and sensitive to change&#44; pending confirmatory study with a larger sample of 100 patients with HS&#46;</p></span>"
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        "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Introducci&#243;n y objetivos</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">La hidradenitis supurativa &#40;HS&#41; es una enfermedad inflamatoria cr&#243;nica de la piel que influencia negativamente la calidad de vida&#46; En la actualidad no existen escalas en espa&#241;ol que la eval&#250;en&#46; El objetivo del presente estudio fue desarrollar y validar un cuestionario espec&#237;fico para evaluar la calidad de vida en pacientes con HS&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Material y m&#233;todos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Se desarroll&#243; un estudio multic&#233;ntrico en Espa&#241;a entre 2016 y 2017 para elaborar un cuestionario&#46; Para ello se consider&#243; tanto el marco conceptual como el conocimiento de la situaci&#243;n del paciente mediante la revisi&#243;n de la bibliograf&#237;a&#44; reuniones de profesionales de diferentes &#225;reas y entrevistas con pacientes&#46; El cuestionario resultante se pas&#243; a un grupo de 30 pacientes con 30 &#177; 10 d&#237;as de intervalo entre uno y otro&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">El an&#225;lisis de fiabilidad muestra una buena consistencia interna y reproductibilidad con puntuaci&#243;n alfa de Cronbach de 0&#44;920 &#40;test&#41; y 0&#44;917 &#40;retest&#41; y coeficiente de correlaci&#243;n intraclase con DLQI y Skindex-29 de 0&#44;698 IC 95&#37; &#40;0&#44;456-0&#44;844&#41; y 0&#44;900 IC 95&#37; &#40;0&#44;801-0&#44;951&#41; respectivamente&#46; Se establecieron puntos de corte para su uso y se comprob&#243; que el instrumento es sensible al cambio&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclusiones</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">El cuestionario HSQoL-24 es la primera prueba autoadministrada espec&#237;fica para evaluar la calidad de vida en HS en espa&#241;ol&#46; Sencillo de usar y puntuar por los profesionales&#46; Este estudio demuestra que el instrumento es fiable&#44; v&#225;lido y sensible al cambio&#44; pendiente de realizar estudio confirmatorio con una muestra mayor con 100 pacientes con HS&#46;</p></span>"
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        "nota" => "<p class="elsevierStyleNotepara" id="npar0020">Please cite this article as&#58; Marr&#243;n SE&#44; G&#243;mez-Barrera M&#44; Tom&#225;s-Aragon&#233;s L&#44; D&#237;az D&#237;az RM&#44; Vilarrasa Rull E&#44; Madrid &#193;lvarez MB&#44; et al&#46; Desarrollo y validaci&#243;n preliminar del instrumento HSQoL-24 para evaluar calidad de vida en pacientes con hidradenitis supurativa&#46; Actas Dermosifiliogr&#46; 2019&#59;110&#58;554&#8211;560&#46;</p>"
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Domain&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Constant Value&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">Psychosocial&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#46;08333&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Economic&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">25&#46;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Occupation&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Relationships&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&#46;25&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Clinical&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t\ttable-head\n
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                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">P</span> Value&#44; Test-Retest<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;842 &#40;0&#46;694-0&#46;921&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">50&#46;87 &#40;20&#46;695&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">47&#46;60 &#40;19&#46;866&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">&#46;098&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Psychosocial&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">49&#46;38 &#40;22&#46;346&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">45&#46;76 &#40;21&#46;949&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">&#46;088&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Economic&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;709 &#40;0&#46;474-0&#46;850&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">40&#46;00 &#40;40&#46;258&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">40&#46;00 &#40;40&#46;258&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#46;546&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">Occupation&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;682 &#40;0&#46;431-0&#46;835&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">51&#46;67 &#40;34&#46;072&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">46&#46;25 &#40;30&#46;469&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#46;259&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Relationships&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;760 &#40;0&#46;555-0&#46;878&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">63&#46;33 &#40;25&#46;360&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">59&#46;79 &#40;23&#46;309&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#46;260&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Personal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;718 &#40;0&#46;487-0&#46;855&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">27&#46;92 &#40;24&#46;715&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">29&#46;17 &#40;24&#46;197&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#46;712&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Clinical&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;702 &#40;0&#46;462-0&#46;846&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">58&#46;61 &#40;19&#46;013&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">55&#46;28 &#40;19&#46;264&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#46;227&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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          "en" => "<p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">Intraclass Correlation Coefficient&#46;</p>"
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          "leyenda" => "<p id="spar0080" class="elsevierStyleSimplePara elsevierViewall">Abbreviation&#58; DLQI&#44; Dermatology Life Quality Index&#46;</p>"
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                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Analysis&#44; Test</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Analysis&#44; Retest</th></tr><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Correlation With DLQI &#40;<span class="elsevierStyleItalic">P</span>&#160;Value&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Correlation With Skindex-29 &#40;<span class="elsevierStyleItalic">P</span>&#160;Value&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Correlation With DLQI &#40;<span class="elsevierStyleItalic">P</span>&#160;Value&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Correlation With Skindex-29 &#40;<span class="elsevierStyleItalic">P</span>&#160;Value&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;708 &#40;&#60;&#46;001&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;863 &#40;&#60;&#46;001&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;691 &#40;&#60;&#46;001&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;898 &#40;&#60;&#46;001&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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          "en" => "<p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">Correlation Analysis&#46;</p>"
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      6 => array:8 [
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          0 => array:3 [
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              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Comparison&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Test Model &#40;R<span class="elsevierStyleSup">2</span>&#41;<a class="elsevierStyleCrossRef" href="#tblfn0015"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Retest Model &#40;R<span class="elsevierStyleSup">2</span>&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">HSQoL-24 and DLQI&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">HSQoL<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;5732&#215;DLQI<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>34&#46;372 &#40;0&#46;5018&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">HSQoL<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;615&#215;DLQI<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>32&#46;604 &#40;0&#46;4745&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">HSQoL-24 and Skindex-29&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">HSQoL<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;6907<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>Skindex<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>21&#46;057 &#40;0&#46;7452&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">HSQoL<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;7548<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>Skindex<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>18&#46;418 &#40;0&#46;8057&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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              "nota" => "<p class="elsevierStyleNotepara" id="npar0015">R<span class="elsevierStyleSup">2</span>&#44; coefficient of multiple determination&#46;</p>"
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          "en" => "<p id="spar0085" class="elsevierStyleSimplePara elsevierViewall">Regression Models&#46;</p>"
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                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td-with-role" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">Category&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Test</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Retest</th></tr><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Cases&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Mean &#40;SD&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Range&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Cases&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Mean &#40;SD&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Range&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Not at all &#40;0-24&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">29&#46;82 &#40;6&#46;51&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">16-35&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">27&#46;90 &#40;10&#46;35&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13-41&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">A little &#40;25-31&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">44&#46;79&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">45&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">40&#46;00 &#40;14&#46;14&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">30-50&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">A lot &#40;32-43&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">39&#46;00 &#40;5&#46;65&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">35-43&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">Very much &#40;&#8805;44&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">14&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">67&#46;63 &#40;20&#46;67&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">13&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">66&#46;31 &#40;11&#46;09&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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ISSN: 15782190
Original language: English
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